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World Journal of Surgery

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01-10-2020 | Scientific Review

The Current Evidence for Defining and Assessing Effectiveness of Surgical Educators: A Systematic Review

Authors: Karen J. Dickinson, Barbara L. Bass, Kevin Y. Pei

Published in: World Journal of Surgery | Issue 10/2020

Abstract

Background

Surgical educator effectiveness is valued but lacks an operational definition. Clearly defining attributes consistent with effective surgical educators allows for the development of professional activities directed to nurture these qualities. Our aim was to identify the literature defining qualities of an effective surgical educator, and tools to measure effectiveness.

Methods

We searched PubMed, Medline, Scopus and Academic Search Complete for English language articles from 1 July 2009–1 July 2019. Two reviewers screened all abstracts for relevance and read full text of selected articles to identify included studies. Inclusion criteria were description/definition of an effective surgical educator or description of assessment/measurement of effectiveness in surgical educators. Data extracted included: study design, participants, definition/description of qualities of an effective surgical educator, qualitative or quantitative methods to assess surgical educators.

Results

Initial search identified 8086 articles. Of these, 2357 articles were excluded as duplicates and 5729 abstracts screened with 5638 excluded due to irrelevance. Full text review was performed for 91 articles to assess eligibility, 23 met inclusion criteria. The majority (74%) did not clearly define an effective surgical educator. Themes from six studies that determined important qualities include: communication, leadership skills, professionalism, respect, positive learning climate, and brief-intraoperative teaching-debrief model. One validated assessment tool was identified.

Conclusions

There is little published work defining or assessing effective surgical educators. Establishment of a positive learning climate and excellent communication skills continue to be important qualities that define surgical educator effectiveness.

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Stefanidis D, Cochran A, Sevdalis N et al (2015) Multi-institutional educational research group of the association for surgical education. Research priorities for multi-institutional collaborative research in surgical education. Am J Surg 20(1):52–58CrossRef

Damewood RB, Blair PG, Park YS et al (2017) “Taking Training to the Next Level”: The American College of Surgeons Committee on Residency Training Survey. J Surg Educ 74:e95–e105CrossRef

Ambani SN, Lypson ML, Englesbe MJ et al (2016) The surgery fellow's education workshop: a pilot study to determine the feasibility of training senior learners to teach in the operating room. J Surg Edu 73(4):74–78

Anderson CI, Gupta RN, Larson JR et al (2013) Impact of objectively assessing surgeons' teaching on effective perioperative instructional behaviors. JAMA Surg 148(10):915–922CrossRef

Azer SA (2010) Training surgeons to teach anatomy: an innovative approach. Med Educ 44(11):1128–1129CrossRef

Bekele A, Kotisso B, Shiferaw S et al (2013) The Gap between surgical resident and faculty surgeons concerning operating theatre teaching: report from Addis Ababa, Ethiopia East & Central African. J Surg 18(2):3–6

Boerebach BC, Arah OA, Busch OR et al (2012) Reliable and valid tools for measuring surgeons' teaching performance: residents' vs. self-evaluation. J Surg Edu 69(4):511–520CrossRef

Boerebach BC, Arah OA, Heineman MJ et al (2014) The impact of resident- and self-evaluations on surgeon's subsequent teaching performance. World J Surg 38(11):2761–2769. https://doi.org/10.1007/s00268-014-2655-3CrossRefPubMed

Butvidas LD, Anderson CI, Balogh D et al (2011) Disparities between resident and attending surgeon perceptions of intraoperative teaching. Am J Surg 201(3):385–389CrossRef

10.

Gardner AK, Timberlake MD, Dunkin BJ (2019) Faculty development for the operating room: an examination of the effectiveness of an intraoperative teaching course for surgeons. Ann Surg 269(1):184–190CrossRef

11.

Godfrey M, Rosser AA, Pugh CM et al (2019) Teaching practicing surgeons what not to do: an analysis of instruction fluidity during a simulation-based continuing medical education course. Surgery 165(6):1082–1087CrossRef

12.

Green CA, Chu SN, Huang E et al (2020) Teaching in the robotic environment: Use of alternative approaches to guide operative instruction. Am J Surg 219(1):191–196. https://doi.org/10.1016/j.amjsurg.2019.06.003CrossRefPubMed

13.

Jeffree RL, Clarke RM (2010) Ten tips for teaching in the theatre tearoom: shifting the focus from teaching to learning. World J Surg 34(11):2518–2523CrossRef

14.

Kieu V, Stroud L, Huang P et al (2015) The operating theatre as classroom: a qualitative study of learning and teaching surgical competencies. Edu Health 28(1):22–28CrossRef

15.

Ong CC, Dodds A, Nestel D (2016) Beliefs and values about intra-operative teaching and learning: a case study of surgical teachers and trainees. Adv Health Sci Edu : Theory Pract 21(3):587–607CrossRef

16.

Pernar LI, Ashley SW, Smink DS et al (2012) Master surgeons' operative teaching philosophies: a qualitative analysis of parallels to learning theory. J Surg Edu 69(4):493–498CrossRef

17.

Richard RD, Deegan BF, Klena JC (2014) The learning styles of orthopedic residents, faculty, and applicants at an academic program. J Surg Edu 71(1):110–118CrossRef

18.

Roberts NK, Brenner MJ, Williams RG et al (2012) Capturing the teachable moment: a grounded theory study of verbal teaching interactions in the operating room. Surgery 151(5):643–650CrossRef

19.

Sherbino J, Snell L, Dath D et al (2010) A national clinician-educator program: a model of an effective community of practice. Med Edu 15(1):5356

20.

Singh P, Aggarwal R, Zevin B et al (2014) A global Delphi consensus study on defining and measuring quality in surgical training. J Am Coll Surg 219(3):346–353CrossRef

21.

Snyder RA, Tarpley MJ, Tarpley JL et al (2012) Teaching in the operating room: results of a national survey. J Surg Edu 69(5):643–649CrossRef

22.

Sutkin G, Littleton EB, Kanter SL (2015) How surgical mentors teach: a classification of in vivo teaching behaviors part 2: physical teaching guidance. J Surg Edu 72(2):251–257CrossRef

23.

Sutkin G, Littleton EB, Kanter SL (2015) How surgical mentors teach: a classification of in vivo teaching behaviors part 1: verbal teaching guidance. J Surg Edu 72(2):243–250CrossRef

24.

Sutton PA, Beamish AJ, Rashid S et al (2018) Attributes of excellent surgical trainers: an analysis of outstanding trainers. Int J Surg 52:371–375CrossRef

25.

Swendiman RA, Hoffman DI, Bruce AN et al (2019) Qualities and methods of highly effective surgical educators: a grounded theory model. J Surg Edu 76(5):1293–1302CrossRef

26.

Wall D (2007) Determining your teaching style. (Chapter 2) Your teaching style: a guide to understanding, developing and improving. Taylor and Francis, London

27.

Caverzagie KJ, Goldenberg MG, Hall JM (2019) Psychology and learning: the role of the clinical learning environment. Med Teach 41:375–379CrossRef

Title: The Current Evidence for Defining and Assessing Effectiveness of Surgical Educators: A Systematic Review
Authors: Karen J. Dickinson
Barbara L. Bass
Kevin Y. Pei
Publication date: 01-10-2020
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 10/2020
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-020-05617-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The Current Evidence for Defining and Assessing Effectiveness of Surgical Educators: A Systematic Review

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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