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Instrument for the evaluation of higher surgical training experience in the operating theatre

Published online by Cambridge University Press:  07 July 2022

K L Lau Open the ORCID record for K L Lau [Opens in a new window] ,
R Scurrah  and
H Cocks
K L Lau*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Sunderland Royal Hospital, Sunderland, UK
R Scurrah
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Sunderland Royal Hospital, Sunderland, UK
H Cocks
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Sunderland Royal Hospital, Sunderland, UK
*
Author for correspondence: Dr Kin Lun Lau, Department of Otolaryngology – Head and Neck Surgery, Sunderland Royal Hospital, Kayll Road, Sunderland SR4 7TP, UK E-mail: [email protected]
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Abstract

Objective

The operating theatre, as the primary learning environment for surgeons, needs to be conducive to achieve successful training. A validated 27-item questionnaire aimed at evaluating the training experience of higher surgical trainees in the operating theatre was developed.

Methods

The initial questionnaire was developed using a literature review and a focus group. Items were validated with content validity index (CVI) and Cronbach's alpha.

Results

The initial version of 33 questions was modified in the focus group into a 29-item 4-point Likert scale questionnaire covering 3 areas. Of these 29 items, 27 reached the threshold CVI of 0.87, and they achieved a Cronbach's alpha of 0.89 from 17 responses.

Conclusion

The quantitative validations in the instrument are comparable to other existing medical education evaluation tools. Aspects of non-technical skills and human factors were featured heavily and perceived to be important for learning in the operating theatre.

Keywords

Medical EducationSurveys And QuestionnairesTraining
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 5 , May 2023 , pp. 565 - 569
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr K L Lau takes responsibility for the integrity of the content of the paper

Presented at the North of England Otolaryngology Society Spring Meeting, 21 March 2022, Crewe, UK.

References

McKee, RF. The Intercollegiate Surgical Curriculum Programme (ISCP). Surgery 2008;26:411–16Google Scholar
Parsons, BA, Blencowe, NS, Hollowood, AD, Grant, JR. Surgical training: the impact of changes in curriculum and experience. J Surg Educ 2011;68:44–51CrossRefGoogle ScholarPubMed
Lyon, P. A model of teaching and learning in the operating theatre. Med Educ 2004;38:1278–87CrossRefGoogle Scholar
Croghan, SM, Phillips, C, Howson, W. The operating theatre as a classroom: a literature review of medical student learning in the theatre environment. Int J Med Educ 2019;10:75–87CrossRefGoogle ScholarPubMed
Kieu, V, Stroud, L, Huang, P, Smith, M, Spychal, R, Hunter-Smith, D et al. The operating theatre as classroom: a qualitative study of learning and teaching surgical competencies. Educ Health 2015;28:22–8CrossRefGoogle ScholarPubMed
Nordquist, J, Hall, J, Caverzagie, K, Snell, L, Chan, M-K, Thoma, B et al. The clinical learning environment. Med Teach 2019;41:366–72CrossRefGoogle ScholarPubMed
Chan, CYW, Sum, MY, Lim, WS, Chew, NWM, Samarasekera, DD, Sim, K. Adoption and correlates of Postgraduate Hospital Educational Environment Measure (PHEEM) in the evaluation of learning environments–a systematic review. Med Teach 2016;38:1248–55CrossRefGoogle ScholarPubMed
Holt, MC, Roff, S. Development and validation of the Anaesthetic Theatre Educational Environment Measure (ATEEM). Med Teach 2004;26:553–8CrossRefGoogle ScholarPubMed
Cassar, K. Development of an instrument to measure the surgical operating theatre learning environment as perceived by basic surgical trainees. Med Teach 2004;26:260–4CrossRefGoogle ScholarPubMed
Roff, S. The Dundee Ready Educational Environment Measure (DREEM)—a generic instrument for measuring students’ perceptions of undergraduate health professions curricula. Med Teach 2005;27:322–5CrossRefGoogle ScholarPubMed
Polit, DF, Beck, CT, Owen, SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health 2007;30:459–67CrossRefGoogle ScholarPubMed
Moorthy, K, Munz, Y, Adams, S, Pandey, V, Darzi, A. A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. Ann Surg 2005;242:631–9CrossRefGoogle Scholar
Mahoney, A, Crowe, PJ, Harris, P. Exploring Australasian surgical trainees’ satisfaction with operating theatre learning using the ‘surgical theatre educational environment measure’. ANZ J Surg 2010;80:884–9CrossRefGoogle ScholarPubMed
Nagraj, S, Wall, D, Jones, E. The development and validation of the mini-surgical theatre educational environment measure. Med Teach 2007;29:e192–7CrossRefGoogle ScholarPubMed
Clapham, M, Wall, D, Batchelor, A. Educational environment in intensive care medicine—use of Postgraduate Hospital Educational Environment Measure (PHEEM). Med Teach 2007;29:e184–91CrossRefGoogle ScholarPubMed
Moris, DN, Linos, D. Music meets surgery: two sides to the art of “healing”. Surg Endosc 2013;27:719–23CrossRefGoogle Scholar
Narayanan, A, Gray, AR. First, do no harmony: an examination of attitudes to music played in operating theatres. Age 2018;35:35–44Google Scholar
Vieira, JE. The Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire identifies quality of instruction as a key factor predicting academic achievement. Clinics (Sao Paulo) 2008;63:741–6CrossRefGoogle ScholarPubMed
Koutsogiannou, P, Dimoliatis, ID, Mavridis, D, Bellos, S, Karathanos, V, Jelastopulu, E. Validation of the Postgraduate Hospital Educational Environment Measure (PHEEM) in a sample of 731 Greek residents. BMC Res Notes 2015;8:734Google Scholar
Lees, MC, Zheng, B, Daniels, LM, White, JS. Factors affecting the development of confidence among surgical trainees. J Surg Educ 2019;76:674–83CrossRefGoogle ScholarPubMed
Lund, J. The new general surgical curriculum and ISCP. Surgery (Oxf) 2020;38:601–6CrossRefGoogle ScholarPubMed