Department of Surgery, Steinberg-Bernstein Centre for Minimally Invasive Surgery & Innovation, Montreal General Hospital, Montreal, Canada.
Department of Surgery, McGill University, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada.
Surg Endosc. 2022 Jun;36(6):4593-4601. doi: 10.1007/s00464-021-08760-z. Epub 2021 Oct 7.
Surgical peer coaching has been associated with high rates of practice change but remains largely unutilized. The purpose of this study was to survey surgeons internationally to investigate attitudes regarding peer coaching and to identify any international differences to inform the design of future coaching programs.
Practicing surgeons in general surgery or related subspecialties were eligible to participate. Invitations to complete the survey were distributed through 13 surgical associations, social media, and personal e-mail invitations. Responses were obtained between June 1st and August 31st, 2020.
A total of 521 surveys were collected. The majority of participants practiced in North America (263; 50%) with remaining respondents from Asia (81; 16%), Europe (34;7%), South America (21; 4%), Africa (17; 3%), and Oceania (6; 1%). Duration of practice was equally distributed across 4 intervals (0-5 years; 6-15 years; 16-25 years; > 25 years). Respondents most frequently identified as general surgeons (290; 67%) and 325 (75%) were male. Awareness of peer coaching was reported by 275 (53%) respondents, with 197 (44%) never seeking formal feedback from peers. The majority of respondents (372; 84%) would be willing to participate in a peer coaching program, with monthly interactions the most desirable frequency reported (193; 51%). Coaching in the operating room was preferred by most participants (360; 86%). Few respondents (67; 14%) would accept coaching from someone unknown to them. Participants identified key coaching program elements as: feedback kept private and confidential (267; 63%); opportunity to provide feedback to the coach (247; 59%); personalized goal setting (244; 58%); and the option to choose one's own coach (205; 49%). The most commonly cited potential barrier to participation was logistical constraints (334; 79%).
This international survey of practicing surgeons demonstrated that peer feedback is rarely used in practice, but there is high interest and acceptance of the peer coaching model for continuous professional development. Findings regarding preferred program structure may be useful to inform the design of future peer coaching programs.
外科同行指导与实践改变率高有关，但仍未得到广泛应用。本研究旨在对国际外科医生进行调查，以了解他们对同行指导的态度，并确定任何国际差异，为未来的指导项目设计提供信息。
普通外科或相关亚专业的执业外科医生有资格参与。通过 13 个外科协会、社交媒体和个人电子邮件邀请来完成调查。调查于 2020 年 6 月 1 日至 8 月 31 日期间进行。
共收集了 521 份调查。大多数参与者来自北美（263 人；50%），其余来自亚洲（81 人；16%）、欧洲（34 人；7%）、南美（21 人；4%）、非洲（17 人；3%）和大洋洲（6 人；1%）。实践年限平均分布在 4 个区间（0-5 年；6-15 年；16-25 年；>25 年）。受访者最常自认为是普通外科医生（290 人；67%），325 人（75%）为男性。275 名（53%）受访者报告称了解同行指导，其中 197 名（44%）从未向同行寻求过正式反馈。大多数受访者（372 人；84%）愿意参加同行指导计划，每月互动是最受欢迎的频率（193 人；51%）。大多数参与者（360 人；86%）更喜欢在手术室进行指导。只有少数受访者（67 人；14%）会接受他们不认识的人的指导。参与者确定了关键的指导计划要素，包括：反馈保密（267 人；63%）；有机会向指导者提供反馈（247 人；59%）；个性化目标设定（244 人；58%）；以及选择自己教练的选择（205 人；49%）。参与者提到的参与的最常见潜在障碍是后勤限制（334 人；79%）。
这项针对执业外科医生的国际调查表明，同行反馈在实践中很少使用，但对同行指导模式作为持续专业发展的模式有很高的兴趣和接受度。关于首选计划结构的调查结果可能有助于为未来的同行指导计划设计提供信息。
