'The other right': control strategies and the role of language use in laparoscopic training.
Context Laparoscopic techniques present a particular challenge to the academic surgeon in maintaining control and patient safety. The authors explored the use of verbal and physical control strategies including deixis, language used to locate subject in spatio-temporal, social and discoursal context...
| Publicado en: | Medical Education Vol. 51; no. 12; pp. 1269 - 1277 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126172129&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126172129 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: Dec2017 vid: 51 iid: 12 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 126172129 126172129 126172129 10.1111/medu.13420 126172129 ppf: 1269 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: 'The other right': control strategies and the role of language use in laparoscopic training. aug: au: Emmerton‐Coughlin, Heather Schlachta, Christopher Lingard, Lorelei affil: Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London Ontario, Canada sug: subj: Language Communication Cholecystectomy, Laparoscopic Education Control (Psychology) Human Videorecording Audiorecording Surgeons Interns and Residents Qualitative Studies Nonverbal Communication ab: Context Laparoscopic techniques present a particular challenge to the academic surgeon in maintaining control and patient safety. The authors explored the use of verbal and physical control strategies including deixis, language used to locate subject in spatio-temporal, social and discoursal contexts, in this setting. Methods Forty cases of laparoscopic cholecystectomy at an academic centre were video and audio-recorded. Surgeon and trainee discourses and physical gestures during the crucial anatomical steps of the operation were qualitatively analysed using a hybrid inductive and deductive technique with explicit attention to the use of deixis. Results Laparoscopic surgeon educators use verbal and physical strategies and engage in bidirectional communication to maintain indirect control of an operation where direct control is not possible. Among verbal strategies, deictic language predominates. Discussion As in open surgery, laparoscopic surgical educators attempt to exert control over surgical procedures when the instruments are in the hands of a trainee. One dominant strategy is the use of deictic language, which may be ambiguous. In addition to the physical manoeuvres and bidirectional communication used to disambiguate, instructors must attend to potential uncertainties and explicitly clarify frames of reference in order to enhance educational experiences and maximise patient safety. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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