کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5730993 1611467 2017 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Perioperative self-reflection among surgical residents
ترجمه فارسی عنوان
خود بازتاب درمانی در میان ساکنین جراحی
کلمات کلیدی
خود انعکاس، جراحان، ساکنان، گفتگوها، جنسیت،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundWe studied prevalence and predictors of meaningful self-reflection among surgical residents and with prompting/structured interventions, sought to improve/sustain resident skills.MethodsResidents from six programs recorded 1032 narrative self-reflective comments (120 residents), using a web-based platform. If residents identified something learned or to be improved, self-reflection was deemed meaningful. Independent variables PGY level, resident/surgeon gender, study site/Phase1: July2014-August2015 vs. Phase2: September2015-September2016) were analyzed.ResultsMeaningful self-reflection was documented in 40.6% (419/1032) of entries. PGY5's meaningfully self-reflected less than PGY1-4's, 26.1% vs. 49.6% (p = 0.002). In multivariate analysis, resident narratives during Phase 2 were 4.7 times more likely to engage in meaningful self-reflection compared to Phase1 entries (p < 0.001). Iterative changes during Phase2 showed a 236% increase in meaningful self-reflection, compared to Phase1.ConclusionsSurgical residents uncommonly practice meaningful self-reflection, even when prompted, and PGY5/chief residents reflect less than more junior residents. Substantial/sustained improvements in resident self-reflection can occur with both training and interventions.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 214, Issue 3, September 2017, Pages 564-570
نویسندگان
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