Near-Peer Coaching to Enhance Operative Learning: An Educational Innovation for Surgical Training

作者：Alexander Papachristos, Elizabeth Molloy, Juanita N. Chui, Monica Ghidinelli, Simon Kitto, Debra Nestel, Benjamin Loveday · 发表于：Annals of Surgery Open · 年份：2024 · DOI：10.1097/as9.0000000000000471 · 被引用次数：9 · 研究领域：Surgical Simulation and Training、Innovations in Medical Education、Anatomy and Medical Technology

Objective: To design, implement, and evaluate a near-peer coaching model to enhance operative learning in general surgery training. Background: There is an urgent need to maximize operative learning in surgical education. Trainees find barriers to operative learning difficult to navigate and often sacrifice educational opportunities for the sake of impression management. Methods: A prospective cohort study was conducted over a 6-month period following design and implementation of a trainee-led near-peer coaching model; "SPICE" (Set goals, Plan, Imagine, Comment and feedback, Evaluate and reflect). Semistructured interviews were conducted to explore trainees' experiences of the model. Results: Twelve trainees participated in the study. The near-peer coaching encounters provided trainees with the psychological safety to be honest about learning needs, validated insecurities, and mitigated the pressures associated with impression management that consistently shaped consultant-trainee relationships. Trainees described improved operative performance, increased self-confidence, and a greater ability to adapt to the unexpected. Trainees adapted the use of the SPICE model to conventional consultant-trainee dynamics, which facilitated learning conversations and negotiation of operative opportunities. On a broader scale, trainees noticed an improvement in the teaching culture of the unit, describing that the use of the model legitimized the importance of perioperative learning conversa...