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Defining Expertise in Gynecologic Surgery: Perspectives of Expert Gynecologic Surgeons

, : Defining Expertise in Gynecologic Surgery: Perspectives of Expert Gynecologic Surgeons. Female Pelvic Medicine & Reconstructive Surgery 22(6): 399-403

The aim of this study was to describe how professional expertise is defined and understood among gynecologic surgeons and what experiential factors contribute to that understanding. Semistructured interviews with 16 experts in Female Pelvic Medicine and Reconstructive Surgery were conducted to identify how expertise in their field is defined, recognized, and assessed. Independent thematic analysis of the interview transcripts was performed by each member of the research team and then distilled and synthesized into convergent themes. Experts described surgical expertise as difficult to define but with several dominant themes including knowledge, technical skills, clinical experience, adaptability, continuous learning, communication, and professional recognition. Expertise requires judgment in applying technical skills to meet each patient's specific needs. Experts described unique ways of seeing and thinking during surgery, characterized by spatial awareness of relevant anatomy, temporal awareness of future changes, and rapidly adaptive application of their skills enabling them to do difficult tasks with fluidity, making the tasks seem easy to observers. These expert surgeons acknowledged that achieving expertise requires hard work and maintaining expertise requires continuous learning, highlighted by challenge seeking to do the most difficult tasks in their field. They also noted the importance of effective communication of their knowledge to others, which contributes to their perception as experts by colleagues in the field. Surgical expertise is a complex phenomenon with several meaningful themes. Understanding the authentic nature of surgical expertise can be used to support the development of competencies and the effective mentoring of promising surgical trainees to achieve surgical expertise.


PMID: 27661213

DOI: 10.1097/SPV.0000000000000336

Other references

Merilainen, J.; Gibson, T.; Lehto, V.P.kka; Wasenius, V.M.tti, 1995: Identification of a novel SH3-domain-containing protein associated with focal adhesions. Molecular Biology of the Cell 6(SUPPL ): 62A

Kendysh, I.N., 1973: Effect of hydrocortisone on the incorporation of glycine-1-C 14 into liver glycogen and exhaled carbon dioxide. Problemy Endokrinologii 19(5): 79-82

Fricke, E.; Eckert, S.; Fricke, H.; Körfer, J.; Weise, R.; Lindner, O.; Tschöpe, D.; Horstkotte, D.; Burchert, W., 2008: Myocardial sympathetic innervation in diabetic patients with symptomatic coronary artery disease. In non-diabetic patients, sympathetic innervation can be preserved even if there is major impairment of myocardial blood supply. Matters may be more complex in diabetic patients because denervation can be caused by cardiac autonomic neuropathy (CA...

Caliandro, P.; L.T.rre, G.; Padua, R.; Giannini, F.; Padua, L., 2012: Treatment for ulnar neuropathy at the elbow. Ulnar neuropathy at the elbow is the second most common entrapment neuropathy after carpal tunnel syndrome. Treatment may be conservative or surgical but optimal management remains controversial. This is an update of a review first published in 20...

Kim, S.Il.; Song, S.Youl.; Kim, K.Wook.; Ho, E.Mi.; Oh, K.Heon., 2003: Proteomic analysis of the benzoate degradation pathway in Acinetobacter sp. KS-1. The purpose of this study was to perform proteome analysis of Acinetobacter sp. KS-1, a bacterium capable of degrading benzoate as a sole carbon source. In order to understand the benzoate degradation pathway used by strain KS-1, proteomes of benz...

Sun,; James, K.B.; Miller, D.P.; Solanhi, N.; Shah, M.S.; Lee, K.; Stewart, W.J., 1994: Right ventricular enlargement predicts mortality and progression of ventricular function in dilated cardiomyopathy. Circulation 90(4 PART 2): I549

Koste, W., 1970: Das Radertier-Portrat. Die Radertier-GattungLindia. Mikrokosmos, 59: 134-138

Ierardi B.A.; Capobianco A.; Jasilli T.; Santarsiere V.E., 1991: Verification of a state of immune deficiency in an elderly population. Medicina Geriatrica 23(2): 86-90

Hilbertz, W.H.; Goreau, T.J., 1996: Method of enhancing the growth of aquatic organisms, and structures created thereby. Official Gazette of the United States Patent & Trademark Office Patents 1189(1): 325, Aug 6

Nottin, P.; Tillieu, J., 1950: Utilization in milling of wheat containing Melampyrum. Despite the difficulty of eliminating cowwheat (Melampyrum) at the time of the cleaning of the wheat, one may nevertheless obtain a flour which can be used in bread making by rejecting the tailings of the milling and by mixing the flour thus obtai...