Ker J S, Williams B, Reid M, Dunkley P, Steele R J C
Clinical Skills Centre, Faculty of Medicine, Dentistry and Nursing, University of Dundee.
Surgeon. 2003 Aug;1(4):215-20. doi: 10.1016/s1479-666x(03)80020-3.
The aim of this study was to obtain consensus amongst consultant surgeons on the attributes of a good surgical trainer that can be used to inform continuing professional development programmes for trainers.
good trainer attributes were generated from an intensive qualitative study using a participative inquiry process with consultant general surgeons and specialist registrars in the Tayside region. These good trainer attributes were then used as the basis of a modified Delphi study; the early rounds of the Delphi simultaneously sought participants' views concerning stated attributes and sought to generate new attributes. A final Delphi questionnaire was sent to all 180 consultant general surgeons in Scotland to identify consensus.
The first two rounds of the Delphi process produced 45 attributes covering seven themes: interest in training, trainer as a team member, communication, receptiveness to trainee needs, trainer as a role model, reflection on practice and clinical and operative competence. The final survey identified significant consensus among surgeons. Clinical and operative competence achieved the highest consensus with 89.2% of surgeons believing it to be an essential attribute.
The results indicate that there is consensus on the seven themes identified as essential for a trainer in general surgery. The recognition of the importance by trainers of non-surgical trainer attributes in the changed training structure is encouraging. Surgeons' level of awareness of their roles as a trainer will help inform the level and direction of trainer training and support required as part of a flexible and continuing developmental process.
本研究的目的是在外科顾问医生中就优秀外科培训师的特质达成共识，这些特质可用于为培训师的继续职业发展计划提供参考。
通过对泰赛德地区的普通外科顾问医生和专科住院医生采用参与式探究过程进行深入定性研究，得出优秀培训师的特质。然后，将这些特质作为改进的德尔菲研究的基础；德尔菲研究的早期轮次同时征求参与者对既定特质的看法，并试图产生新的特质。向苏格兰所有180名普通外科顾问医生发送了最终的德尔菲调查问卷，以确定共识。
德尔菲过程的前两轮产生了45个特质，涵盖七个主题：培训兴趣、培训师作为团队成员、沟通、对学员需求的接受度、培训师作为榜样、实践反思以及临床和手术能力。最终调查确定了外科医生之间的显著共识。临床和手术能力达成的共识最高，89.2%的外科医生认为这是一项基本特质。
结果表明，对于普通外科培训师而言至关重要的七个主题已达成共识。培训师认识到在变化的培训结构中非手术培训师特质的重要性，这令人鼓舞。外科医生对其培训师角色的认识水平将有助于确定作为灵活持续发展过程一部分所需的培训师培训水平和方向以及支持。
