期刊
ACADEMIC MEDICINE
卷 90, 期 8, 页码 1125-1131出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/ACM.0000000000000740
关键词
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资金
- Royal College of Surgeons of England (research fellowship Pedagogy of the Operating Theatre project)
- Royal College of Surgeons of England (Harry Morton Research Fellowship)
- London Deanery (Simulation and Technology-enhanced Learning Initiative)
- ESRC [ES/I035354/1, ES/I02445X/1] Funding Source: UKRI
- Economic and Social Research Council [ES/I02445X/1, ES/I035354/1] Funding Source: researchfish
Purpose The authors aimed to map and explicate what surgeons perceive they learn in the operating room. Method The researchers used a grounded theory method in which data were iteratively collected through semistructured one-to-one interviews in 2010 and 2011 at four participating hospital sites. A four-person data analysis team from differing academic backgrounds qualitatively analyzed the content of the transcripts employing an immersion/crystallization approach. Results Participants were 22 UK surgeons, some of whom were in training at the time of the study and some of whom were attending surgeons. Major themes of learning in the operating room were perceived to be factual knowledge, motor skills, sensory semiosis, adaptive strategies, team working and management, and attitudes and behaviors. The analysis team classified 277 data points (short paragraphs or groups of sentences conveying meaning) under these major themes and subthemes. A key component of learning in the operating room that emerged from these data was sensory semiosis, defined as learning to make sense of visual and haptic cues. Conclusions Although the authors found that learning in the operating room occurred across a wide range of domains, sensory semiosis was found to be an important theme that has not previously been fully acknowledged or discussed in the surgical literature. The discussion draws on the wider literature from the social sciences and cognitive psychology literature to examine how professionals learn to make meaning from signs making parallels with other medical specialties.
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