Do we need a co-pilot in the operating theatre? A cross-sectional study on surgeons' perceptions

Area of Science:

• Surgical Practice
• Healthcare Management
• Professional Development

Background:

• High-risk elective complex surgical procedures present unique challenges.
• Surgeon fatigue, decision-making, and team dynamics impact patient outcomes.
• The role of dual surgeon operating in mitigating these factors requires investigation.

Purpose of the Study:

• To explore general surgeons' views on dual surgeon operating for complex elective surgeries.
• To assess perceptions of its impact on patient safety and surgeon well-being.

Main Methods:

• A cross-sectional online survey was distributed to 85 UK general surgeons.
• The survey covered perceptions of dual surgeon operating on patient outcomes, surgeon burnout, and trainee experience.
• Statistical analysis was conducted using R version 3.6.1.

Main Results:

• A significant majority (78.8%) believed dual surgeon operating addresses human factors in surgery.
• Perceived benefits include reduced surgeon fatigue (89.4%), improved confidence (83.5%), and enhanced decision-making (76.5%).
• 65.9% felt it would reduce surgeon burnout, with significant links to reduced complaints and improved patient morbidity/mortality.

Conclusions:

• General surgeons hold positive perceptions of dual surgeon operating.
• The practice is viewed as a strategy to improve surgical performance and mitigate risks in complex procedures.