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A Focus Group Discussion Study Exploring General Surgery Trainees' Views on Evidence-Based Medicine Within Their
Evripidis Tokidis1, Pirashanthie Vivekananda-Schmidt1, Saba P Balasubramanian2
1Clinical Medicine, School of Medicine and Population Health, University of Sheffield, Sheffield, South Yorkshire, United Kingdom, S10 2TN.
General surgical trainees understand Evidence-based Medicine (EBM) and its competency development. However, systemic barriers hinder EBM skill acquisition in postgraduate training, necessitating a collaborative approach to curriculum enhancement.
Area of Science:
- Medical Education
- Surgical Training
- Evidence-Based Practice
Background:
- Evidence-based Medicine (EBM) is crucial in healthcare and postgraduate training.
- Integrating EBM into general surgery postgraduate curricula presents significant challenges.
- Understanding trainee perceptions is key to improving EBM integration.
Purpose of the Study:
- To explore general surgical trainees' perceptions of EBM.
- To investigate the process of achieving EBM competency.
- To identify challenges and assessment methods related to EBM in surgical training.
Main Methods:
- Conducted four semi-structured focus groups with general surgical trainees of varying experience.
- Utilized thematic analysis on verbatim transcripts of audio-recorded sessions.
- Ensured data rigor and reliability through established analytical procedures and saturation.
Main Results:
- Eighteen trainees participated across different training levels and UK regions.
- Four primary themes emerged: EBM knowledge/understanding, competency development, assessment, and barriers.
- Thematic saturation was confirmed by the fourth focus group, indicating comprehensive data capture.
Conclusions:
- Trainees possess EBM knowledge and understand competency development processes.
- EBM assessment is perceived as integrated within surgical training.
- Systemic barriers impede EBM competency development, requiring stakeholder engagement for curriculum improvement.
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