Woelfel Ingrid, Smith Brentley Q, Strosberg David, Villarreal Michael, Harzman Alan, Salani Ritu, Cochran Amalia, Chen Xiaodong Phoenix
Department of Surgery, USA.
Divison of Gynecologic Oncology, Department of Obstetrics & Gynecology, The Ohio State University, USA.
Am J Surg. 2020 Oct;220(4):893-898. doi: 10.1016/j.amjsurg.2020.03.022. Epub 2020 Mar 29.
The goal of this study was to explore the resident construct for their perceived successful method of actions that lead to OR autonomy during residency and the strategies they employed.
We conducted focus group interviews with residents from the General Surgery (GS) and Obstetrics & Gynecology (OBGYN) departments at a single academic institution across all clinical postgraduate years (PGY) using convenience sampling. Audio recordings of each interview were transcribed, analyzed and emergent themes were identified using a framework method.
A total of 38 residents participated. A 3-stage resident method to gain operative autonomy emerged. This progresses from building rapport, developing mutual entrustment, and finally to obtaining autonomy. We identified 4 common strategies used by residents to construct this method: smart communication, attention to attending preferences, helpful allies and visible attributes.
Our findings provide insight into resident strategies to achieve progressive autonomy in the OR helping programs improve resident's learning efficiency.
本研究的目的是探讨住院医师对于他们认为在住院期间实现手术室自主的成功行动方法及其所采用策略的构想。
我们采用便利抽样法，对一所学术机构普通外科（GS）和妇产科（OBGYN）所有临床研究生阶段（PGY）的住院医师进行了焦点小组访谈。每次访谈的音频记录都进行了转录、分析，并使用框架法确定了新出现的主题。
共有38名住院医师参与。出现了一种三阶段的住院医师获得手术自主权的方法。这一过程从建立融洽关系、发展相互信任，最终到获得自主权。我们确定了住院医师构建此方法所使用的4种常见策略：明智沟通、关注上级偏好、有益盟友和显著特质。
我们的研究结果为住院医师在手术室实现逐步自主的策略提供了见解，有助于提高住院医师的学习效率。
