Identifying optimal program structure, motivations for and barriers to peer coaching participation for surgeons in practice: a qualitative synthesis
Background Continuous advancement of surgical skills is of utmost importance to surgeons in practice, but traditional learning activities without personalized feedback often do not translate into practice changes in the operating room. Peer coaching has been shown to lead to very high rates of pract...
Gespeichert in:
| Veröffentlicht in: | Surgical endoscopy 2021-08, Vol.35 (8), p.4738-4749 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 4749 |
|---|---|
| container_issue | 8 |
| container_start_page | 4738 |
| container_title | Surgical endoscopy |
| container_volume | 35 |
| creator | Valanci-Aroesty, Sofia Wong, Kimberly Feldman, Liane S. Fiore, Julio F. Lee, Lawrence Fried, Gerald M. Mueller, Carmen L. |
| description | Background
Continuous advancement of surgical skills is of utmost importance to surgeons in practice, but traditional learning activities without personalized feedback often do not translate into practice changes in the operating room. Peer coaching has been shown to lead to very high rates of practice changes and utilization of new skills. The purpose of this study was to explore the opinions of practicing surgeons regarding the characteristics of peer coaching programs, in order to better inform future peer coaching program design.
Methods
Using a convenience sample, practicing general surgeons were invited to participate in focus group interviews. Allocation into groups was according to years in practice. The interviews were conducted using open-ended questions by trained facilitators. Audio recordings were transcribed and coded into themes by two independent reviewers using a grounded theory approach.
Results
Of 52 invitations, 27 surgeons participated: 74% male; years in practice: 15 years: 41%. Three main themes emerged during coding:
ideal program structure, motivations for participation, and barriers to implementation
. For the ideal structure of a peer coaching program all groups agreed coaching programs should be voluntary, involve bidirectional learning, and provide CME credits. Live, in situ coaching was preferred. Motivations for coaching participation included: desire to learn new techniques (48%), remaining up to date with the evolution of surgical practice (30%) and improvement of patient outcomes (18%). Barriers to program implementation were categorized as: surgical culture (42%), perceived lack of need (26%), logistical constraints (23%) and issues of coach–coachee dynamics (9%).
Conclusion
Peer coaching to refine or acquire new skills addresses many shortcomings of traditional, didactic learning modalities. This study revealed key aspects of optimal program structure, motivations and barriers to coaching which can be used to inform the design of successful peer coaching programs in the future.
Graphic abstract |
| doi_str_mv | 10.1007/s00464-020-07968-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2440473438</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2440473438</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-2633b5df26a443808de5c9c1e34e0238967f147da75edda72c0f4b3fee9e1e403</originalsourceid><addsrcrecordid>eNp9kctqHDEQRUWIIRM7P5CVIJss0knp0Q9lF0weBkM2zlpo1NVjmR6pXVIb5j_ywdbMBAJZZKNa6NxDSZextwI-CoD-UwbQnW5AQgO96YbGvGAboZVspBTDS7YBo6CRvdGv2OucH6DyRrQb9vtmxFjCdAhxx9NSwt7NfKG0I7fnudDqy0r4ge9TCU-uhBQznxJxF0e-dUQBKfOS-IJI3Cfn74-ixVEJPiynwInPK-3wGA6x6p2v1_iZO_64ujmUyj0hz4dY7jGHfMUuJjdnfPNnXrJf377eXf9obn9-v7n-ctt41crSyE6pbTtOsnNaqwGGEVtvvEClEaQaTNdPQvej61sc6yk9THqrJkSDAjWoS_b-7K0PflwxF7sP2eM8u4hpzVZqDbpX1V3Rd_-gD2mlWLezstUGhGq7tlLyTHlKORNOdqH6o3SwAuyxKHsuytai7Kkoa2pInUO5wnGH9Ff9n9QzyQ-Z2A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2549013565</pqid></control><display><type>article</type><title>Identifying optimal program structure, motivations for and barriers to peer coaching participation for surgeons in practice: a qualitative synthesis</title><source>SpringerLink (Online service)</source><creator>Valanci-Aroesty, Sofia ; Wong, Kimberly ; Feldman, Liane S. ; Fiore, Julio F. ; Lee, Lawrence ; Fried, Gerald M. ; Mueller, Carmen L.</creator><creatorcontrib>Valanci-Aroesty, Sofia ; Wong, Kimberly ; Feldman, Liane S. ; Fiore, Julio F. ; Lee, Lawrence ; Fried, Gerald M. ; Mueller, Carmen L.</creatorcontrib><description>Background
Continuous advancement of surgical skills is of utmost importance to surgeons in practice, but traditional learning activities without personalized feedback often do not translate into practice changes in the operating room. Peer coaching has been shown to lead to very high rates of practice changes and utilization of new skills. The purpose of this study was to explore the opinions of practicing surgeons regarding the characteristics of peer coaching programs, in order to better inform future peer coaching program design.
