"Who wants me to do what?" varied expectations from key stakeholder groups in the surgical intensive care unit creates a challenging learning environment.

Autor: Bobel MC; University of Minnesota, Department of Surgery, 420 Delaware Street SE, Mayo Mail Code 195, Minneapolis, MN, 55455, USA. Electronic address: bobel@umn.edu., Branson CF; University of Minnesota, Department of Surgery, 420 Delaware Street SE, Mayo Mail Code 195, Minneapolis, MN, 55455, USA., Chipman JG; University of Minnesota, Department of Surgery, 420 Delaware Street SE, Mayo Mail Code 195, Minneapolis, MN, 55455, USA., Campbell AR; University of California-San Francisco, Department of Surgery, San Francisco, Campus Box 0807, CA, 94143-0807, USA., Brunsvold ME; University of Minnesota, Department of Surgery, 420 Delaware Street SE, Mayo Mail Code 195, Minneapolis, MN, 55455, USA.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2021 Feb; Vol. 221 (2), pp. 394-400. Date of Electronic Publication: 2020 Dec 06.
DOI: 10.1016/j.amjsurg.2020.12.008
Abstrakt: Background: Surgical intensive care units (SICU) require complex care from a multi-disciplinary team. Frequent changes in team members can lead to shifting expectations for junior general surgical trainees, which creates a challenging working and learning environment. We aim to identify expectations of junior surgery trainee's medical knowledge and technical/non-technical skills at the start of their SICU rotation. We hypothesize that expectations will not be consistent across SICU stakeholder groups.
Methods: Twenty-eight individual semi-structured interviews were conducted with six SICU stakeholder groups at a medium-sized academic hospital. Expectations were identified from interview transcripts. Frequency counts were analyzed.
Results: Forty-one expectations were identified. 4 expectations were identified by a majority of interviewees. Most expectations were identified by 7 or fewer interviewees. 23 (53%) expectations were shared by at least one stakeholder group. 2 (8%) expectations were shared by all groups.
Conclusions: SICU stakeholder groups identified ten medical knowledge, ten technical skill, and three non-technical skill expectations. Yet, few expectations were shared among the groups. Thus, SICU stakeholder groups have disparate expectations for surgery trainees in our SICU.
Competing Interests: Declaration of competing interest The authors have no personal or financial conflicts of interest.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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