None listed
Conditions
Brief summary
The purpose of this study is to determine if the CRAFT tool, a tool developed to promote deliberate teaching in the operating theatre, can improve the educational environment of junior doctors training in anaesthesia. The educational environment will be assessed using a specific survey tool developed for this purpose, the modified Anaesthesia Theatre Educational Environment Measure (mATEEM). In addition, qualitative aspects of the CRAFT tool application will measure assessed using focus groups. This pilot study aims to: 1.) Develop and validate the mATEEM survey items 2) Determine the feasibility of the quantitative and qualitative aspects of the study 3) Determine participation rates of specialists and trainees in each department, and subsequent compliance rates of utilising the CRAFT tool 4) Estimate the levels of outcome variability to determine samples sizes for a future definitive study
Interventions
Intervention: Concise Regular Assessment and Feedback for Teaching and learning (CRAFT) model The CRAFT model has 3 phases: i. Prebrief - A brief encounter at the start of the list to determine the trainee’s previous experience relevant to the list and mutually agreed learning goals for the session, led by the trainee and guided by the supervising clinician. ii. Teaching - Teaching during the list, guided by the mutually agreed learning objectives iii. Debrief - Takes place at the end of a list, and is organised as follows: Reaction (allows trainee to express their initial emotional reaction), Analysis (framing of actions and use of the advocacy-inquiry approach), Summary (distill lessons from debrief and provide suggestions for future learning). This deliberate teaching tool is to be used for all in-theatre teaching encounters during normal working hours (Monday-Friday, 0700-1800) where both the supervisor and trainee are study participants, during a 4-week study period. The supervisor (specialist anaesthetist) leads the teaching encounter but may be prompted by the trainee. Material for pre-reading will be provided to the specialists prior to the 4-week intervention period. This will consist of a background summary and instruction and tips on how to use the intervention, with an emphasis on providing effective feedback using the advocacy-inquiry model. A brief description of the intervention will be provided to trainees. The Site Investigator will contact trainees at the end of each week to determine compliance with using the tool, and follow-up with specialists and trainees as required.
Sponsors
Study design
Eligibility
Inclusion criteria
Delphi study phase: Experts identified through stated process. Expert = specialist anaesthetist registered in New Zealand or Australia with a formal medical education qualification. Institution: Any hospital department of anaesthesia that is accredited for vocational training with English as the main language of instruction, with consent from the Clinical Director and Supervisor of Training. Specialists: Any specialist anaesthetist employed in a participating institution who has not opted out of the study. Trainees: Any trainee/resident/medical officer employed in a participating institution who has not opted out of the study, with at least 8 weeks of clinical anaesthesia experience in that department. Separate consent is obtained for trainee focus groups.
Exclusion criteria
All institutions/participants: Those who have declined to consent. Institutions: <30% of specialists or <50% of trainees consenting to participate.