Implementation and Effectiveness of Coaching for Surgeons in Practice - A Mixed Studies Systematic Review.

摘要: Introduction Despite recent changes to medical education, surgical training remains largely based on the apprenticeship model. However, after completing training, there are few structured learning opportunities available for surgeons in practice refine their skills or acquire new skills. Personalized observation with feedback is rarely a feature of traditional continuing education learning. Coaching has recently been proposed as modality meet these educational gaps; however, data limited, and coaching programs presently exist. The purpose this study summarize characteristics including participant satisfaction, program outcomes, barriers implementation, published literature. Methods A mixed studies systematic review was conducted according PRISMA guidelines identify all original describing investigating practicing up 06/2019. Quantitative analysis used numerical data, qualitative using grounded theory methodology descriptive results into themes across studies. Results After identification articles, 27 were included final synthesis. Twenty-six articles described execution program. Programs varied widely 18/26 focusing teaching skills, remainder refinement Thematic identified 2 major categories that guided deeper analysis: outcomes coaching. Of 16 (62%) reported coaching, 42% 100% participants clinical directly associated Positive satisfaction completion by 82% participants. Reported participating emerged along 3 main themes: logistical constraints, culture, perceived lack need. Conclusions highly rated often changes, while cultural issues implementation. better understanding factors required guide development