“Who wants me to do what?” varied expectations from key stakeholder groups in the surgical intensive care unit creates a challenging learning environment

Matthew C. Bobel, Carolina Fernandez Branson, Jeffrey G. Chipman, Andre R. Campbell, Melissa E. Brunsvold

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Surgical intensive care units (SICU) require complex care from a multi-disciplinary team. Frequent changes in team members can lead to shifting expectations for junior general surgical trainees, which creates a challenging working and learning environment. We aim to identify expectations of junior surgery trainee's medical knowledge and technical/non-technical skills at the start of their SICU rotation. We hypothesize that expectations will not be consistent across SICU stakeholder groups. Methods: Twenty-eight individual semi-structured interviews were conducted with six SICU stakeholder groups at a medium-sized academic hospital. Expectations were identified from interview transcripts. Frequency counts were analyzed. Results: Forty-one expectations were identified. 4 expectations were identified by a majority of interviewees. Most expectations were identified by 7 or fewer interviewees. 23 (53%) expectations were shared by at least one stakeholder group. 2 (8%) expectations were shared by all groups. Conclusions: SICU stakeholder groups identified ten medical knowledge, ten technical skill, and three non-technical skill expectations. Yet, few expectations were shared among the groups. Thus, SICU stakeholder groups have disparate expectations for surgery trainees in our SICU.

Original languageEnglish (US)
Pages (from-to)394-400
Number of pages7
JournalAmerican journal of surgery
Volume221
Issue number2
DOIs
StatePublished - Feb 2021

Bibliographical note

Publisher Copyright:
© 2020 Elsevier Inc.

Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.

Keywords

  • Critical care
  • Expectations
  • SICU
  • Surgical education
  • Teaching

PubMed: MeSH publication types

  • Journal Article

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