Surgeon perceptions of personality as an influencing factor on anastomotic decision-making: a qualitative analysis
Aim: Surgeon personality is a factor influencing rectal anastomotic decision-making. However, it is unclear how or why this may be the case, or what aspects of personality are involved. The aim of this study was to investigate the views of colorectal surgeons on how their individual personality may...
| Main Authors: | , , , , |
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| Other Authors: | |
| Format: | Journal Article |
| Language: | English |
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2024
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| Online Access: | https://hdl.handle.net/10356/180040 |
| _version_ | 1826114311307657216 |
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| author | Bisset, Carly N. Moug, Susan J. Oliphant, Raymond Dames, Nicola Cleland, Jennifer |
| author2 | Lee Kong Chian School of Medicine (LKCMedicine) |
| author_facet | Lee Kong Chian School of Medicine (LKCMedicine) Bisset, Carly N. Moug, Susan J. Oliphant, Raymond Dames, Nicola Cleland, Jennifer |
| author_sort | Bisset, Carly N. |
| collection | NTU |
| description | Aim: Surgeon personality is a factor influencing rectal anastomotic decision-making. However, it is unclear how or why this may be the case, or what aspects of personality are involved. The aim of this study was to investigate the views of colorectal surgeons on how their individual personality may influence variation in anastomotic decision-making. Method: Purposive sampling was used to invite certified UK-based colorectal surgeons to participate, with individual interviews used for data collection. Participants were recruited until ongoing data review indicated no new codes were generated (i.e. data sufficiency). Data were analysed thematically following Braun and Clarke's six-step framework. Results: Seventeen colorectal surgeons (eight female, nine male) participated. Two key themes relating to personality and decision-making were identified: (1) surgeon development and training and (2) patient–surgeon interactions, each with relevant subthemes. Surgeons described how their personality may influence patients’ postoperative outcomes (e.g. decision-making, team working and communication) and potential mechanisms for how their personality may influence operative risk-taking. Following anastomotic leakage, surgeons described a disproportionate sense of guilt and responsibility. There appears to be a significant transition in responsibility from trainee to newly appointed consultant, which may be part of the ‘hidden curriculum’ of surgical training. Conclusion: Colorectal surgeons have described their perceptions of how personality traits may impact variation in decision-making and patient outcomes for the first time. Early career surgeons felt ill-prepared for the level of guilt experienced when managing complications. Surgeons appear open to personality assessment if this was through an educational lens, with the aim of improving decision-making following complications and overall performance. |
| first_indexed | 2024-10-01T03:37:05Z |
| format | Journal Article |
| id | ntu-10356/180040 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2024-10-01T03:37:05Z |
| publishDate | 2024 |
| record_format | dspace |
| spelling | ntu-10356/1800402024-09-15T15:38:08Z Surgeon perceptions of personality as an influencing factor on anastomotic decision-making: a qualitative analysis Bisset, Carly N. Moug, Susan J. Oliphant, Raymond Dames, Nicola Cleland, Jennifer Lee Kong Chian School of Medicine (LKCMedicine) Medical Education Research and Scholarship Unit Medicine, Health and Life Sciences Anastomosis Decision-making Aim: Surgeon personality is a factor influencing rectal anastomotic decision-making. However, it is unclear how or why this may be the case, or what aspects of personality are involved. The aim of this study was to investigate the views of colorectal surgeons on how their individual personality may influence variation in anastomotic decision-making. Method: Purposive sampling was used to invite certified UK-based colorectal surgeons to participate, with individual interviews used for data collection. Participants were recruited until ongoing data review indicated no new codes were generated (i.e. data sufficiency). Data were analysed thematically following Braun and Clarke's six-step framework. Results: Seventeen colorectal surgeons (eight female, nine male) participated. Two key themes relating to personality and decision-making were identified: (1) surgeon development and training and (2) patient–surgeon interactions, each with relevant subthemes. Surgeons described how their personality may influence patients’ postoperative outcomes (e.g. decision-making, team working and communication) and potential mechanisms for how their personality may influence operative risk-taking. Following anastomotic leakage, surgeons described a disproportionate sense of guilt and responsibility. There appears to be a significant transition in responsibility from trainee to newly appointed consultant, which may be part of the ‘hidden curriculum’ of surgical training. Conclusion: Colorectal surgeons have described their perceptions of how personality traits may impact variation in decision-making and patient outcomes for the first time. Early career surgeons felt ill-prepared for the level of guilt experienced when managing complications. Surgeons appear open to personality assessment if this was through an educational lens, with the aim of improving decision-making following complications and overall performance. Published version This work was kindly supported by Bowel Research UK and the Ileostomy and Internal Pouch Association. The funders had no influence in the design, delivery or interpretation of this study. 2024-09-11T00:31:56Z 2024-09-11T00:31:56Z 2024 Journal Article Bisset, C. N., Moug, S. J., Oliphant, R., Dames, N. & Cleland, J. (2024). Surgeon perceptions of personality as an influencing factor on anastomotic decision-making: a qualitative analysis. Colorectal Disease, 26(8), 1608-1616. https://dx.doi.org/10.1111/codi.17078 1462-8910 https://hdl.handle.net/10356/180040 10.1111/codi.17078 39162024 2-s2.0-85196655822 8 26 1608 1616 en Colorectal Disease © 2024 The Author(s). Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. application/pdf |
| spellingShingle | Medicine, Health and Life Sciences Anastomosis Decision-making Bisset, Carly N. Moug, Susan J. Oliphant, Raymond Dames, Nicola Cleland, Jennifer Surgeon perceptions of personality as an influencing factor on anastomotic decision-making: a qualitative analysis |
| title | Surgeon perceptions of personality as an influencing factor on anastomotic decision-making: a qualitative analysis |
| title_full | Surgeon perceptions of personality as an influencing factor on anastomotic decision-making: a qualitative analysis |
| title_fullStr | Surgeon perceptions of personality as an influencing factor on anastomotic decision-making: a qualitative analysis |
| title_full_unstemmed | Surgeon perceptions of personality as an influencing factor on anastomotic decision-making: a qualitative analysis |
| title_short | Surgeon perceptions of personality as an influencing factor on anastomotic decision-making: a qualitative analysis |
| title_sort | surgeon perceptions of personality as an influencing factor on anastomotic decision making a qualitative analysis |
| topic | Medicine, Health and Life Sciences Anastomosis Decision-making |
| url | https://hdl.handle.net/10356/180040 |
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