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Operating room preparation by general surgery residents: A qualitative analysis
Jenaya L Goldwag1, Sarah Jung2
1Department of Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03756, USA.
American Journal of Surgery
|December 29, 2019
Summary
Surgical residents prepare for the operating room using varied resources, facing challenges with time and resource accessibility. Preparation effectiveness is influenced by factors like attending surgeons and case complexity.
Area of Science:
- Medical Education
- Surgical Training
- Qualitative Research
Background:
- Surgical education faces challenges due to reduced resident training time.
- There is a need to understand how residents prepare for surgical procedures.
- Factors influencing operating room preparation require investigation.
Purpose of the Study:
- To explore how general surgery residents prepare for the operating room.
- To identify factors impacting residents' operating room preparation.
Main Methods:
- A qualitative study employing conventional content analysis.
- Semi-structured interviews were conducted with general surgery residents.
- Interview transcripts were analyzed inductively to identify emergent themes.
Main Results:
- Residents defined preparation similarly, learning through experience and peers.
- Key influencing factors included time, attending surgeons, autonomy, case complexity, and resource availability.
- Preparation resource utilization varied significantly among residents.
- Post-graduate year (PGY) level impacted preparation strategies.
Conclusions:
- Surgical residents share a common understanding of operating room preparation.
- Residents utilize diverse resources for preparation, often encountering difficulties.
- Preparation is a complex process influenced by multiple individual and systemic factors.
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