University of Michigan, 500 S State St, Ann Arbor, MI, 48109, United States.
Department of Surgery, Michigan Medicine, 1500, E. Medical Center Dr, Ann Arbor, MI, United States.
Am J Surg. 2021 Feb;221(2):331-335. doi: 10.1016/j.amjsurg.2020.10.025. Epub 2020 Oct 20.
The regulatory focus theory (RFT) posits that people can pursue goals with a promotion or prevention focus. Greater alignment of RFT motivational styles between faculty and residents may enhance resident operative autonomy. This study establishes a set of faculty behaviors residents can identify to infer faculty motivational styles.
10 behaviors associated with promotion and prevention motivational styles were identified. General surgery residents rated faculty on how strongly they exhibit these behaviors. Faculty conducted a self-assessment of how strongly they exhibit these behaviors.
There is a positive correlation between resident and faculty ratings for the promotion-associated behaviors of "works quickly," "high energy," and "mostly provides broad oversight," and for the prevention-associated behaviors of "works slowly and deliberately," "quiet and calm," and "preference for vigilant strategies."
Residents can observe faculty operative behaviors to infer faculty motivational styles. Residents may use this knowledge to adjust to faculty motivational styles and enhance operative interactions.
调节定向理论（RFT）认为，人们可以用促进定向或预防定向来追求目标。教员和住院医师之间更一致的 RFT 动机风格可能会增强住院医师的手术自主性。本研究确定了一组住院医师可以识别的教员行为，以推断教员的动机风格。
确定了与促进定向和预防定向动机风格相关的 10 种行为。普通外科住院医师对教员表现出这些行为的强烈程度进行了评分。教员对自己表现出这些行为的强烈程度进行了自我评估。
住院医师和教员对促进相关行为“工作速度快”、“精力充沛”和“主要提供广泛监督”以及预防相关行为“工作缓慢而谨慎”、“安静冷静”和“偏好警惕策略”的评分呈正相关。
住院医师可以通过观察教员的手术行为来推断教员的动机风格。住院医师可以利用这些知识来适应教员的动机风格，并增强手术互动。