Methods
Using a convenience sample, practicing general surgeons were invited to participate in focus group interviews. Allocation into groups was according to years in practice. The interviews were conducted using open-ended questions by trained facilitators. Audio recordings were transcribed and coded into themes by two independent reviewers using a grounded theory approach.
Results
Of 52 invitations, 27 surgeons participated: 74% male; years in practice: < 5 years: 33%; 5–15 years: 26%; > 15 years: 41%. Three main themes emerged during coding:
ideal program structure, motivations for participation, and barriers to implementation
. For the ideal structure of a peer coaching program all groups agreed coaching programs should be voluntary, involve bidirectional learning, and provide CME credits. Live, in situ coaching was preferred. Motivations for coaching participation included: desire to learn new techniques (48%), remaining up to date with the evolution of surgical practice (30%) and improvement of patient outcomes (18%). Barriers to program implementation were categorized as: surgical culture (42%), perceived lack of need (26%), logistical constraints (23%) and issues of coach–coachee dynamics (9%).
Conclusion
Peer coaching to refine or acquire new skills addresses many shortcomings of traditional, didactic learning modalities. This study revealed key aspects of optimal program structure, motivations and barriers to coaching which can be used to inform the design of successful peer coaching programs in the future.
Graphic abstract</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-020-07968-9</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>2020 SAGES Oral ; Abdominal Surgery ; Coaching ; Gastroenterology ; Gynecology ; Hepatology ; Learning activities ; Medicine ; Medicine & Public Health ; Participation ; Peer tutoring ; Proctology ; Surgery</subject><ispartof>Surgical endoscopy, 2021-08, Vol.35 (8), p.4738-4749</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-2633b5df26a443808de5c9c1e34e0238967f147da75edda72c0f4b3fee9e1e403</citedby><cites>FETCH-LOGICAL-c352t-2633b5df26a443808de5c9c1e34e0238967f147da75edda72c0f4b3fee9e1e403</cites><orcidid>0000-0002-0593-5353</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-020-07968-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-020-07968-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids></links><search><creatorcontrib>Valanci-Aroesty, Sofia</creatorcontrib><creatorcontrib>Wong, Kimberly</creatorcontrib><creatorcontrib>Feldman, Liane S.</creatorcontrib><creatorcontrib>Fiore, Julio F.</creatorcontrib><creatorcontrib>Lee, Lawrence</creatorcontrib><creatorcontrib>Fried, Gerald M.</creatorcontrib><creatorcontrib>Mueller, Carmen L.</creatorcontrib><title>Identifying optimal program structure, motivations for and barriers to peer coaching participation for surgeons in practice: a qualitative synthesis</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>Background
Continuous advancement of surgical skills is of utmost importance to surgeons in practice, but traditional learning activities without personalized feedback often do not translate into practice changes in the operating room. Peer coaching has been shown to lead to very high rates of practice changes and utilization of new skills. The purpose of this study was to explore the opinions of practicing surgeons regarding the characteristics of peer coaching programs, in order to better inform future peer coaching program design.
