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Surgery. 2018 Aug;164(2):185-188. doi: 10.1016/j.surg.2018.03.009. Epub 2018 Jun 20.

Dynamics within peer-to-peer surgical coaching relationships: Early evidence from the Michigan Bariatric Surgical Collaborative.

Author information

1
National Clinician Scholars Program at the Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, MI; Department of Surgery, University of Michigan, Ann Arbor, MI. Electronic address: sponto@med.umich.edu.
2
Department of Surgery, University of Michigan, Ann Arbor, MI.
3
Department of Surgery, University of Wisconsin, Madison, WI.

Abstract

BACKGROUND:

Many coaching methods have been well studied and formalized, but the approach most commonly used in the continuing education of surgeons is peer coaching. Through a qualitative thematic analysis, we sought to determine if surgeons can comfortably and effectively transition to a co-learner dynamic for effective peer coaching.

METHODS:

This qualitative study evaluated 20 surgeons participating in a video review coaching exercise in October 2015. Each conversation was coded by 2 authors focusing on the dynamics of the coach and coachee relationship. Once coded, thematic analysis was performed.

RESULTS:

Two themes emerged in our analysis: (1) Participants often alternated between the roles of coach and coachee, even though they received assigned roles prior to the start of the session. For example, a coach would defer to the coachee, suggesting they felt unqualified to teach a particular technique or procedure. (2) The interactions demonstrated bidirectional exchange of ideas with both participants offering expertise when appropriate. For example, the coach and coachee frequently engaged in back-and-forth discussion about techniques, instrument selection, and intraoperative decision-making.

CONCLUSION:

Our qualitative analysis demonstrates that surgeons naturally and effectively assume co-learner roles when participating in an early surgical coaching experience.

PMID:
29933968
DOI:
10.1016/j.surg.2018.03.009
[Indexed for MEDLINE]

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