Surgical residents' perceptions of the operating theatre educational environment at St. Paul's Hospital Millennium Medical College: A cross-sectional survey

Background: The educational environment refers to the “climate” that influences all aspects of learning in an educational context and the experience in the operating room is particularly crucial in surgical residents learning. Hence, this study aimed to assess surgical residents' perceptions of...

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Main Authors: Goytom Knfe, MD, MPH, Henok Teshome, Maru Gama, Engida Abebe, Mulugeta Kassahun, Berhanetsehay Tekelwold
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Surgery Open Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589845023001215
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author Goytom Knfe, MD, MPH
Henok Teshome
Maru Gama
Engida Abebe
Mulugeta Kassahun
Berhanetsehay Tekelwold
author_facet Goytom Knfe, MD, MPH
Henok Teshome
Maru Gama
Engida Abebe
Mulugeta Kassahun
Berhanetsehay Tekelwold
author_sort Goytom Knfe, MD, MPH
collection DOAJ
description Background: The educational environment refers to the “climate” that influences all aspects of learning in an educational context and the experience in the operating room is particularly crucial in surgical residents learning. Hence, this study aimed to assess surgical residents' perceptions of the operating theatre educational environment and associated factors in the surgical department at St. Paul's Hospital. Methods: This cross-sectional study was conducted in March 2022 among surgical residents at St. Paul's Hospital Millennium Medical College to assess their perceptions of the operating room educational environment using the OREEM questionnaire. Descriptive statistics (mean, median, SD) were used to summarize demographic data and OREEM scores. The student t-test and one-way analysis of variance (ANOVA) testing followed by posthoc tests were used for comparison of quantitative data, with p-values < 0.05 considered significant. Results: Of the participants, 103 (79.8%) were male and 26 (20.2%) were female with a mean age of 28 years. The overall mean score was 69% with subscale scores for teaching and training at 47.9/65.0 (73.7%), learning opportunities at 34.5/55.0 (62.7%), the atmosphere at 28.9/40.00 (72.4%) and workload/supervision/ support at 27.5/40.0 (68.7%). Male and female residents differed significantly in perceptions of “atmosphere” (t127 = 3.35, p < 0.001) and in junior versus senior residents' perceptions of the “learning opportunities” and “atmosphere” at p-values of 0.023 and 0.028 respectively. However, age, marital status, and specific surgical training programs did not have a significant effect on the scores. Conclusion: Overall, residents had positive perceptions of their training and teaching, learning opportunities, the atmosphere in the operation theatre, and the supervision they received in the operation theatre. The operating room's “teaching and training” component received the highest score, while the operating room's “learning opportunities” component received the lowest. This indicates the importance of establishing a positive learning environment with sufficient “hands-on” experience, especially during emergencies. In addition, preoperative planning, case discussions, and feedback after the surgery should be routine.
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spelling doaj.art-a82cc9a749c8409b811cb7dcff0d299c2024-01-31T05:45:25ZengElsevierSurgery Open Science2589-84502024-01-01172329Surgical residents' perceptions of the operating theatre educational environment at St. Paul's Hospital Millennium Medical College: A cross-sectional surveyGoytom Knfe, MD, MPH0Henok Teshome1Maru Gama2Engida Abebe3Mulugeta Kassahun4Berhanetsehay Tekelwold5Corresponding author.; Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, EthiopiaDepartment of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, EthiopiaDepartment of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, EthiopiaDepartment of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, EthiopiaDepartment of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, EthiopiaDepartment of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, EthiopiaBackground: The educational environment refers to the “climate” that influences all aspects of learning in an educational context and the experience in the operating room is particularly crucial in surgical residents learning. Hence, this study aimed to assess surgical residents' perceptions of the operating theatre educational environment and associated factors in the surgical department at St. Paul's Hospital. Methods: This cross-sectional study was conducted in March 2022 among surgical residents at St. Paul's Hospital Millennium Medical College to assess their perceptions of the operating room educational environment using the OREEM questionnaire. Descriptive statistics (mean, median, SD) were used to summarize demographic data and OREEM scores. The student t-test and one-way analysis of variance (ANOVA) testing followed by posthoc tests were used for comparison of quantitative data, with p-values < 0.05 considered significant. Results: Of the participants, 103 (79.8%) were male and 26 (20.2%) were female with a mean age of 28 years. The overall mean score was 69% with subscale scores for teaching and training at 47.9/65.0 (73.7%), learning opportunities at 34.5/55.0 (62.7%), the atmosphere at 28.9/40.00 (72.4%) and workload/supervision/ support at 27.5/40.0 (68.7%). Male and female residents differed significantly in perceptions of “atmosphere” (t127 = 3.35, p < 0.001) and in junior versus senior residents' perceptions of the “learning opportunities” and “atmosphere” at p-values of 0.023 and 0.028 respectively. However, age, marital status, and specific surgical training programs did not have a significant effect on the scores. Conclusion: Overall, residents had positive perceptions of their training and teaching, learning opportunities, the atmosphere in the operation theatre, and the supervision they received in the operation theatre. The operating room's “teaching and training” component received the highest score, while the operating room's “learning opportunities” component received the lowest. This indicates the importance of establishing a positive learning environment with sufficient “hands-on” experience, especially during emergencies. In addition, preoperative planning, case discussions, and feedback after the surgery should be routine.http://www.sciencedirect.com/science/article/pii/S2589845023001215Medical educationLearning environmentOperation theatreSurgical residentsPerception
spellingShingle Goytom Knfe, MD, MPH
Henok Teshome
Maru Gama
Engida Abebe
Mulugeta Kassahun
Berhanetsehay Tekelwold
Surgical residents' perceptions of the operating theatre educational environment at St. Paul's Hospital Millennium Medical College: A cross-sectional survey
Surgery Open Science
Medical education
Learning environment
Operation theatre
Surgical residents
Perception
title Surgical residents' perceptions of the operating theatre educational environment at St. Paul's Hospital Millennium Medical College: A cross-sectional survey
title_full Surgical residents' perceptions of the operating theatre educational environment at St. Paul's Hospital Millennium Medical College: A cross-sectional survey
title_fullStr Surgical residents' perceptions of the operating theatre educational environment at St. Paul's Hospital Millennium Medical College: A cross-sectional survey
title_full_unstemmed Surgical residents' perceptions of the operating theatre educational environment at St. Paul's Hospital Millennium Medical College: A cross-sectional survey
title_short Surgical residents' perceptions of the operating theatre educational environment at St. Paul's Hospital Millennium Medical College: A cross-sectional survey
title_sort surgical residents perceptions of the operating theatre educational environment at st paul s hospital millennium medical college a cross sectional survey
topic Medical education
Learning environment
Operation theatre
Surgical residents
Perception
url http://www.sciencedirect.com/science/article/pii/S2589845023001215
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