"I'm on an island": A qualitative study of underperforming surgical trainee perspectives on remediation.

Autor: McLeod K; Department of Urological Surgery, Barwon Health, University Hospital, Geelong, Australia; School of Medicine, Deakin University, Geelong, Australia; Department of Surgery (Austin), University of Melbourne, Heidelberg, Australia. Electronic address: rzetelski.west@gmail.com., Woodward-Kron R; Department of Medical Education, The University of Melbourne, Melbourne, Australia., Rashid P; Department of Urology, Port Macquarie Base Hospital, Rural Clinical School, The University of New South Wales, Port Macquarie, Australia., Archer J; School of Medicine and Dentistry, Griffith University, Gold Coast, Australia., Nestel D; Department of Surgery (Austin), University of Melbourne, Heidelberg, Australia.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2024 Aug; Vol. 234, pp. 11-16. Date of Electronic Publication: 2024 Feb 02.
DOI: 10.1016/j.amjsurg.2024.01.033
Abstrakt: Background: There is a significant gap in the literature regarding trainees' perceptions of remediation. This study aims to explore surgical trainees' experiences and perspectives of remediation.
Methods: This qualitative study used semi-structured interviews with 11 doctors who have experienced formal remediation as a surgical trainee. Reflexive thematic analysis was used for data analysis.
Results: In this study, trainees perceived remediation as a harrowing and isolating experience, with long-lasting emotions. There was a perceived lack of clarity regarding explanations of underperformance and subjective goals. Remediation was viewed as a 'performance' and tick-box exercise with superficial plans, with challenging trainee/supervisor dynamics.
Conclusions: These findings about trainees' perspectives on remediation show a need for trainees to be better emotionally supported during remediation and that remediation plans must be improved to address deficits. Integrating the perspectives and experiences of surgical trainees who have undergone remediation should help improve remediation outcomes and patient care.
Competing Interests: Declaration of competing interest Potential conflict of interest exists.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE