Geoffrion Roxana, Lee Terry
University of British Columbia, Vancouver, BC, Canada.
Department of Obstetrics and Gynecology, St. Paul's Hospital, Suite 930, 1125 Howe Street, Vancouver, BC, V6Z 2K8, Canada.
Int Urogynecol J. 2024 Dec;35(12):2281-2284. doi: 10.1007/s00192-024-05987-x. Epub 2024 Nov 12.
Low self-confidence in surgical residents can be associated with poor self-efficacy and perceptions of sub-optimal preparedness for practice at graduation. The influence of social and biologic determinants of confidence deserves further study. Through a randomized controlled trial of procedure-specific didactic and low fidelity simulation training for vaginal surgery, we showed positive correlations between self-confidence and objective performance in the real operating room for three different surgical procedures and through validated scales. This demonstrates an accurate ability of novice surgeons to self-monitor in a high-stakes environment. Our trial results (described in full elsewhere), combined with our multiple one-on-one teaching interactions with surgical trainees through the trial, incentivized us to evaluate self-confidence in view of optimizing it through directed training and feedback. The current opinion piece summarizes our main findings for surgical educators and emphasizes their role engaging with trainees at extremes of confidence.
外科住院医师自信心不足可能与自我效能感差以及对毕业时实践准备不充分的认知有关。自信心的社会和生物学决定因素的影响值得进一步研究。通过一项针对阴道手术的特定程序理论教学和低保真模拟训练的随机对照试验，我们发现，通过经过验证的量表，在三种不同的外科手术中，自信心与实际手术室中的客观表现之间存在正相关。这表明新手外科医生在高风险环境中有准确的自我监测能力。我们的试验结果（在其他地方有完整描述），再加上我们在试验过程中与外科实习生进行的多次一对一教学互动，促使我们从通过定向培训和反馈来优化自信心的角度来评估自信心。这篇观点文章总结了我们对外科教育工作者的主要研究结果，并强调了他们在与自信心处于极端状态的实习生互动方面的作用。
