Disparities between resident and attending surgeon perceptions of intraoperative teaching

Abstract Background This study aimed to assess attending surgeon and resident recall of good and poor intraoperative teaching experiences and how often these experiences occur at present. Methods By web-based survey, we asked US surgeons and residents to describe their best and worst intraoperative...

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Bibliographic Details
Published in:The American journal of surgery 2011-03, Vol.201 (3), p.385-389
Main Authors: Butvidas, Lynn D., M.D., M.S, Anderson, Cheryl I., R.N., B.S.N., M.S.A, Balogh, Daniel, Basson, Marc D., M.D., Ph.D., M.B.A., F.A.C.S
Format: Article
Language:English
Subjects:
Accreditation
Adult
Autonomy
Behavior
Biological and medical sciences
Clinical Competence - standards
Clinical Competence - statistics & numerical data
Clinical outcomes
Communication
Faculty surgeons
Faculty, Medical - standards
Faculty, Medical - statistics & numerical data
Feedback
Female
General aspects
General Surgery - education
Health education
Health participants
Humans
Internet
Internship and Residency - statistics & numerical data
Intraoperative
Intraoperative Period
Male
Medical personnel
Medical sciences
Men
Middle Aged
Operating Rooms
Perceptions
Polls & surveys
Public health. Hygiene
Public health. Hygiene-occupational medicine
Resident learners
Skills
Social Perception
Surgeons
Surgery
Surgical Procedures, Operative - education
Surveys and Questionnaires
Teachers
Teaching
Teaching - standards
Teaching - statistics & numerical data
Teaching behaviors
Teaching methods
Technical skills
World Wide Web
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Items that cite this one
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Summary:Abstract Background This study aimed to assess attending surgeon and resident recall of good and poor intraoperative teaching experiences and how often these experiences occur at present. Methods By web-based survey, we asked US surgeons and residents to describe their best and worst intraoperative teaching experiences during training and how often 26 common intraoperative teaching behaviors occur in their current environment. Results A total of 346 residents and 196 surgeons responded (51 programs; 26 states). Surgeons and residents consistently identified trainee autonomy, teacher confidence, and communication as positive, while recalling negatively contemptuous, arrogant, accusatory, or uncommunicative teachers. Residents described intraoperative teaching behaviors by faculty as substantially less frequent than faculty self-reports. Neither sex nor seniority explained these results, although women reported communicative behaviors more frequently than men. Conclusions Although veteran surgeons and current trainees agree on what constitutes effective and ineffective teaching in the operating room, they disagree on how often these behaviors occur, leaving substantial room for improvement.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2010.08.027