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Surgical education and training in an outer metropolitan hospital: a qualitative study of surgical trainers and trainees

Citation

Nestel, D and Harlim, J and Bryant, M and Rampersad, R and Hunter-Smith, D and Spychal, B, Surgical education and training in an outer metropolitan hospital: a qualitative study of surgical trainers and trainees, Advances in Health Sciences Education, 22, (3) pp. 639-651. ISSN 1382-4996 (2017) [Refereed Article]

Copyright Statement

Copyright Springer Science+Business Media Dordrecht 2016

DOI: doi:10.1007/s10459-016-9697-2

Abstract

The landscape of surgical training is changing. The anticipated increase in the numbers of surgical trainees and the shift to competency-based surgical training places pressures on an already stretched health service. With these pressures in mind, we explored trainers’ and trainees’ experiences of surgical training in a less traditional rotation, an outer metropolitan hospital. We considered practice-based learning theories to make meaning of surgical training in this setting, in particular Actor–network theory. We adopted a qualitative approach and purposively sampled surgical trainers and trainees to participate in individual interviews and focus groups respectively. Transcripts were made and thematically analysed. Institutional human research ethics approval was obtained. Four surgical trainers and fourteen trainees participated. Almost without exception, participants’ report training needs to be well met. Emergent inter-related themes were: learning as social activity; learning and programmatic factors; learning and physical infrastructure; and, learning and organizational structure. This outer metropolitan hospital is suited to the provision of surgical training with the current rotational system for trainees. The setting offers experiences that enable consolidation of learning providing a rich and varied overall surgical training program. Although relational elements of learning were paramount they occurred within a complex environment. Actor–network theory was used to give meaning to emergent themes acknowledging that actors (both people and objects) and their interactions combine to influence training quality, shifting the focus of responsibility for learning away from individuals to the complex interactions in which they work and learn.

Item Details

Item Type:Refereed Article
Keywords:actor–network theory, surgical education, surgical training, practice-based
Research Division:Commerce, Management, Tourism and Services
Research Group:Business and Management
Research Field:Business and Management not elsewhere classified
Objective Division:Expanding Knowledge
Objective Group:Expanding Knowledge
Objective Field:Expanding Knowledge in Commerce, Management, Tourism and Services
Author:Bryant, M (Professor Melanie Bryant)
ID Code:116057
Year Published:2017 (online first 2016)
Deposited By:Tasmanian School of Business and Economics
Deposited On:2017-04-28
Last Modified:2017-08-30
Downloads:0

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