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Surgical culture perceptions differ between early- and late-career surgeons, impacting training. Understanding these generational differences is key to improving communication and managing expectations in surgical education.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Qualitative Research

Background:

  • Surgical culture is a poorly defined but influential aspect of medical training.
  • Graduate medical education reforms impact surgical trainees' expectations.
  • The effect of these changes on surgeons' understanding of culture and its impact on training is unclear.

Purpose of the Study:

  • To explore surgical culture and its influence on surgical training.
  • To understand these dynamics from the perspectives of diverse surgeons with varying experience levels.

Main Methods:

  • Conducted semi-structured qualitative interviews with 21 surgeons and trainees.
  • Utilized directed content analysis for interview transcription, coding, and analysis.

Main Results:

  • Identified 7 major themes impacting surgical culture.
  • Both early- and late-career surgeons prioritized patient-centered care, hierarchy, high standards, and meaningful work.
  • Late-career surgeons focused on experience-based themes like challenges and humility; early-career surgeons focused on individual goals, education, and work-life balance.

Conclusions:

  • Patient-centered care is a shared core value in surgical culture.
  • Generational differences in perceived culture (personal well-being vs. professional accomplishment) can cause friction.
  • Understanding these differences is crucial for enhanced communication, interaction, and expectation management in surgical training and careers.