Department of Urological Surgery, Barwon Health, University Hospital, Geelong, Australia; School of Medicine, Deakin University, Geelong, Australia; Department of Surgery (Austin), University of Melbourne, Heidelberg, Australia.
Department of Medical Education, The University of Melbourne, Melbourne, Australia.
Am J Surg. 2024 Nov;237:115942. doi: 10.1016/j.amjsurg.2024.115942. Epub 2024 Aug 30.
Remediation frameworks have centered around perspectives of educators. The aim of this study is to explore the insights proposed by surgical trainees to improve remediation processes.
This qualitative study used semi-structured interviews with 11 doctors who have experienced formal remediation as a surgical trainee. We used reflexive thematic analysis on transcribed interviews.
Trainees recommended creating environments that safeguarded their well-being. Examples include trainee-led peer support groups and external mentors. Feedback conversations and remediation plans were flagged as needing improvement. Opportunities for forward planning for successful remediation were suggested including learning plans, program evaluation and aligning training program structure with expectations.
These findings about trainees' insights on improving remediation highlighted the need for further emotional support for trainees. Supervisors need further support with feedback conversations and remediation plans. Actively seeking out trainee perspectives and integrating their recommendations when designing remediation processes should improve outcomes.
补救框架以教育者的观点为中心。本研究旨在探讨外科受训者提出的改善补救过程的观点。
本定性研究采用半结构式访谈，对 11 名作为外科受训者经历过正式补救的医生进行了访谈。我们对转录的访谈进行了反思性主题分析。
受训者建议营造保障其福祉的环境。例如，由受训者领导的同行支持小组和外部导师。反馈对话和补救计划需要改进。还建议为成功补救制定前瞻性计划，包括学习计划、项目评估以及使培训计划结构与预期保持一致。
这些关于受训者对改善补救的看法的研究结果强调了需要为受训者提供更多的情感支持。主管在反馈对话和补救计划方面需要更多的支持。积极寻求受训者的观点并在设计补救过程时整合他们的建议，应能改善结果。
