Abstract
Objective Competency based medical education (CBME) requires novel approaches to surgical education. Significant investment has been made in laparoscopic simulation, which has been shown to foster skill development prior to patient encounters. However, research suggests variable voluntary use of these resources by residents, and little is known about the motivational factors that influence their utilization. The purpose of this study was to characterize factors that motivate residents to seek laparoscopic simulation experience outside of the formal curriculum. Design We developed a questionnaire grounded in Expectancy Value Theory, an established psychological theory of motivation, by adapting validated measures to fit the study context. We conducted a cross sectional survey of Canadian obstetrics and gynecology residents. Setting We invited residents enrolled in English-language obstetrics and gynecology training programs in Canada to participate. Participants All residents engaged in clinical duties during Winter 2018 were invited to complete the questionnaire. Forty-four Obstetrics and Gynecology (Ob/Gyn) residents participated in the study. Results Residents reported limited use of simulation resources and identified multiple barriers including lack of time, access, and supervision. They expressed concern about development of bad habits during independent practice, and simulation use was positively correlated with perceived utility. Compared to junior residents, senior residents reported greater enjoyment of laparoscopic surgery, less emotional costs, and higher self-efficacy for learning laparoscopy. Conclusions Residents’ perception of utility and barriers impede voluntary simulation use and overall use was limited. As programs undertake curricula redevelopment for CBME, mitigating barriers and improving perceived utility of laparoscopic simulation is vital to increase use and enhance skill development.
| Original language | English |
|---|---|
| Article number | e0230931 |
| Journal | PLoS One |
| Volume | 15 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2020 |
Bibliographical note
Funding Information:JS was awarded the Dalhousie University Department of Obstetrics and Gynaecology HB Atlee Endowment Fund Award 2018 These funds come from an endowment that was bequeathed by Harold Benge Atlee upon his death. The funders played no role in any part of study design, data collection, decision to publish, or manuscript preparation. Details of the award can be found here: https://cdn.dal.ca/content/dam/dalhousie/pdf/ faculty/medicine/departments/department-sites/ obstetrics/TOR-Atlee-Award2012.pdf
Publisher Copyright:
© 2020 Stairs et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
ASJC Scopus Subject Areas
- General