High vs. low entrustment behaviors in the operating room - 04/05/21
, Michael T. Kemp a, Aaron M. Williams a, Samantha Rivard a, Gurjit Sandhu a, ⁎ Abstract |
Background |
Operative experience with an appropriate degree of supervised autonomy is critical to resident training. Progressively greater intraoperative entrustment has been associated with gradually higher levels of resident autonomy. This study attempts to identify consistently observed intraoperative behaviors that are linked with higher resident entrustment.
Methods |
This qualitative study analyzed observational notes recorded by trained raters who provided entrustment scores for 204 surgical cases at Michigan Medicine from 2015 to 2017. Notes were coded in NVivo12. Thematic analysis was used to identify themes and patterns within the data.
Results |
The analysis generated 144 codes. Codes were clustered into 10 themes. These themes manifested differently in intraoperative behaviors strongly associated with high entrustment versus low entrustment.
Conclusion |
This study demonstrates key differences in intraoperative behaviors exhibited by residents and faculty in high and low entrustment interactions. Awareness of behaviors that enhance entrustment can help faculty augment resident learning and enable higher resident operative autonomy.
Le texte complet de cet article est disponible en PDF.Highlights |
• | This study found key differences in residents and faculty OR entrustment behaviors. |
• | High entrustment behaviors were problem solving, operative planning, and leadership. |
• | Low entrustment behaviors were foundational knowledge, communication, and close instruction. |
• | Awareness of high entrustment behaviors can cue faculty intraoperative interactions. |
• | Enhancing resident entrustment aids in progression towards greater autonomy. |
Keywords : Entrustment, Entrustability, OpTrust, Autonomy, Surgical education
Plan
Vol 221 - N° 5
P. 973-979 - mai 2021 Retour au numéro
Article précédent
- Development and emergency implementation of an online surgical education curriculum for a General Surgery program during a global pandemic: The University of Southern California experience
- Jordan R. Wlodarczyk, Evan T. Alicuben, Lauren Hawley, Maura Sullivan, Glenn T. Ault, Kenji Inaba
- Absence or presence: Silent discourse in the operating room and impact on surgical team action
- Margaret Brommelsiek, Tariq Said, Mark Gray, Steven L. Kanter, Gary Sutkin
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