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Defining Expertise in Gynecologic Surgery: Perspectives of Expert Gynecologic Surgeons
Patricia L Hardré1, Mikio Nihira, Edgar LeClaire
1From the Colleges of *Education and †Medicine, University of Oklahoma, Norman, OK; ‡University of Kansas College of Medicine, Kansas City, KS; and §Chicago Medical School, Rosalind Franklin University, North Chicago, IL.
Female Pelvic Medicine & Reconstructive Surgery
|September 24, 2016
Summary
Surgical expertise among gynecologic surgeons is complex, involving knowledge, skills, and continuous learning. Achieving and maintaining this expertise requires judgment, adaptability, and effective communication.
Area of Science:
- Surgical Education
- Medical Expertise
- Gynecologic Surgery
Background:
- Defining professional expertise is crucial for surgical training and development.
- Understanding the nuances of expertise in Female Pelvic Medicine and Reconstructive Surgery is essential.
Purpose of the Study:
- To define and understand professional expertise among gynecologic surgeons.
- To identify experiential factors contributing to the understanding of surgical expertise.
Main Methods:
- Conducted semistructured interviews with 16 experts in Female Pelvic Medicine and Reconstructive Surgery.
- Performed independent thematic analysis of interview transcripts, synthesizing convergent themes.
Main Results:
- Expertise encompasses knowledge, technical skills, clinical experience, adaptability, continuous learning, communication, and recognition.
- Surgeons exhibit unique spatial and temporal awareness, applying skills fluidly and adaptively.
- Achieving and maintaining expertise requires hard work, continuous learning, challenge-seeking, and effective communication.
Conclusions:
- Surgical expertise is a multifaceted phenomenon with identifiable themes.
- Understanding surgical expertise aids in developing competencies and mentoring trainees.
- Effective mentoring can guide aspiring surgeons toward achieving expertise.

