Maximizing Learning in the Operating Room: Residents’ Perspectives

Ranney, Stephen E; Bedrin, Nicholas G.; Roberts, Nicole K.; Hebert, James C.; Forgione, Patrick; Nicholas, Cate

doi:10.1016/j.jss.2021.01.013

Cited by 13 publications

(9 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Video coaching is effective in this setting. Technical skills Learning by doing, learning by reflection No Ranney et al (2021) [ 56 ] Residents, N = 14 General Interview n/a Self-report qualitative analysis Intra and interoperative phases of learning were identified. Self-reflection and awareness ability improves OR learning.…”

Section: Resultsmentioning

confidence: 99%

“…Trickey et al showed that reflecting on positive learning experiences increased residents’ confidence and improved their communication skills, while Soucisse et al and Naik et al reported that self-reflecting on surgical tasks performed improved technical skills as well [ 55 , 57 , 65 ]. Ranney et al furthermore showed that residents, who can reflect on their learning and thought processes are more in control and proceed to autonomy more quickly [ 56 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

What are the learning objectives in surgical training – a systematic literature review of the surgical competence framework

Pakkasjärvi,

Anttila,

Pyhältö

2024

BMC Med Educ

View full text Add to dashboard Cite

Objective To map the landscape of contemporary surgical education through a competence framework by conducting a systematic literature review on learning outcomes of surgical education and the instructional methods applied to attain the outcomes. Background Surgical education has seen a paradigm shift towards competence-based training. However, a gap remains in the literature regarding the specific components of competency taught and the instructional methods employed to achieve these outcomes. This paper aims to bridge this gap by conducting a systematic review on the learning outcomes of surgical education within a competence framework and the instructional methods applied. The primary outcome measure was to elucidate the components of competency emphasized by modern surgical curricula. The secondary outcome measure was to discern the instructional methods proven effective in achieving these competencies. Methods A search was conducted across PubMed, Medline, ProQuest Eric, and Cochrane databases, adhering to PRISMA guidelines, limited to 2017–2021. Keywords included terms related to surgical education and training. Inclusion criteria mandated original empirical studies that described learning outcomes and methods, and targeted both medical students and surgical residents. Results Out of 42 studies involving 2097 participants, most concentrated on technical skills within competency-based training, with a lesser emphasis on non-technical competencies. The effect on clinical outcomes was infrequently explored. Conclusion The shift towards competency in surgical training is evident. However, further studies on its ramifications on clinical outcomes are needed. The transition from technical to clinical competence and the creation of validated assessments are crucial for establishing a foundation for lifelong surgical learning.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

What are the learning objectives in surgical training – a systematic literature review of the surgical competence framework

Pakkasjärvi,

Anttila,

Pyhältö

2024

BMC Med Educ

View full text Add to dashboard Cite

show abstract

“…Hence, it is a useful supplement for undergraduates and residents to learn and rehearse surgical procedures outside the operating theatre, and in their spare time. This type of self-regulated learning before clinical exposure may result in an improved experience in the clinical setting for the surgical resident 21…”

Section: Discussionmentioning

confidence: 99%

Using an application to measure trainees’ procedural knowledge before chest tube insertion

Mol

Vangeneugden

Desender

et al. 2022

Postgraduate Medical Journal

View full text Add to dashboard Cite

Purpose of the studyTo collect validity evidence for the chest tube insertion (CTI) test mode on the medical simulation application Touch Surgery. This was done by using Messick’s contemporary framework.MethodsNovice, intermediate and experienced participants provided informed consent and demographic information. After familiarisation with the application, they completed the CTI test mode. Validity evidence was collected from four sources: content, response process, relation to other variables and consequences. A post-study questionnaire with 5-point Likert scales assessed the perceived realism, relevance and utility of the assessment. Mean scores of the three groups were compared.ResultsA total of 25 novices, 11 intermediates and 19 experienced participants were recruited. Content evidence was collected by an expert in CTI and was based on published literature and guidelines. All users were familiarised with the application, and received standardised instructions throughout the test. Most users rated the simulation as realistic and suitable to assess cognitive skills. Novices received significantly lower (55.9±7.5) test mode scores than intermediates (80.6±4.4) (p<0.001) and experienced participants (82.3±5.3) (p<0.001). There was no significant difference in score between intermediate and experienced participants (p=0.75). Consequences evidence was provided by establishing a pass/fail score of 71% using the contrasting groups method, which resulted in one observed false positive and no false negatives.ConclusionA robust validity argument was constructed for the CTI test mode, which can be implemented in surgical curricula to assess learners’ cognitive skills prior to hands-on simulation practice.

show abstract

“…However, in the development of clinical competency, postgraduate surgical training programs have traditionally been less concerned with the educational opportunities afforded by the outpatient clinic compared to other elements of practice. For example, the utility of the operating room as a primary setting for the development of one's technical and nontechnical skills has been well described within the literature [ 2 – 4 ]. Moreover, the procedural capabilities required by surgical residents within postgraduate training programs are typically published in an explicit and comprehensive manner, featuring clear methods of training deliverance and outcome assessment.…”

Section: Introductionmentioning

confidence: 99%

Exploring the educational value of the general surgical outpatient clinic: a systematic review

et al. 2023

View full text Add to dashboard Cite

Purpose Optimising opportunities for exposure and learning in the clinical environment is a priority for surgical education. The surgical outpatient clinic provides a setting for engaging with the patient journey while gaining essential surgical knowledge and skills. This systematic review seeks to determine the role of the outpatient clinic in current surgical education for multiple levels of learners and identify strategies to improve educational utility. Methods A systematic search strategy was conducted across Medline (OVID), Embase, PubMed, and Web of Science databases according to PRISMA guidelines. A comprehensive grey literature search for evaluation of international postgraduate surgical curricula was also performed. Publications were included if they discussed or utilised the general surgical outpatient clinic in an educational context. Results Nine publications were included in this review. Educational interventions in a surgical outpatient clinic setting were discussed in three publications and two publications presented observational data relating to educational opportunities in the surgical outpatient clinic. Four postgraduate surgical curricula outlined the current approaches to surgical education in the outpatient clinic setting. Assessment of included studies by Kirkpatrick level of evidence highlighted that included studies did not investigate high-order educational outcomes. Thematic analysis of curricula was utilised to build a common set of learning outcomes. Conclusions Educational interventions were found to improve learning outcomes, particularly those that facilitated active student participation. Postgraduate surgical curricula utilise the surgical outpatient clinic and recognise its importance in surgical training through the implementation of outpatient-based learning objectives which serve as fundamental components of training. Common learning objectives can be used to direct further research into the efficacy of this educational context. Supplementary Information The online version contains supplementary material available at 10.1007/s44186-023-00106-8.

show abstract

Maximizing Learning in the Operating Room: Residents’ Perspectives

Cited by 13 publications

References 15 publications

What are the learning objectives in surgical training – a systematic literature review of the surgical competence framework

What are the learning objectives in surgical training – a systematic literature review of the surgical competence framework

Using an application to measure trainees’ procedural knowledge before chest tube insertion

Exploring the educational value of the general surgical outpatient clinic: a systematic review

Contact Info

Product

Resources

About