Department of Surgery, Ringgold ID: 2331University of North Carolina at Chapel Hill, NC, USA.
Department of Surgery, Ringgold ID: 21782University of Iowa, IA, USA.
Am Surg. 2021 Jun;87(6):933-937. doi: 10.1177/0003134820960073. Epub 2020 Dec 7.
Transitioning from trainee to independent surgeon is challenging, with teaching and mentoring learners adding complexity. This study aimed to identify benefits and challenges of teaching and mentoring residents early in surgical practice.
A mixed-methods survey with multiple choice and open-ended questions was developed for early career (first 3 years) and experienced (more than 3 years) surgeons working with residents. The survey was initially piloted by 6 surgeons, revised according to feedback and distributed on Twitter. Quantitative and qualitative analyses were performed.
Seventy-three valid responses were analyzed, 21 (25%) from early career surgeons and 53 (75%) from experienced surgeons. The majority were women (62%), practiced in academics (78%) and lived in the United States (76%). Most of the early career and experienced surgeons selected the operating room as the most teaching challenging location (62% early career; and 60% experienced). Top teaching challenges of early career surgeons were the need to focus on own skills (24%) and concern for patient safety/outcomes (24%), while experienced surgeons reported need to focus on own skills (23%) and difficulty giving up control (23%). Open-ended responses identified themes related to teaching and mentoring. Comments highlighted benefits of organizational support to facilitate teaching and mentoring and negative experiences due to resident learners not respecting early career surgeons.
This pilot study explores an area not previously studied. Early career surgeons and experienced surgeons find many similar challenges and benefits of teaching and mentoring residents. Challenges and themes identified can guide early career surgeons and organizations with regard to teaching and mentoring.
从学员过渡到独立外科医生具有挑战性，教学和指导学习者会增加复杂性。本研究旨在确定在外科实践早期教授和指导住院医师的益处和挑战。
为从事住院医师工作的早期职业（头 3 年）和经验丰富（超过 3 年）的外科医生开发了一项包含多项选择题和开放式问题的混合方法调查。该调查最初由 6 名外科医生进行了试点，根据反馈进行了修订，并在 Twitter 上进行了分发。进行了定量和定性分析。
分析了 73 份有效回复，其中 21 份（25%）来自早期职业外科医生，53 份（75%）来自经验丰富的外科医生。大多数是女性（62%），在学术界工作（78%）并居住在美国（76%）。大多数早期职业和经验丰富的外科医生选择手术室作为最具教学挑战性的地点（早期职业为 62%；经验丰富的外科医生为 60%）。早期职业外科医生的主要教学挑战是需要专注于自身技能（24%）和担心患者安全/结果（24%），而经验丰富的外科医生则报告需要专注于自身技能（23%）和难以放弃控制（23%）。开放式回答确定了与教学和指导相关的主题。评论强调了组织支持促进教学和指导的好处，以及由于住院医师不尊重早期职业外科医生而导致的负面经验。
本试点研究探讨了一个以前未研究过的领域。早期职业外科医生和经验丰富的外科医生在教授和指导住院医师方面发现了许多相似的挑战和益处。确定的挑战和主题可以指导早期职业外科医生和组织进行教学和指导。
