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A Mixed Methods Study for Human Factors Science and Ergonomics Education in Vascular Surgery Training
Fiona M Kerray1, Andrew Garnham2, Keith G Jones3
1Surgical Sabermetrics Laboratory, Usher Institute, The University of Edinburgh, Edinburgh, UK; Edinburgh Vascular Service, Royal Infirmary of Edinburgh, Edinburgh, UK.
Summary
Vascular surgery trainees recognize the importance of Human Factors Science and Ergonomics (HFE) for patient safety and performance. An accessible education program is needed to address the unmet demand for HFE training in this specialty.
Area of Science:
- Human Factors Science and Ergonomics (HFE)
- Surgical Education
- Patient Safety
Background:
- Vascular surgery is a high-stakes specialty where Human Factors Science and Ergonomics (HFE) can mitigate risks and improve outcomes.
- Integration of HFE principles may enhance surgical performance, reduce procedure times, and improve surgeon wellbeing.
- Current access to HFE training for vascular surgery trainees in the UK is limited.
Purpose of the Study:
- To assess UK vascular surgery trainees' current understanding of HFE.
- To identify preferred content and delivery methods for a future HFE education program.
- To address the scarcity of HFE training in vascular surgery.
Main Methods:
- A mixed-methods approach combining quantitative surveys and qualitative focus groups.
- Needs assessment surveys administered to first-year vascular surgery trainees.
- Thematic analysis of focus group discussions with third-year surgical trainees to explore understanding, barriers, and motivators.
Main Results:
- Over 90% of trainees found HFE relevant and important for patient safety in vascular surgery.
- Trainees perceived HFE as equally important as technical skills.
- Key barriers to training included a demanding surgical culture and inability to leave clinical duties; desired training elements included simulation and clinical application with minimal time/cost commitment.
Conclusions:
- There is a significant unmet need for targeted and accessible HFE education within UK vascular surgery.
- A clinically relevant HFE program should prioritize performance enhancement, patient safety, and surgical culture improvement.
- Future HFE training should complement existing technical surgical education and be designed with trainee time and financial constraints in mind.
