Quantifying surgeon’s contribution to team effectiveness on a mixed team with a junior surgeon

Background A surgical team often consists of an experienced surgeon and surgeons in training. This project quantified the contribution of the experienced surgeon to the teamwork in a team comprised of 1 experienced and 1 novice surgeon (Mixed Team). Methods An experienced and a novice surgeon in a M...

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Bibliographic Details
Published in:Surgery 2011-06, Vol.149 (6), p.761-765
Main Authors: Zheng, Bin, MD, PhD, Swanström, Lee L., MD, Meneghetti, Adam, MD, Panton, Ormond Neely M., MD, Qayumi, A. Karim, MD, PhD
Format: Article
Language:English
Subjects:
Biological and medical sciences
Clinical Competence
Computer-Assisted Instruction
General aspects
General Surgery - education
Health participants
Humans
Internship and Residency
Laparoscopy - education
Learning Curve
Medical sciences
Program Evaluation
Public health. Hygiene
Public health. Hygiene-occupational medicine
Surgery
Teaching - methods
User-Computer Interface
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Summary:Background A surgical team often consists of an experienced surgeon and surgeons in training. This project quantified the contribution of the experienced surgeon to the teamwork in a team comprised of 1 experienced and 1 novice surgeon (Mixed Team). Methods An experienced and a novice surgeon in a Mixed Team were required to complete a peg transportation task and an intracorporeal suture task collaboratively. Tasks were evaluated by a summative score (up to 100 points) that was calculated on task speed and accuracy. Performances of 24 Mixed Teams were compared to 24 Novice Teams (each composed of 2 novices) and 8 Expert Teams (each composed of 2 experienced surgeons). Results The Mixed Teams performed better (67.6 points) than the Novice Teams (51.3; P < .001) but worse than the Expert Teams (88.3; P < .001). When examining individual performance in the Mixed Teams, we observed that experienced surgeons maintained their superior performance like they did in the Expert Teams ( P = .153). Novices in the Mixed Teams, however, showed markedly better performances than they did in the Novice Teams ( P = .024). Conclusion Instant guidance and instruction from experienced surgeons inspire novices’ performance, providing a foundation for surgical teamwork effectiveness.
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2010.11.013