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Case-based discussions: UK surgical trainee perceptions.

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Summary
This summary is machine-generated.

Surgical trainees find Case-Based Discussions (CBDs) valuable for feedback and reflection, but implementation issues diminish their effectiveness. Ensuring proper engagement is key to maximizing the benefits of this formative assessment tool.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Competency-Based Assessment

Background:

  • The Intercollegiate Surgical Curriculum Project (ISCP) in the UK emphasizes accountability and competence.
  • Formative assessments, such as Case-Based Discussions (CBDs), are integral to surgical training for learning and portfolio evidence.

Purpose of the Study:

  • To review the utilization of CBDs by surgical trainees.
  • To determine the utility and correct application of CBDs in surgical education.

Main Methods:

  • Semi-structured interviews were conducted with core and higher surgical trainees.
  • Thematic analysis was employed to interpret qualitative data from trainee responses.

Main Results:

  • Trainees perceive CBDs positively, noting benefits like feedback, portfolio evidence, and reflection.
  • Concerns include a 'tick-box' approach and lack of trainer engagement, which reduce CBDs' value.
  • Core trainees reported more correct usage of CBDs compared to higher trainees.

Conclusions:

  • CBDs are viewed as a positive educational tool that promotes critical thinking and reflection on complex cases.
  • Suboptimal implementation and engagement issues negatively impact the perceived value of CBDs in surgical training.