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Self-directed learning needs, patterns, and outcomes among general surgeons.

Anna R Gagliardi1, Frances C Wright, J Charles Victor

  • 1Department of Surgery, Faculty of Medicine, University of Toronto, Toronto, Canada. anna.gagliardi@uhnresearch.ca

The Journal of Continuing Education in the Health Professions
|December 10, 2009
PubMed
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Self-directed learning (SDL) among general surgeons facing cancer cases revealed significant barriers. Structured guidance, however, prompted SDL and led to improved patient management strategies and beneficial learning outcomes.

Area of Science:

  • Medical Education
  • Surgical Oncology
  • Continuing Professional Development

Background:

  • Nonacademic general surgeons face challenges in self-directed learning (SDL) related to cancer patient management.
  • Understanding the needs, patterns, barriers, and outcomes of SDL is crucial for improving surgical practice.

Purpose of the Study:

  • To investigate the relationship between self-directed learning needs, patterns, barriers, and outcomes in nonacademic general surgeons managing cancer patients.

Main Methods:

  • Qualitative and quantitative analysis of dictated SDL episodes from 15 general surgeons over a 6-month period.
  • Thematic coding of transcripts, frequency calculations for SDL stages, and telephone interviews.
  • Statistical analysis using Pearson chi-square test adjusted for clustering by surgeon.

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Main Results:

  • 108 cancer cases (breast, colon, rectal) were analyzed, often involving multiple tasks and questions.
  • Information was primarily sourced online (48.1%) or from colleagues (24.2%), with 21.3% of information being partially or not relevant.
  • New evidence was identified in 66.7% of cases, leading to new (34.2%) or confirmed (16.5%) management plans, or appropriate referrals (39.2%). Use of codified sources correlated with information retrieval and management changes (P < .05).

Conclusions:

  • Individual and systemic barriers hinder practicing physicians' self-directed learning.
  • Structured guidance can effectively prompt SDL and yield beneficial outcomes in surgical practice.
  • Further research is required to validate findings and determine optimal support structures for SDL.