학술논문

Leadership skills curriculum development for residents and fellows: A needs-assessment
Document Type
Report
Source
The American Journal of Surgery. December, 2021, Vol. 222 Issue 6, 1079
Subject
Education -- Curricula
Medical colleges -- Analysis
Leadership -- Analysis
Employees -- Beliefs, opinions and attitudes
Competency based education -- Analysis
Health
Language
English
ISSN
0002-9610
Abstract
Keywords Leadership; Non-technical skills; General surgery; Competency-based education; Needs-assessment; Survey; Teamwork; Communication Highlights * A 360[degree] survey of surgical staff gives a complete picture of resident needs. * Twenty-two leadership competencies were found overall 'important' for residents. * A heat map of responses suggests best PGY level for curriculum delivery. * Several differences were found among groups for importance and PGY level. Abstract Background Non-technical skills (NTS) curricula have demonstrated success in surgical residencies. The purpose of this study is to examine the need for a structured leadership curriculum at our institution. Methods A needs-assessment survey analyzing the importance of leadership domains, previously validated by Kazley et al. was delivered to 240 general surgery staff. Respondent groups were broken down into: Attendings, Residents, and Multi-Disciplinary. Statistical analyses were conducted using Cronbach's Alpha ([alpha] = 0.9259) and Fisher's exact test (pre-set p-value = 0.05). The importance of each competency was compared among groups and importance was defined as >75% important and very important responses. Results Nineteen of 33 competencies were important for all groups, including 3 with 100% importance: interpersonal communication, team-work, and problem-solving. Several competencies showed statistically significant differences among groups. Conclusion A diverse range of surgery staff agreed that 19 leadership domains are important to teach residents, with some variance among respondent groups. Author Affiliation: (a) Medical University of South Carolina College of Medicine, 96 Jonathan Lucas St. MSC 623, Charleston, SC, 29425, USA (b) Medical University of South Carolina Department of Surgery, 96 Jonathan Lucas St. MSC 613, Charleston, SC, 29425, USA (c) Southern Illinois University Department of Medicine, 801 North Rutledge St, Springfield, IL, 62702, USA * Corresponding author. Medical University of South Carolina Department of Surgery, 96 Jonathan Lucas St. CSB 417, MSC 613, Charleston, SC, 29425, USA. Article History: Received 13 July 2021; Revised 11 September 2021; Accepted 8 October 2021 (footnote)1 Atrium Health, 1000 Blythe Blvd, Charlotte, NC 28203. Byline: Christopher Friendly [friendly@musc.edu] (a), Camila Villacreses [villacrc@musc.edu] (a), Rupak Mukherjee [mukherr@musc.edu] (b), Ellen Babilon [babilone@musc.edu] (b), Julie Caraway [shafferj@musc.edu] (b), Sean Dieffenbaugher [sean.dieffenbaugher@atriumhealth.org] (b,1), Ashley Hink [hink@musc.edu] (b), John Mellinger [jmellinger@siumed.edu] (c), Leah Plumblee [nunezl@musc.edu] (b), Megan Walters [tayloml@musc.edu] (b), Cynthia Talley [talleyc@musc.edu] (b,*)