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A Questionnaire Elicitation of Surgeons’ Belief about Learning within a Surgical Trial

INTRODUCTION: Surgeons gain expertise as they repeatedly conduct a procedure. Such learning is widely acknowledged to pose a challenge to evaluating new surgical procedures. Most surgical trials report little if any information on learning. We elicited surgeons’ belief regarding learning within the...

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Autores principales: Cook, Jonathan A., Ramsay, Craig R., Carr, Andrew J., Rees, Jonathan L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3493499/
https://www.ncbi.nlm.nih.gov/pubmed/23145113
http://dx.doi.org/10.1371/journal.pone.0049178
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author Cook, Jonathan A.
Ramsay, Craig R.
Carr, Andrew J.
Rees, Jonathan L.
author_facet Cook, Jonathan A.
Ramsay, Craig R.
Carr, Andrew J.
Rees, Jonathan L.
author_sort Cook, Jonathan A.
collection PubMed
description INTRODUCTION: Surgeons gain expertise as they repeatedly conduct a procedure. Such learning is widely acknowledged to pose a challenge to evaluating new surgical procedures. Most surgical trials report little if any information on learning. We elicited surgeons’ belief regarding learning within the context of a randomised trial which assessed two surgical procedures. MATERIALS AND METHODS: Surgeons participating in the UKUFF trial were sent a postal questionnaire requesting details on current practice, prior experience and their belief regarding acquiring proficiency and the learning curve of operation time for two surgical procedures (open and arthroscopic rotator cuff repair). RESULTS: In total 52 (58%) participating surgeons returned a completed questionnaire. The median (IQR) number of procedures required to acquire proficiency were 17 (10,23) and 35 (23,50) for the open and arthroscopic repairs respectively. The distribution of surgeons’ belief regarding the initial point had median (IQR) of 109 (69,128) and 145 (97,171) minutes for open and arthroscopic repair respectively. Corresponding values for the plateau point were 60 (46, 82) and 79 (58, 110). CONCLUSIONS: We have shown that information on the current practice, prior experience and beliefs on the learning process of a surgical procedure can be elicited using a short questionnaire. The approach could aid the interpretation of trial results in terms of generalisability and be used a priori in the design of a trial.
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spelling pubmed-34934992012-11-09 A Questionnaire Elicitation of Surgeons’ Belief about Learning within a Surgical Trial Cook, Jonathan A. Ramsay, Craig R. Carr, Andrew J. Rees, Jonathan L. PLoS One Research Article INTRODUCTION: Surgeons gain expertise as they repeatedly conduct a procedure. Such learning is widely acknowledged to pose a challenge to evaluating new surgical procedures. Most surgical trials report little if any information on learning. We elicited surgeons’ belief regarding learning within the context of a randomised trial which assessed two surgical procedures. MATERIALS AND METHODS: Surgeons participating in the UKUFF trial were sent a postal questionnaire requesting details on current practice, prior experience and their belief regarding acquiring proficiency and the learning curve of operation time for two surgical procedures (open and arthroscopic rotator cuff repair). RESULTS: In total 52 (58%) participating surgeons returned a completed questionnaire. The median (IQR) number of procedures required to acquire proficiency were 17 (10,23) and 35 (23,50) for the open and arthroscopic repairs respectively. The distribution of surgeons’ belief regarding the initial point had median (IQR) of 109 (69,128) and 145 (97,171) minutes for open and arthroscopic repair respectively. Corresponding values for the plateau point were 60 (46, 82) and 79 (58, 110). CONCLUSIONS: We have shown that information on the current practice, prior experience and beliefs on the learning process of a surgical procedure can be elicited using a short questionnaire. The approach could aid the interpretation of trial results in terms of generalisability and be used a priori in the design of a trial. Public Library of Science 2012-11-08 /pmc/articles/PMC3493499/ /pubmed/23145113 http://dx.doi.org/10.1371/journal.pone.0049178 Text en © 2012 Cook et al http://creativecommons.org/licenses/by/4.0/ 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 properly credited.
spellingShingle Research Article
Cook, Jonathan A.
Ramsay, Craig R.
Carr, Andrew J.
Rees, Jonathan L.
A Questionnaire Elicitation of Surgeons’ Belief about Learning within a Surgical Trial
title A Questionnaire Elicitation of Surgeons’ Belief about Learning within a Surgical Trial
title_full A Questionnaire Elicitation of Surgeons’ Belief about Learning within a Surgical Trial
title_fullStr A Questionnaire Elicitation of Surgeons’ Belief about Learning within a Surgical Trial
title_full_unstemmed A Questionnaire Elicitation of Surgeons’ Belief about Learning within a Surgical Trial
title_short A Questionnaire Elicitation of Surgeons’ Belief about Learning within a Surgical Trial
title_sort questionnaire elicitation of surgeons’ belief about learning within a surgical trial
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3493499/
https://www.ncbi.nlm.nih.gov/pubmed/23145113
http://dx.doi.org/10.1371/journal.pone.0049178
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