Becoming a neurosurgeon in France: A qualitative study from the trainees’ perspective
Introduction: The training of neurosurgeons is evolving in a world of socio-professional changes, including the technological revolution, administrative pressure on stakeholders, reduced working hours, geographical heterogeneity, generational changes, to name but a few. Research question: This quali...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Brain and Spine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772529423009621 |
| _version_ | 1797398939569225728 |
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| author | Bertrand Debono Clément Baumgarten Antoine Guillain Nicolas Lonjon Olivier Hamel Anne-Hélène Moncany Elsa Magro |
| author_facet | Bertrand Debono Clément Baumgarten Antoine Guillain Nicolas Lonjon Olivier Hamel Anne-Hélène Moncany Elsa Magro |
| author_sort | Bertrand Debono |
| collection | DOAJ |
| description | Introduction: The training of neurosurgeons is evolving in a world of socio-professional changes, including the technological revolution, administrative pressure on stakeholders, reduced working hours, geographical heterogeneity, generational changes, to name but a few. Research question: This qualitative study aimed to explore experiences and feedback of French neurosurgical trainees concerning their training. Material and methods: The grounded theory approach was used with 23 neurosurgical trainees’ interviews. Inclusion was continued until data saturation. Six researchers (an anthropologist, a psychiatrist, and four neurosurgeons) thematically and independently analyzed data collected through anonymized interviews. Results: Data analysis identified three superordinate themes: (1) The Trainee-Senior Dyad, where the respondents describe a similar bipolarity between trainees and faculty (trainees oscillating between those who fit into the system and those who are more reluctant to accept hierarchy, faculty using an ideal pedagogy while others refuse to help or invest in training); (2) The difficulty to learn (describing pressure exercised on trainees that can alter their motivation and degrade their training, including the impact of administrative tasks); (3) A pedagogy of empowerment (trainee’ feelings about the pertinent pedagogy in the OR, ideal sequence to progress, progressive empowerment especially during the shifts, and stress of envisioning themselves as a senior neurosurgeon). Discussion and conclusion: Respondents emphasize the heterogeneity of their training both intra- and inter-university-hospital. Their critical analysis, as well as the formalization of their stress to become autonomous seniors, can be an important link with the reforms and optimizations currently being carried out to improve and standardize the training of young French neurosurgeons. |
| first_indexed | 2024-03-09T01:33:46Z |
| format | Article |
| id | doaj.art-f66d026da49f4c37aca79e55a361dafe |
| institution | Directory Open Access Journal |
| issn | 2772-5294 |
| language | English |
| last_indexed | 2024-03-09T01:33:46Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brain and Spine |
| spelling | doaj.art-f66d026da49f4c37aca79e55a361dafe2023-12-09T06:09:13ZengElsevierBrain and Spine2772-52942023-01-013102674Becoming a neurosurgeon in France: A qualitative study from the trainees’ perspectiveBertrand Debono0Clément Baumgarten1Antoine Guillain2Nicolas Lonjon3Olivier Hamel4Anne-Hélène Moncany5Elsa Magro6Department of Neurosurgery, Paris-Versailles Spine Center, Hôpital Privé de Versailles, Les Franciscaines, 78000, Versailles, France; Corresponding author.Department of Neurosurgery, University Hospital of Grenoble, Grenoble, FranceAMADES (medical Anthropology, Development and Health), Centre de la Vieille Charité, 2 rue de la Charité, Marseille, FranceDepartment of Neurosurgery, Hôpital Gui de Chauliac, Montpellier University Medical Center, Montpellier, FranceDepartment of Psychiatry and Addictive Behaviour, Gerard Marchant Hospital Center, Toulouse, FranceDepartment of Neurosurgery, Ramsay-Clinique des Cèdres, Cornebarrieu, FranceDepartment of Neurosurgery, CHU Cavale Blanche, INSERM UMR 1101 LaTIM, Brest, FranceIntroduction: The training of neurosurgeons is evolving in a world of socio-professional changes, including the technological revolution, administrative pressure on stakeholders, reduced working hours, geographical heterogeneity, generational changes, to name but a few. Research question: This qualitative study aimed to explore experiences and feedback of French neurosurgical trainees concerning their training. Material and methods: The grounded theory approach was used with 23 neurosurgical trainees’ interviews. Inclusion was continued until data saturation. Six researchers (an anthropologist, a psychiatrist, and four neurosurgeons) thematically and independently analyzed data collected through anonymized interviews. Results: Data analysis identified three superordinate themes: (1) The Trainee-Senior Dyad, where the respondents describe a similar bipolarity between trainees and faculty (trainees oscillating between those who fit into the system and those who are more reluctant to accept hierarchy, faculty using an ideal pedagogy while others refuse to help or invest in training); (2) The difficulty to learn (describing pressure exercised on trainees that can alter their motivation and degrade their training, including the impact of administrative tasks); (3) A pedagogy of empowerment (trainee’ feelings about the pertinent pedagogy in the OR, ideal sequence to progress, progressive empowerment especially during the shifts, and stress of envisioning themselves as a senior neurosurgeon). Discussion and conclusion: Respondents emphasize the heterogeneity of their training both intra- and inter-university-hospital. Their critical analysis, as well as the formalization of their stress to become autonomous seniors, can be an important link with the reforms and optimizations currently being carried out to improve and standardize the training of young French neurosurgeons.http://www.sciencedirect.com/science/article/pii/S2772529423009621MentoringNeurosurgical trainingQualitative researchOperating roomsSurgical competenciesResident |
| spellingShingle | Bertrand Debono Clément Baumgarten Antoine Guillain Nicolas Lonjon Olivier Hamel Anne-Hélène Moncany Elsa Magro Becoming a neurosurgeon in France: A qualitative study from the trainees’ perspective Brain and Spine Mentoring Neurosurgical training Qualitative research Operating rooms Surgical competencies Resident |
| title | Becoming a neurosurgeon in France: A qualitative study from the trainees’ perspective |
| title_full | Becoming a neurosurgeon in France: A qualitative study from the trainees’ perspective |
| title_fullStr | Becoming a neurosurgeon in France: A qualitative study from the trainees’ perspective |
| title_full_unstemmed | Becoming a neurosurgeon in France: A qualitative study from the trainees’ perspective |
| title_short | Becoming a neurosurgeon in France: A qualitative study from the trainees’ perspective |
| title_sort | becoming a neurosurgeon in france a qualitative study from the trainees perspective |
| topic | Mentoring Neurosurgical training Qualitative research Operating rooms Surgical competencies Resident |
| url | http://www.sciencedirect.com/science/article/pii/S2772529423009621 |
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