Facing hierarchy: a qualitative study of residents' experiences in an obstetrical simulation scenario.

ABSTRACT:

Background

Residents in surgical specialties face a steep hierarchy when managing medical crises. Hierarchy can negatively impact patient safety when team members are reluctant to speak up. Yet, simulation has scarcely been previously utilized to qualitatively explore the way residents in surgical specialities navigate this challenge. The study aimed to explore the experiences of residents in one surgical specialty, obstetrics and gynecology (Ob/Gyn), when challenging hierarchy, with the goal of informing future interventions to optimize resident learning and patient safety.

Methods

Eight 3rd- and 4th-year Ob/Gyn residents participated in a simulation scenario in which their supervising physician made an erroneous medical decision that jeopardized the wellbeing of the labour

SUBMITTER: Garber AB 

PROVIDER: S-EPMC9590210 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature