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Barn theatres: A novel learning environment for orthopaedic surgeons
Richard Galloway1, Hassan Imtiaz1, Louise Nordin1
1Department of Orthopaedics, University Hospital Dorset, Poole, UK.
Journal of Perioperative Practice
|February 17, 2026
Summary
Barn-integrated operating rooms enhance surgical training by improving supervision and teamwork, though perceived risks like infection and noise require safety protocols. Further research is needed.
Area of Science:
- Surgical Education
- Operating Room Design
- Multidisciplinary Teamwork
Background:
- Barn-integrated operating rooms offer open-plan layouts for enhanced surgical education.
- Limited data exist on their impact within United Kingdom centres.
- This study explores their perceived benefits and challenges for orthopaedic surgeons.
Purpose of the Study:
- To investigate the perceived benefits and challenges of barn-integrated operating rooms.
- To assess their impact on surgical training and the multidisciplinary team.
- To gather insights from orthopaedic theatre personnel.
Main Methods:
- Prospective mixed-methods study utilizing a pilot-tested questionnaire.
- Survey distributed to 93 orthopaedic theatre personnel (surgeons, practitioners, nurses).
- Assessed satisfaction, supervision, and educational value.
Main Results:
- 81.5% preferred barn-integrated rooms; 78.3% reported learning from adjacent rooms.
- 67.4% agreed supervision was superior, with improved accountability, communication, and support.
- Concerns included infection risk (33%), radiation (33%), and noise (46%).
Conclusions:
- Barn-integrated operating rooms show promise for surgical training, enhancing supervision and teamwork.
- Addressing perceived risks (infection, radiation, noise) with safety protocols is crucial.
- Further multicentre research is needed to evaluate long-term outcomes.
