Impact of a clinical decision making module on the attitudes and perceptions of surgical trainees

Bhatt, Nikita; Doherty, Eva; Mansour, Ehab; Traynor, Oscar; Ridgway, Paul F.

doi:10.1111/ans.13448

Cited by 8 publications

(3 citation statements)

References 12 publications

(17 reference statements)

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“…The majority of studies have examined the following outcomes: knowledge and technical skills acquisition, team communication skill development, and individual confidence improvement [ 3 – 6 ]. Moreover, surgical boot camps allow for social and cultural welcoming [ 7 , 8 ]. Despite widespread adoption by various surgical specialties, including cardiac, general, neuro, orthopedic, trauma, and vascular surgery, few surgical boot camps have been reported on in Otolaryngology–Head and Neck Surgery (OHNS) [ 9 – 16 ].…”

Section: Introductionmentioning

confidence: 99%

The Otolaryngology boot camp: A scoping review evaluating commonalities and appraisal for curriculum design and delivery

Bondzi-Simpson

Lindo

Hoy

et al. 2022

Journal of Otolaryngology - Head & Neck Surgery

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Objective Surgical boot camps are becoming increasingly popular in Otolaryngology–Head and Neck Surgery (OHNS) residency programs. Despite pioneering virtual reality and simulation-based surgical education, these boot camps have lacked critical appraisal. The objective of this article was to examine the adoption and utility of surgical boot camps in OHNS residency training programs around the world. Data Sources Ovid Medline and PubMed databases were systematically searched in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for scoping reviews. Additionally, a grey literature search was performed. Review Methods Inclusion criteria were peer-reviewed publications and grey literature sources that reported on OHNS boot camps for the novice learner. The search was restricted to human studies published in English. Studies were excluded if they were not examining junior trainees. Results A total of 551 articles were identified. Following removal of duplicates, screening, and full text review, 16 articles were included for analysis. Seven major boot camps were identified across various academic sites in the world. Most boot camps were one-day intensive camps incorporating a mixture of didactic, skill specific, and simulation sessions using an array of task trainers and high-fidelity simulators focusing on OHNS emergencies. Studies measuring trainee outcomes demonstrated improvement in trainee confidence, immediate knowledge, and skill acquisition. Conclusion Surgical boot camps appear to be an effective tool for short term knowledge and skill acquisition. Further studies should examine retention of skill and maintenance of confidence over longer intervals, as little is known about these lasting effects.

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Section: Introductionmentioning

confidence: 99%

The Otolaryngology boot camp: A scoping review evaluating commonalities and appraisal for curriculum design and delivery

Bondzi-Simpson

Lindo

Hoy

et al. 2022

Journal of Otolaryngology - Head & Neck Surgery

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“…NHS Health Education England's SDM e-learning resource) (13)), and face-to-face courses (14). However, the aforementioned barriers to SDM in practice, and the lack of pragmatic guidance on SDM for clinicians' research suggest that current resources are not sufficient to support SDM education for GPs (11,15,16) SDM training can be delivered using many teaching methods (18)(19)(20)(21)(22)(23)(24) (Table 1). The use of these teaching methods in SDM interventions has been explored by clinicians from a variety of medical specialties (11,(25)(26)(27).…”

Section: Introductionmentioning

confidence: 99%

“…SDM training can be delivered using many teaching methods ( Box 1 ). 18 – 24 The use of these teaching methods in SDM interventions has been explored by clinicians from a variety of medical specialties. 11 , 25 – 27 However, evidence on these educational approaches based on GPs’ experiences in practice is lacking.…”

Section: Introductionmentioning

confidence: 99%

GPs’ perceptions of teaching methods in shared decision-making training: a qualitative study

et al. 2022

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Background: Although shared decision-making (SDM) is key to delivering patient-centred care, there are barriers to general practitioners (GPs) implementing SDM in practice. SDM training is undergoing development by organisations, including the Royal College of General Practitioners. However, GPs’ perceptions of the delivery of SDM training in general practice remain largely unexplored. Aim: To explore GPs’ perceptions of teaching methods in SDM training. Design and Setting: A qualitative study of GPs with teaching roles at the University of Exeter Medical School was conducted. Method: Purposive sampling recruited 14 GPs. Semi-structured interviews explored their SDM educational experiences. Data were analysed using thematic framework analysis. Results: Three themes were identified. The GPs described role-play, receiving feedback, and on-the-job learning as modes of delivering SDM training that positively informed their SDM in clinical practice. Learning from knowledgeable individuals and using realistic patient cases were perceived as beneficial components of SDM learning, though most learning occurred implicitly through reflections on their clinical experiences. The GPs identified the incorporation of the uncertainty that is present in general practice consultations; targeting of individual GPs’ SDM learning needs and explanation of the potential benefits of SDM on consultation outcomes as important methods to facilitate the implementation of SDM in practice. Conclusion: This is the first UK study to explore GPs’ perceptions of SDM training and provide recommendations for practice. As SDM occurs in partnership with patients, further research should obtain and incorporate patients' views alongside those of GPs in the evaluation of future programmes.

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The utility and benefit of a newly established postgraduate training course in surgical exposures for orthopedic and trauma surgery

Klima

Cornwall

Kieser

et al. 2019

Arch Orthop Trauma Surg

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Impact of a clinical decision making module on the attitudes and perceptions of surgical trainees

Abstract: These observed positive changes in trainee understanding and attitude toward CDM teaching supports the adoption of standardized modules into the curricula. More study is needed to define whether these modules will have measurable sustained enhancements of CDM skills.

Cited by 8 publications

References 12 publications

The Otolaryngology boot camp: A scoping review evaluating commonalities and appraisal for curriculum design and delivery

The Otolaryngology boot camp: A scoping review evaluating commonalities and appraisal for curriculum design and delivery

GPs’ perceptions of teaching methods in shared decision-making training: a qualitative study

The utility and benefit of a newly established postgraduate training course in surgical exposures for orthopedic and trauma surgery

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