“Who wants me to do what?” varied expectations from key stakeholder groups in the surgical intensive care unit creates a challenging learning environment

Surgical intensive care units (SICU) require complex care from a multi-disciplinary team. Frequent changes in team members can lead to shifting expectations for junior general surgical trainees, which creates a challenging working and learning environment. We aim to identify expectations of junior s...

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Vydáno v:The American journal of surgery Ročník 221; číslo 2; s. 394 - 400
Hlavní autoři: Bobel, Matthew C., Branson, Carolina Fernandez, Chipman, Jeffrey G., Campbell, Andre R., Brunsvold, Melissa E.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 01.02.2021
Elsevier Limited
Témata:
Clinical Competence - standards
Clinical Competence - statistics & numerical data
Critical care
Critical Care - standards
Critical Care - statistics & numerical data
Expectations
Frequency analysis
General Surgery - education
General Surgery - standards
General Surgery - statistics & numerical data
Hospitals
Humans
Intensive care
Intensive care units
Intensive Care Units - standards
Intensive Care Units - statistics & numerical data
Interdisciplinary Communication
Interdisciplinary Placement
Internship and Residency - methods
Internship and Residency - standards
Internship and Residency - statistics & numerical data
Interviews
Knowledge
Learning
Motivation
Needs Assessment - statistics & numerical data
Nurses
Patient Care Team - standards
Patient Care Team - statistics & numerical data
Patients
School environment
SICU
Skills
Stakeholder Participation
Stakeholders
Surgeons - education
Surgeons - standards
Surgery
Surgical education
Surveys and Questionnaires - statistics & numerical data
Teaching
Expectations
Critical care
SICU
Surgical education
Teaching
ISSN:0002-9610, 1879-1883, 1879-1883
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Shrnutí:Surgical intensive care units (SICU) require complex care from a multi-disciplinary team. Frequent changes in team members can lead to shifting expectations for junior general surgical trainees, which creates a challenging working and learning environment. We aim to identify expectations of junior surgery trainee’s medical knowledge and technical/non-technical skills at the start of their SICU rotation. We hypothesize that expectations will not be consistent across SICU stakeholder groups. Twenty-eight individual semi-structured interviews were conducted with six SICU stakeholder groups at a medium-sized academic hospital. Expectations were identified from interview transcripts. Frequency counts were analyzed. Forty-one expectations were identified. 4 expectations were identified by a majority of interviewees. Most expectations were identified by 7 or fewer interviewees. 23 (53%) expectations were shared by at least one stakeholder group. 2 (8%) expectations were shared by all groups. SICU stakeholder groups identified ten medical knowledge, ten technical skill, and three non-technical skill expectations. Yet, few expectations were shared among the groups. Thus, SICU stakeholder groups have disparate expectations for surgery trainees in our SICU. •28 SICU stakeholders identified 41 unique expectations of surgery trainees.•Only 4 (10%) expectations were identified by more than half of stakeholders.•Most expectations were identified by 7 (25%) or fewer stakeholders.•SICU stakeholders identified largely disparate expectations for surgery trainees.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0002-9610
1879-1883
1879-1883
DOI:10.1016/j.amjsurg.2020.12.008