Knfe Goytom, Teshome Henok, Gama Maru, Abebe Engida, Kassahun Mulugeta, Tekelwold Berhanetsehay
Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Surg Open Sci. 2023 Dec 31;17:23-29. doi: 10.1016/j.sopen.2023.12.011. eCollection 2024 Jan.
The educational environment refers to the "climate" that influences all aspects of learning in an educational context and the experience in the operating room is particularly crucial in surgical residents learning. Hence, this study aimed to assess surgical residents' perceptions of the operating theatre educational environment and associated factors in the surgical department at St. Paul's Hospital.
This cross-sectional study was conducted in March 2022 among surgical residents at St. Paul's Hospital Millennium Medical College to assess their perceptions of the operating room educational environment using the OREEM questionnaire. Descriptive statistics (mean, median, SD) were used to summarize demographic data and OREEM scores. The student -test and one-way analysis of variance (ANOVA) testing followed by posthoc tests were used for comparison of quantitative data, with -values < 0.05 considered significant.
Of the participants, 103 (79.8%) were male and 26 (20.2%) were female with a mean age of 28 years. The overall mean score was 69% with subscale scores for teaching and training at 47.9/65.0 (73.7%), learning opportunities at 34.5/55.0 (62.7%), the atmosphere at 28.9/40.00 (72.4%) and workload/supervision/ support at 27.5/40.0 (68.7%). Male and female residents differed significantly in perceptions of "atmosphere" (t = 3.35, < 0.001) and in junior versus senior residents' perceptions of the "learning opportunities" and "atmosphere" at -values of 0.023 and 0.028 respectively. However, age, marital status, and specific surgical training programs did not have a significant effect on the scores.
Overall, residents had positive perceptions of their training and teaching, learning opportunities, the atmosphere in the operation theatre, and the supervision they received in the operation theatre. The operating room's "teaching and training" component received the highest score, while the operating room's "learning opportunities" component received the lowest. This indicates the importance of establishing a positive learning environment with sufficient "hands-on" experience, especially during emergencies. In addition, preoperative planning, case discussions, and feedback after the surgery should be routine.
教育环境指的是在教育背景下影响学习各个方面的“氛围”，而手术室的体验对外科住院医师的学习尤为关键。因此，本研究旨在评估圣保罗医院外科住院医师对手术室教育环境的看法以及外科科室中的相关因素。
这项横断面研究于2022年3月在圣保罗医院千禧医学院的外科住院医师中开展，使用OREEM问卷来评估他们对手术室教育环境的看法。描述性统计（均值、中位数、标准差）用于总结人口统计学数据和OREEM分数。定量数据的比较采用t检验和单因素方差分析（ANOVA），随后进行事后检验，P值<0.05被视为具有统计学意义。
参与者中，103名（79.8%）为男性，26名（20.2%）为女性，平均年龄为28岁。总体平均分数为69%，各子量表分数分别为：教学与培训47.9/65.0（73.7%）、学习机会34.5/55.0（62.7%）、氛围28.9/40.00（72.4%）以及工作量/监督/支持27.5/40.0（68.7%）。男性和女性住院医师在“氛围”感知方面存在显著差异（t = 3.35，P < 0.001），初级与高级住院医师在“学习机会”和“氛围”感知方面也存在显著差异，P值分别为0.023和0.028。然而，年龄、婚姻状况和特定的外科培训项目对分数没有显著影响。
总体而言，住院医师对他们的培训与教学、学习机会、手术室氛围以及在手术室中得到的监督持积极看法。手术室的“教学与培训”部分得分最高，而手术室的“学习机会”部分得分最低。这表明建立一个具有足够“实践”经验的积极学习环境非常重要，尤其是在紧急情况下。此外，术前规划、病例讨论和术后反馈应成为常规操作。
