- 作者：Nicole A. Kissane-Lee ; MD ; EdM ; FACS⁎ ; &dagger ; ; nkissane@utmck.edu" class="auth_mail" title="E-mail the corresponding author ; Steven Yule ; PhD* ; &Dagger ; ; Charles N. Pozner ; MD* ; § ; ; Douglas S. Smink ; MD ; MPH ; FACS* ; &Dagger ;
- 关键词：surgical simulation ; leadership in the operating room ; surgical resident education
- 刊名：Journal of Surgical Education
- 出版年：2016
- 出版时间：January-February 2016
- 年：2016
- 卷：73
- 期：1
- 页码：40-44
- 全文大小：217 K
Methods
Overall, 20 interns and 20 mid-level residents completed a previously validated survey on the style of leadership they encountered, the style they preferred to receive, and the style they personally employed in the OR. In all, 4 styles were explored; authoritative: leader makes decisions and communicates them firmly; explanatory: leader makes decisions promptly, but explains them fully; consultative: leader consults with trainees when important decisions are made, and delegative: leader puts the problem before the group and makes decisions by majority opinion. Comparisons were completed using chi-square analysis.
Results
Junior resident preference for leadership style of attending surgeons in the OR differed from what they encountered. Overall, 62% of residents encountered an authoritative leadership style; however, only 9% preferred this (p < 0.001). Instead, residents preferred explanatory (53%) or consultative styles (41%). Preferences differed by postgraduate year. Although 40% of interns preferred a consultative style, 50% of mid-level residents preferred explanatory leadership.
Conclusions
Junior resident preference of leadership style in the OR differs from what they actually encounter. This has the potential to create unwanted tension and may erode team performance. Awareness of this difference provides an opportunity for an educational intervention directed at both attendings and trainees.