Defining quality in surgical training: perceptions of the profession.

Abstract:

BACKGROUND:To improve surgical training standards, it is necessary to first define the elements of high-quality training and methods for measuring them. METHODS:Semistructured interviews were conducted with attending (n = 10) and resident (n = 10) general surgeons. An interview topic guide was used to elicit end users' opinions on indicators of training quality and methods to measure them. Interviews were recorded, transcribed verbatim, and coded using a framework to identify emergent themes. Sampling ceased once thematic saturation was achieved. RESULTS:Key surgical training quality indicators include continuity (80% of participants) and relationship (95%) between trainee and trainer, level of supervision (85%), and an optimal volume (95%) and mix (90%) of operative cases. All surgeons felt that trainee logbook analysis and feedback was essential. The majority (85%) felt that training analysis should be freely available to create accountability for hospitals and attending surgeons (70%) and encourage competition (70%) to drive up standards. Only 30% felt that all attending surgeons should offer training. CONCLUSIONS:Surgical training quality needs to be robustly assessed. Transparency in training outcomes will create competition and raise standards of surgical education.

journal_name

Am J Surg

authors

Singh P,Aggarwal R,Pucher PH,Duisberg AL,Arora S,Darzi A

doi

10.1016/j.amjsurg.2013.07.044

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

628-36

issue

4

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(13)00647-8

journal_volume

207

pub_type

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