"A clean slate": Insights for improving remediation from the perspectives of underperforming surgical trainees.

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: krzetelski@student.unimelb.edu.au., Woodward-Kron R; Department of Medical Education, The University of Melbourne, Melbourne, Australia., Rashid P; Department of Urology, Port Macquarie Base Hospital, School of Clinical Medicine, The University of New South Wales, Port Macquarie, Australia., Nestel D; Department of Surgery (Austin), University of Melbourne, Heidelberg, Australia.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2024 Nov; Vol. 237, pp. 115942. Date of Electronic Publication: 2024 Aug 30.
DOI: 10.1016/j.amjsurg.2024.115942
Abstrakt: Background: Remediation frameworks have centered around perspectives of educators. The aim of this study is to explore the insights proposed by surgical trainees to improve remediation processes.
Methods: This qualitative study used semi-structured interviews with 11 doctors who have experienced formal remediation as a surgical trainee. We used reflexive thematic analysis on transcribed interviews.
Results: Trainees recommended creating environments that safeguarded their well-being. Examples include trainee-led peer support groups and external mentors. Feedback conversations and remediation plans were flagged as needing improvement. Opportunities for forward planning for successful remediation were suggested including learning plans, program evaluation and aligning training program structure with expectations.
Conclusions: These findings about trainees' insights on improving remediation highlighted the need for further emotional support for trainees. Supervisors need further support with feedback conversations and remediation plans. Actively seeking out trainee perspectives and integrating their recommendations when designing remediation processes should improve outcomes.
Competing Interests: Declaration of competing interest We wish to draw the attention of the Editor to the following facts, which may be considered as potential conflicts of interest, and to significant financial contributions to this work: The nature of potential conflict of interest is described below: Dr McLeod is supported by Royal Australasian College of Surgeons Ian and Ruth Gough Scholarship. The above support had no role in the design and conduct of the study; the collection, analysis, or interpretation of the data; the preparation, review, or approval of the manuscript; or the decision to submit the manuscript for publication.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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