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MacSERG. Exploring how Surgeon Teachers Motivate Learners in the Operating Room. Deepak Dath Jen Hoogenes Edward Matsumoto David Szalay ASE 2012. MacSERG. RESEARCH OBJECTIVE. exploratory, qualitative study to find out what surgeon teachers do especially with regard to MOTIVATION.

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exploring how surgeon teachers motivate learners in the operating room

MacSERG

Exploring howSurgeon Teachers Motivate Learners in the Operating Room

Deepak Dath Jen Hoogenes

Edward Matsumoto David Szalay

ASE 2012

slide3

RESEARCH OBJECTIVE

exploratory,qualitative

study to find out

what surgeon teachers do

especially with regard to

MOTIVATION

slide4

WHAT IS MOTIVATION?

Process that initiates, guides and maintains goal-oriented behaviors

What causes us to act

Biological, emotional, social and cognitive

(affects behavior)

Describes why a person does something

Kendra Cherry

slide5

MOTIVATION

Reason

Interest

Enthusiasm

Incentive

...

slide6

MOTIVATION

Intrinsic

Extrinsic

slide10

LITERATURE

Selection:

candidates with the appropriate motivational, cognitive, and motor skills to become competent surgeons

Similarity:

surgical residents will respond to positive and negative motivational influences as would anyone else

(Chalabian & Bremner)

slide11

LITERATURE

Necessary:

widely acknowledged as being central to meaningful learning (Cook et al)

Outcomes:

assessment can be a strong motivating factor for learners — providing a visible result that motivates towards improvement (Dankelman)

slide12

METHODS

Ethics Board

Motivation as one factor of teaching

Large qualitative study

Asking Surgeon Teachers how they taught learners

Note: this design explores Intention to Teach

slide13

METHODS

Nine, 1h long Focus Groups

40 Surgeons, from 7 specialties

Technique:

Standardized Guide

Field Notes

Recordings Transcribed

slide14

METHODS

  • Analysis:
  • 3 surgeons read, coded
  • Themes agreed on by consensus
  • Processes for validity
    • member checking
    • data and investigator triangulation
    • field notes
    • audit trail
slide15

Method-Result Transition Slide

Focus Groups

I

Motivation

E

Motivation

Find Themes

slide19

examples from the

surgeon teachers

themselves...

slide20

“if we have to motivate someone, they should not, I repeat, they should not be there”.

slide22

“When they’re juniors they’re very excited to do anything. When they’re chiefs, they’re afraid of having to practice on their own in 6 months, which is a great motivator. And the people in between are very hard to motivate. They’re sort of in the doldrums where things aren’t really exciting anymore. ”

slide23

“ if they know more about the patient, the problem, and [we] point out the interesting parts, I think we can really motivate them to take an interest in what they are doing...”

slide24

“All we have to do as instructors is take a little time to say “what are the characteristics of the student we are teaching? What teaching styles ... would be most appropriate to help the student along?” And I think if we all take a minute, I’d bet we’d become more adaptable.”

slide25

DISCUSSION

Motivation is not an explicit process

slide26

DISCUSSION

Good teachers motivate automatically

slide27

DISCUSSION

Teachers and learners interact

It’s a relationship

slide28

LIMITATIONS

7 different disciplines and 40 surgeon teachers But, a single institution

Considers intention – can’t extrapolate to outcomes

No measures of motivation to check or correlate

slide29

DISCUSSION

Motivation as a technique is an important part of the teaching that surgeon teachers do in the operating room

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