What defines a great surgeon? A survey study confronting perspectives

Frontiers in Medicine

Medicine

Hubert Johanet¹  Emeline Malheiro²  Sébastien Wartelle³  Yann Parc⁴  Thierry Bégué⁵  Brigitte Fauroux⁶  Fiona Sisso⁷  François Simon⁸  Erea-Noël Garabédian⁸  Romain Luscan⁸  Françoise Denoyelle⁸ 

[1] Department of General Surgery, Clinique Turin, Paris, France;Académie Nationale de Chirurgie, Paris, France;Department of Otolaryngology, Centre Hospitalier Intercommunal de Créteil, Créteil, France;Department of Paediatric Otolaryngology, Clinique Marcel Sembat, Boulogne-Billancourt, France;Paris Sorbonne University, Faculté de Médecine, Paris, France;Department of Digestive Surgery, AP-HP, Hôpital Saint Antoine, Paris, France;Paris-Saclay University, Faculté de Médecine Paris-Saclay, Le Kremlin-Bicêtre, France;Department of Orthopaedic Surgery and Traumatology, AP-HP, Hôpital Antoine Béclère, Clamart, France;Pediatric Noninvasive Ventilation and Sleep Unit, AP-HP, Hôpital Necker Enfants-Malades, Paris, France;Université Paris Cité, EA 7330 VIFASOM (Vigilance Fatigue Sommeil et Santé Publique), Paris, France;Université Paris Cité, Faculté de Médecine, Paris, France;Department of Paediatric Anaesthesiology, AP-HP, Hôpital Necker-Enfants Malades, Paris, France;Université Paris Cité, Faculté de Médecine, Paris, France;Department of Paediatric Otolaryngology, AP-HP, Hôpital Necker-Enfants Malades, Paris, France;

关键词: surgeon;    technical skills;    non-technical skills;    surgery;    survey;   

DOI  :  10.3389/fmed.2023.1210915

 received in 2023-04-23, accepted in 2023-06-05,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundThe definition of a great surgeon is usually reported by surgeons themselves. The objective of the study was to define a multifaceted definition of a great surgeon, by confronting patients', healthcare workers', and surgeons' perspectives.Study designAn online open-ended questionnaire was created to identify three qualities and three shortcomings defining a great surgeon. Age, gender, and profession of respondents were collected. Responses with a similar meaning were combined into word groups and labeled within four themes: human qualities, technical surgical skills (TSS), non-technical skills (NTS), and knowledge. Multivariate analyses were conducted between themes and respondent characteristics.ResultsFour thousand seven hundred and sixty qualities and 4,374 shortcomings were obtained from 1,620 respondents including 385 surgeons, 291 patients, 565 operating theater (OT) health professionals, and 379 non-OT health professionals. The main three qualities were dexterity (54% of respondents), meticulousness (18%), and empathy (18%). There was no significant difference between professional categories for TSS. Compared with surgeons, non-OT health professionals and patients put more emphasis on human qualities (29 vs. 39% and 42%, respectively, p < .001). OT health professionals referred more to NTS than surgeons (35 vs. 22%, p < 0.001). Knowledge was more important for surgeons (19%) than for all other professional categories (p < 0.001).ConclusionsThis survey illustrates the multifaceted definition of a great surgeon. Even if dexterity is a major quality, human qualities are of paramount importance. Knowledge seems to be underestimated by non-surgeons, although it essential to understand the disease and preparing the patient and OT team for the procedure.

【 授权许可】

Unknown   
Copyright © 2023 Luscan, Malheiro, Sisso, Wartelle, Parc, Fauroux, Bégué, Johanet, Denoyelle, Garabédian and Simon.

【 图 表 】

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