ERIC Number: ED515178
Record Type: Non-Journal
Publication Date: 2009
Abstractor: As Provided
Reference Count: N/A
A Theory of Competence in Anesthesiology: Faculty Perspectives on Resident Performance
Street, John P.
ProQuest LLC, Ph.D. Dissertation, The University of Wisconsin - Madison
This study was conducted to develop a theory of resident competence in anesthesiology and was guided by this research question: from the perspective of anesthesiology faculty members, "What are the attributes and indicators of clinical competence in residents?" The author used a grounded theory approach for this multi-case, multi-site study with the primary data source being interviews with 44 faculty members in four Midwestern anesthesiology residency programs. Data analysis was guided by the constant comparative method of grounded theory. Data analysis identified 15 attributes of anesthesiology competence, which are organized by function into three groups: SUSTAINING; REASONING; and PERFORMING Attributes. The SUSTAINING ATTRIBUTES consist of six personality traits that have an enduring influence on a resident's thinking and behavior. Three cognitive processes comprise the REASONING ATTRIBUTES and there are six PERFORMING ATTRIBUTES that enable the delivery of competent patient care. Anesthesiologists do much of their work in the operating room, which is a volatile environment requiring rapid, effective response to situations that threaten patient safety. The attributes of competence interact in a dynamic, integrated, and synergistic manner in order to enable competent performance in the operating room. While these attributes can be identified and evaluated individually, their interaction in the clinical setting is seen as fluid and mutually supportive. As surgery progresses, a constellation of attributes respond as needed to the transitory demands of patient care in the operating room. This theory of resident competence is the first for anesthesiology and is built on the perspectives of faculty who train and evaluate residents. The theory developed from the understanding that competent performance in anesthesiology requires a unique set of attributes. This theory identifies those attributes of competence, their clinical performance indicators, and the interaction that enables competent performance. In providing a new perspective on resident competence this theory informs the processes of resident recruitment and evaluation. It is the perspective of the author that future challenges in healthcare require greater effectiveness in the training of anesthesiology residents. Elevating the standards of both resident recruitment and evaluation should result in higher quality anesthesiologists to meet anticipated challenges in healthcare. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.
Descriptors: Anesthesiology, Competence, Theories, Graduate Students, Medical Students, College Faculty, Interviews, Grounded Theory, Personality Traits, Cognitive Processes, Performance, Surgery
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Publication Type: Dissertations/Theses - Doctoral Dissertations
Education Level: Higher Education; Postsecondary Education
Authoring Institution: N/A