Xiaodong Phoenix Chen1, Reed G Williams2, Hilary A Sanfey3, Douglas S Smink4. 1. Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address: xpchen@partners.org. 2. Department of Surgery, Indiana University, 545 Barnhill Drive, Indianapolis, IN 46202. 3. Department of Surgery, Southern Illinois University, 747 N Rutledge Street, Springfield, IL 62794. 4. Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Abstract
BACKGROUND: This study explores the nature and the intention of attending surgeons' guiding behaviors performed in the operating room (OR) in order to build taxonomy of OR guiding behavior. METHODS: Nine attending surgeons and 8 surgical residents were invited to observe 8 prerecorded surgical cases from 4 common procedures and completed semistructured interviews. All video-based observations were videotaped. Thematic analysis was applied to identify surgeons' OR guiding behavior. RESULTS: Seven hundred eighty minutes of video-based observations with interviews were conducted. Sixteen types of OR guiding behaviors in 3 intention-based categories were identified: 3 of the 16 was "teaching" (18.75%), 8 of the 16 was "directing" (50%), and 5 of the 16 was "assisting" (31.25%). CONCLUSIONS: Surgeons' OR guiding behaviors were grounded in 3 behavioral intentions: teaching, directing, and assisting. This taxonomy of OR guiding behavior can be used as a basis for developing OR guiding strategy to improve residents' intraoperative competency, autonomy, and independence.
BACKGROUND: This study explores the nature and the intention of attending surgeons' guiding behaviors performed in the operating room (OR) in order to build taxonomy of OR guiding behavior. METHODS: Nine attending surgeons and 8 surgical residents were invited to observe 8 prerecorded surgical cases from 4 common procedures and completed semistructured interviews. All video-based observations were videotaped. Thematic analysis was applied to identify surgeons' OR guiding behavior. RESULTS: Seven hundred eighty minutes of video-based observations with interviews were conducted. Sixteen types of OR guiding behaviors in 3 intention-based categories were identified: 3 of the 16 was "teaching" (18.75%), 8 of the 16 was "directing" (50%), and 5 of the 16 was "assisting" (31.25%). CONCLUSIONS: Surgeons' OR guiding behaviors were grounded in 3 behavioral intentions: teaching, directing, and assisting. This taxonomy of OR guiding behavior can be used as a basis for developing OR guiding strategy to improve residents' intraoperative competency, autonomy, and independence.
Authors: Juliana L Stone; Emma-Louise Aveling; Molly Frean; Morgan C Shields; Cameron Wright; Francesca Gino; Thoralf M Sundt; Sara J Singer Journal: Ann Thorac Surg Date: 2017-04-08 Impact factor: 4.330
Authors: Michael J Foster; Nathan N O'Hara; Tristan B Weir; Ali Aneizi; R Frank Henn; Jonathan D Packer; S Ashfaq Hasan; Gerard P Slobogean; Mohit N Gilotra Journal: JB JS Open Access Date: 2021-02-24
Authors: Patrick Nieboer; Mike Huiskes; Fokie Cnossen; Martin Stevens; Sjoerd K Bulstra; Debbie A D C Jaarsma Journal: Med Educ Date: 2021-11-02 Impact factor: 7.647