The Many Faces of Good Operating Room Supervision: Supervisors’ and Residents’ Perspectives After Operating Together
Year: 2024
Type: article
Abstract: Effective operating room (OR) learning requires surgical and surgical-educational skills. Current insights into educational skills of surgical educators are derived from general perceptions of supervisors and residents via survey and interview studies. This study aims to provide insight into what educators and residents perceive as good OR supervision behavior based on actual day-to-day collaboration. Additionally, it seeks to explore the underlying goals of good OR supervision and to identify relations between good OR supervision behavior and underlying goals 16 supervisor-resident dyads performing a procedure were video recorded. Directly after the procedure educators and residents independently identified 3 moments of what they perceived as good supervision. During subsequent video-stimulated interviews, they elaborated on why they selected those moments. Thereafter, a qualitative thematic analysis was performed. Four common surgical procedures performed by a resident under supervision of a general or orthopedic surgeon in 6 different teaching hospitals in the Netherlands. 16 unique supervisor-resident dyads were included in a convenient sample. Analysis yielded 13 different codes identifying supervisor behaviors and 6 underlying goals of good OR supervision. Which strategy surgical educators use to achieve one of the underlying goals is situation-dependent. Good supervision is situated and needs to be updated as procedures progress. There is no one-on-one relation between types of good supervision behavior and the underlying goals. As such, a fixed template for effective OR supervision does not exist. • This study provides perceptions and motivations of supervising surgeons and residents on good operating room (OR) supervision based on their day-to-day interactions. • Supervisors’ and residents’ perceptions and underlying purposes of good OR supervision coincide. • There is no one-on-one relation between types of supervision behavior and the goals that it tries to accomplish. Good OR supervision is situated and needs to be updated in situ as procedures progress. • Insights into how specific behaviors achieve specific goals in concrete settings may help supervisors and residents match supervision to learning needs.
Source: Journal of surgical education
Institutions: University Medical Center Groningen, University of Groningen
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,040
OpenAlex ID: W4405750926