Exploring the surgical residents’ experience of teaching and learning process in the operating room: A grounded theory study
نویسندگان
1 Phd Candidate in Medical Education, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Professor of Orthopedics, Department of Medical Education, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Assistant Professor, Department of Community- Based Health Education, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences,Tehran, Iran
doi
چکیده
BACKGROUND: Despite the development of valuable teaching methods and assessment tools inthe field of surgery education, yet unpreparedness for independence practice by surgical residentsremains a problem in most of the countries.AIMS: This study aims to explain the surgical residents’ experience of the teaching and learningprocess in the operating rooms in Iran.MATERIAL AND METHODS: This study is a qualitative research that was done from May 2019to June 2020 in Tehran and eight other cities in Iran. The selected methodology was constructivistgrounded theory. The study setting was 11 teaching hospitals. Data were collected through 36 in‑depthinterviews and 132 h of observation. Participants were selected initially by purposive sampling andthen by theoretical sampling for covering gaps and completing categories.RESULTS: Findings showed that the confused educational system was the main concern of theresidents’ experience of the teaching and learning process in the operating room. This concern isinvestigated by dividing into four subcategories: Education in the shadow of treatment, inefficienteducation, patient safety versus trusting residents for independent practice, and unstructuredassessment.CONCLUSION: Based on residents’ experience about challenges such as inefficient education,the influence of patient safety versus trusting residents for independent practice, and unstructuredassessment, the surgical residents’ education in the operating rooms needs to revise.