Ashwood Neil, Stanhope Edward, Lahart Ian, Dekker Andrew, Hind Jamie, Carmichael Amtul
University of Wolverhampton, Research Institute, Wulfruna St, Wolverhampton WV1 1LY, United Kingdom.
School of Health, Science and Wellbeing, Staffordshire University, Leek Road, Stoke-on-Trent, United Kingdom.
J Adv Med Educ Prof. 2023 Oct;11(4):193-204. doi: 10.30476/JAMP.2023.98395.1800.
Focussed professionalism training improves surgical trainees' communication, information gathering, and counselling skills. This study reviews the impact of a professionalism workshop for surgical trainees within a large trust in the United Kingdom developed during the pandemic to support the trainees and help them develop resilience and appropriate behaviours during the time of increased pressure.
A workshop involving case-based discussions and reflections on professionalism was developed from the themes and methods of training noted to be effective on a literature search of Medline, EMBASE, and PsycINFO databases carried out in May 2020. The impact of Covid on surgical trainees and educator's professionalism training and the techniques of training preferred by trainees was evaluated by a survey of trainees and trainers after the intervention to evolve future training initiatives. During the workshop, a behavioural marker checklist was used to improve feedback on the observed behaviours.
83 trainers and trainees were surveyed following a professional behaviour workshop training 63 surgeons at various stages of training. Surgical list availability had reduced by at least 5-10 a month for all the trainees within the trust during the pandemic. Most trainees surveyed (49 (60%)) felt that this had reduced the opportunities to train technical skills and develop professional non-technical skills like teamwork and communication skills, adversely impacting the trainee's clinical performance. The increased support offered by the workshop helped 50 trainees (80%) to improve non-technical skill performance objectively by referencing to behavioural markers and this was felt to have become embedded in practice when surveyed 4 weeks later in 38 trainees (60%). The majority of those surveyed (47 (75%)) felt trainers and trainees had acted professionally during the pandemic and subsequently. The workshop discussions also helped (56 (67%)) trainers and trainees to consider how best to engage professionally with new ways of working as work, and training switched to virtual or telemedicine platforms during the pandemic.
Professionalism-based education facilitates surgical trainee development, making them stronger team members and helping to restore team working skills and embrace new working practices.
专注的职业素养培训可提高外科实习医生的沟通、信息收集和咨询技能。本研究回顾了在疫情期间，英国一家大型信托机构为外科实习医生举办的职业素养研讨会的影响，该研讨会旨在支持实习医生，并帮助他们在压力增加时期培养适应能力和适当的行为。
根据2020年5月对Medline、EMBASE和PsycINFO数据库进行文献检索时发现的有效培训主题和方法，开发了一个包含基于案例的讨论和职业素养反思的研讨会。在干预后，通过对实习医生和培训师的调查，评估了新冠疫情对外科实习医生和教育工作者职业素养培训的影响，以及实习医生偏好的培训技术，以改进未来的培训计划。在研讨会上，使用了行为标记清单来改善对观察到的行为的反馈。
在一次职业行为研讨会培训63名处于不同培训阶段的外科医生后，对83名培训师和实习医生进行了调查。在疫情期间，该信托机构内所有实习医生的手术排班数量每月至少减少了5 - 10台。大多数接受调查的实习医生（49名（60%））认为，这减少了培训技术技能以及培养团队合作和沟通技能等专业非技术技能的机会，对实习医生的临床能力产生了不利影响。研讨会提供的更多支持帮助50名实习医生（80%）通过参考行为标记客观地提高了非技术技能表现，在4周后对38名实习医生（60%）进行调查时，发现这种表现已融入实践。大多数接受调查的人（47名（75%））认为培训师和实习医生在疫情期间及之后的行为都很专业。研讨会讨论还帮助（56名（67%））培训师和实习医生思考如何以最佳方式在工作中以专业的态度应对新的工作方式，因为在疫情期间工作和培训转向了虚拟或远程医疗平台。
基于职业素养的教育促进了外科实习医生的发展，使他们成为更强大的团队成员，并有助于恢复团队协作技能，接受新的工作方式。