Methods
Using a convenience sample, practicing general surgeons were invited to participate in focus group interviews. Allocation into groups was according to years in practice. The interviews were conducted using open-ended questions by trained facilitators. Audio recordings were transcribed and coded into themes by two independent reviewers using a grounded theory approach.
Results
Of 52 invitations, 27 surgeons participated: 74% male; years in practice: < 5 years: 33%; 5–15 years: 26%; > 15 years: 41%. Three main themes emerged during coding:
ideal program structure, motivations for participation, and barriers to implementation
. For the ideal structure of a peer coaching program all groups agreed coaching programs should be voluntary, involve bidirectional learning, and provide CME credits. Live, in situ coaching was preferred. Motivations for coaching participation included: desire to learn new techniques (48%), remaining up to date with the evolution of surgical practice (30%) and improvement of patient outcomes (18%). Barriers to program implementation were categorized as: surgical culture (42%), perceived lack of need (26%), logistical constraints (23%) and issues of coach–coachee dynamics (9%).
Conclusion
Peer coaching to refine or acquire new skills addresses many shortcomings of traditional, didactic learning modalities. This study revealed key aspects of optimal program structure, motivations and barriers to coaching which can be used to inform the design of successful peer coaching programs in the future.
Graphic abstract</description><subject>2020 SAGES Oral</subject><subject>Abdominal Surgery</subject><subject>Coaching</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Learning activities</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Participation</subject><subject>Peer tutoring</subject><subject>Proctology</subject><subject>Surgery</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kctqHDEQRUWIIRM7P5CVIJss0knp0Q9lF0weBkM2zlpo1NVjmR6pXVIb5j_ywdbMBAJZZKNa6NxDSZextwI-CoD-UwbQnW5AQgO96YbGvGAboZVspBTDS7YBo6CRvdGv2OucH6DyRrQb9vtmxFjCdAhxx9NSwt7NfKG0I7fnudDqy0r4ge9TCU-uhBQznxJxF0e-dUQBKfOS-IJI3Cfn74-ixVEJPiynwInPK-3wGA6x6p2v1_iZO_64ujmUyj0hz4dY7jGHfMUuJjdnfPNnXrJf377eXf9obn9-v7n-ctt41crSyE6pbTtOsnNaqwGGEVtvvEClEaQaTNdPQvej61sc6yk9THqrJkSDAjWoS_b-7K0PflwxF7sP2eM8u4hpzVZqDbpX1V3Rd_-gD2mlWLezstUGhGq7tlLyTHlKORNOdqH6o3SwAuyxKHsuytai7Kkoa2pInUO5wnGH9Ff9n9QzyQ-Z2A</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Valanci-Aroesty, Sofia</creator><creator>Wong, Kimberly</creator><creator>Feldman, Liane S.</creator><creator>Fiore, Julio F.</creator><creator>Lee, Lawrence</creator><creator>Fried, Gerald M.</creator><creator>Mueller, Carmen L.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0593-5353</orcidid></search><sort><creationdate>20210801</creationdate><title>Identifying optimal program structure, motivations for and barriers to peer coaching participation for surgeons in practice: a qualitative synthesis</title><author>Valanci-Aroesty, Sofia ; Wong, Kimberly ; Feldman, Liane S. ; Fiore, Julio F. ; Lee, Lawrence ; Fried, Gerald M. ; Mueller, Carmen L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-2633b5df26a443808de5c9c1e34e0238967f147da75edda72c0f4b3fee9e1e403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>2020 SAGES Oral</topic><topic>Abdominal Surgery</topic><topic>Coaching</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Learning activities</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Participation</topic><topic>Peer tutoring</topic><topic>Proctology</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Valanci-Aroesty, Sofia</creatorcontrib><creatorcontrib>Wong, Kimberly</creatorcontrib><creatorcontrib>Feldman, Liane S.</creatorcontrib><creatorcontrib>Fiore, Julio F.</creatorcontrib><creatorcontrib>Lee, Lawrence</creatorcontrib><creatorcontrib>Fried, Gerald M.</creatorcontrib><creatorcontrib>Mueller, Carmen L.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Valanci-Aroesty, Sofia</au><au>Wong, Kimberly</au><au>Feldman, Liane S.