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The effect of surgical complications on ENT trainees

Published online by Cambridge University Press:  26 March 2021

O McLaren ,
C Perkins  and
D Alderson
O McLaren*
Affiliation:
Otolaryngology Department, University Hospitals Plymouth NHS Trust, UK
C Perkins
Affiliation:
Otolaryngology Department, University Hospitals Plymouth NHS Trust, UK
D Alderson
Affiliation:
Otolaryngology Department, Torbay and South Devon NHS Foundation Trust, Torquay, UK
*
Author for correspondence: Mr Oliver McLaren, Otolaryngology Department, Derriford Hospital, PlymouthPL6 8DH, UK E-mail: oliver.mclaren@nhs.net
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Abstract

Background

The ‘second victim phenomenon’ is a term attributed to the traumatic effect a medical error can have on healthcare professionals. Patient safety incidents have been shown to occur in as many as one in seven patients in hospital. These incidents cause significant, potentially devastating, trauma to patients and their relatives, and can have deep and long-lasting effects on the health professionals involved. These incidents can have a negative impact on doctors’ emotional wellbeing; their professional practice in relation to this impact has not been extensively investigated in surgical trainees.

Method

A survey of UK otolaryngology trainees was conducted to investigate the effects of complications and medical errors on trainees, and examine how these are discussed within departments.

Results and conclusion

The findings suggest that further training is required and would be warmly received by otolaryngology trainees as part of higher surgical training.

Keywords

Medical ErrorsTraining SupportPatient Safety
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 4 , April 2021 , pp. 293 - 296
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Mr O McLaren takes responsibility for the integrity of the content of the paper

Paper presented orally at the virtual British Academic Conference of Otolaryngology, 10–12 January 2021 (online).

References

Vanhaecht, K, Seys, D, Schouten, L, Bruyneel, L, Coeckelberghs, E, Panella, M et al. Duration of second victim symptoms in the aftermath of a patient safety incident and association with the level of patient harm: a cross-sectional study in the Netherlands. BMJ Open 2019;9:e029923CrossRefGoogle ScholarPubMed
Scott, SD, Hirschinger, LE, Cox, KR, McCoig, M, Brandt, J, Hall, L. The natural history of recovery for the healthcare provider “second victim” after adverse patient events. Qual Saf Health Care 2009;18:325–30CrossRefGoogle ScholarPubMed
Bynum, WE, Goodie, JL. Shame, guilt, and the medical learner: ignored connections and why we should care. Med Educ 2014;48:1045–54CrossRefGoogle ScholarPubMed
Balch, CM, Freischlag, JA, Shanafelt, TD. Stress and burnout among surgeons. Arch Surg 2009;144:371–6CrossRefGoogle ScholarPubMed
Shanafelt, TD, Balch, CM, Dyrbye, LD, Bechamos, G, Russell, T, Satele, D et al. Suicidal ideation among American surgeons. Arch Surg 2011;146:54–62CrossRefGoogle ScholarPubMed
Pinto, A, Faiz, O, Bicknell, C, Vincent, C. Surgical complications and their implications for surgeons’ well-being. Br J Surg 2013;100:1748–55CrossRefGoogle ScholarPubMed
Balogun, JA, Bramall, AN, Bernstein, M. How surgical trainees handle catastrophic errors: a qualitative study. J Surg Educ 2015;72:1179–84CrossRefGoogle ScholarPubMed
Han, K, Bohnen, JD, Peponis, T, Martinez, M, Nandan, A, Yeh, D et al. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons’ Attitude (BISA) study. J Am Coll Surg 2017;224:1048–56CrossRefGoogle ScholarPubMed
Patel, AM, Ingalls, NK, Mansour, MA, Sherman, S, Davis, AT, Chung, MH. Collateral damage: the effect of patient complications on the surgeon's psyche. Surgery 2010;148:824–8CrossRefGoogle ScholarPubMed
Srinivasa, S, Gurney, J, Koea, J. Potential consequences of patient complications for surgeon well-being: a systematic review. JAMA Surg 2019;154:451–7CrossRefGoogle ScholarPubMed
Serou, N, Sahota, L, Husband, AK, Forrest, S, Moorthy, K, Vincent, C et al. Systematic review of psychological, emotional and behavioural impacts of surgical incidents on operating staff. BJS Open 2017;1:106–13CrossRefGoogle Scholar
Luu, S, Patel, P, St-Martin, L, Leung, A, Regehr, G, Murnaghan, L et al. Waking up the next morning: surgeons’ emotional reactions to adverse events. Med Educ 2012;46:1179–88CrossRefGoogle ScholarPubMed
McGlin, EP, Chung, KC. A pause for reflection: incorporating reflection into surgical training. Ann Plast Surg 2014;73:117–20CrossRefGoogle Scholar
Macauley, CJ, Winyard, PJ. Reflection: tick box exercise or learning for all? BMJ 2012;345:e7468CrossRefGoogle Scholar
Aronson, L. Twelve tips for teaching reflection at all levels of medical education. Med Teach 2010;33:200–5CrossRefGoogle ScholarPubMed