"I'm on an island": A qualitative study of underperforming surgical trainee perspectives on remediation

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McLeod, Kathryn
Woodward-Kron, Robyn
Rashid, Prem
Archer, Julian
Nestel, Debra
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2024
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Abstract

BACKGROUND: There is a significant gap in the literature regarding trainees' perceptions of remediation. This study aims to explore surgical trainees' experiences and perspectives of remediation. METHODS: This qualitative study used semi-structured interviews with 11 doctors who have experienced formal remediation as a surgical trainee. Reflexive thematic analysis was used for data analysis. RESULTS: In this study, trainees perceived remediation as a harrowing and isolating experience, with long-lasting emotions. There was a perceived lack of clarity regarding explanations of underperformance and subjective goals. Remediation was viewed as a 'performance' and tick-box exercise with superficial plans, with challenging trainee/supervisor dynamics. CONCLUSIONS: These findings about trainees' perspectives on remediation show a need for trainees to be better emotionally supported during remediation and that remediation plans must be improved to address deficits. Integrating the perspectives and experiences of surgical trainees who have undergone remediation should help improve remediation outcomes and patient care.

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The American Journal of Surgery

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© 2024 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)

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This publication has been entered in Griffith Research Online as an advance online version.

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Clinical sciences

Dentistry

Qualitative

Remediation

Surgical training

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McLeod, K; Woodward-Kron, R; Rashid, P; Archer, J; Nestel, D, "I'm on an island": A qualitative study of underperforming surgical trainee perspectives on remediation, The American Journal of Surgery, 2024

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