</au><au>Fiore, Julio F.</au><au>Lee, Lawrence</au><au>Fried, Gerald M.</au><au>Mueller, Carmen L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identifying optimal program structure, motivations for and barriers to peer coaching participation for surgeons in practice: a qualitative synthesis</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><date>2021-08-01</date><risdate>2021</risdate><volume>35</volume><issue>8</issue><spage>4738</spage><epage>4749</epage><pages>4738-4749</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Continuous advancement of surgical skills is of utmost importance to surgeons in practice, but traditional learning activities without personalized feedback often do not translate into practice changes in the operating room. Peer coaching has been shown to lead to very high rates of practice changes and utilization of new skills. The purpose of this study was to explore the opinions of practicing surgeons regarding the characteristics of peer coaching programs, in order to better inform future peer coaching program design.
Methods
Using a convenience sample, practicing general surgeons were invited to participate in focus group interviews. Allocation into groups was according to years in practice. The interviews were conducted using open-ended questions by trained facilitators. Audio recordings were transcribed and coded into themes by two independent reviewers using a grounded theory approach.
Results
Of 52 invitations, 27 surgeons participated: 74% male; years in practice: < 5 years: 33%; 5–15 years: 26%; > 15 years: 41%. Three main themes emerged during coding:
ideal program structure, motivations for participation, and barriers to implementation
. For the ideal structure of a peer coaching program all groups agreed coaching programs should be voluntary, involve bidirectional learning, and provide CME credits. Live, in situ coaching was preferred. Motivations for coaching participation included: desire to learn new techniques (48%), remaining up to date with the evolution of surgical practice (30%) and improvement of patient outcomes (18%). Barriers to program implementation were categorized as: surgical culture (42%), perceived lack of need (26%), logistical constraints (23%) and issues of coach–coachee dynamics (9%).
Conclusion
Peer coaching to refine or acquire new skills addresses many shortcomings of traditional, didactic learning modalities. This study revealed key aspects of optimal program structure, motivations and barriers to coaching which can be used to inform the design of successful peer coaching programs in the future.
Graphic abstract</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s00464-020-07968-9</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-0593-5353</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2021-08, Vol.35 (8), p.4738-4749 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2440473438 |
| source | SpringerLink (Online service) |
| subjects | 2020 SAGES Oral Abdominal Surgery Coaching Gastroenterology Gynecology Hepatology Learning activities Medicine Medicine & Public Health Participation Peer tutoring Proctology Surgery |
| title | Identifying optimal program structure, motivations for and barriers to peer coaching participation for surgeons in practice: a qualitative synthesis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-14T15%3A19%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Identifying%20optimal%20program%20structure,%20motivations%20for%20and%20barriers%20to%20peer%20coaching%20participation%20for%20surgeons%20in%20practice:%20a%20qualitative%20synthesis&rft.jtitle=Surgical%20endoscopy&rft.au=Valanci-Aroesty,%20Sofia&rft.date=2021-08-01&rft.volume=35&rft.issue=8&rft.spage=4738&rft.epage=4749&rft.pages=4738-4749&rft.issn=0930-2794&rft.eissn=1432-2218&rft_id=info:doi/10.1007/s00464-020-07968-9&rft_dat=%3Cproquest_cross%3E2440473438%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2549013565&rft_id=info:pmid/&rfr_iscdi=true |