A strong oncology workforce is necessary to deliver high-quality cancer care across the continuum. With an increasing cancer population, aging workforce, and the overall nursing shortage, ...organizations are recruiting experienced new-to-setting nurses to meet staffing needs. While there is a large body of evidence on newly licensed nurse training programs, there is less evidence and examples of transition to practice (TTP) programs for nurses entering a new clinical specialty. These nurses require support and specialized training to overcome the complexities of a new specialty, and to develop competence in oncology practice. A prehensive oncology fellowship program was developed and implemented to support experienced nurses transitioning to oncology practice. A collaborative of nurse educators and talent acquisition specialists designed a 6-month multimodal training program for newly hired experienced nurses transitioning to oncology practice. The fellowship program consisted of weekly classes for the first 2 months followed by monthly seminars for 4 months. The program also included a skills day, structured mentoring, shared governance activities, and incorporated the web-based ONS® Oncology Nurse Orientation Program (ONS ONOP). Evidence-based curriculum focused on a variety of oncology and patient care specific topics in addition to wellness and professional resilience. Each class started with a wellness practice, followed by ONS ONOP self-study, then review of the ONS ONOP topics, and ended with presentations from content experts. Nurse retention, program completion, and clinical competence were measured to determine effectiveness of the fellowship program. Retention of the 24 nurses enrolled in the program was 100% at the completion of the program and currently remains at 100% after 7 months. Program completion rate was 92% with 22 nurses completing the entire program. Clinical competence was measured using the ONS® Oncology Nurse Generalist Competencies at the beginning and completion of the program. A statistically significant increase in level of competency at completion of program was seen across all 36 competencies. Findings suggest that a multimodal fellowship program is effective in maintaining high retention rates and developing clinical oncology competence in nurses new to the specialty. The success of the first cohort in February 2022 led to a second cohort launching in July 2022, with a plan for 2 cohorts annually. Implementing a transition to practice program can promote the delivery of high-quality cancer care and ensure nurses entering oncology are successful in clinical practice.
To assess readiness of general surgery graduate trainees entering accredited surgical subspecialty fellowships in North America.
A multidomain, global assessment survey designed by the Fellowship ...Council research committee was electronically sent to all subspecialty program directors. Respondents spanned minimally invasive surgery, bariatric, colorectal, hepatobiliary, and thoracic specialties. There were 46 quantitative questions distributed across 5 domains and 1 or more reflective qualitative questions/domains.
There was a 63% response rate (n = 91/145). Of respondent program directors, 21% felt that new fellows arrived unprepared for the operating room, 38% demonstrated lack of patient ownership, 30% could not independently perform a laparoscopic cholecystectomy, and 66% were deemed unable to operate for 30 unsupervised minutes of a major procedure. With regard to laparoscopic skills, 30% could not atraumatically manipulate tissue, 26% could not recognize anatomical planes, and 56% could not suture. Furthermore, 28% of fellows were not familiar with therapeutic options and 24% were unable to recognize early signs of complications. Finally, it was felt that the majority of new fellows were unable to conceive, design, and conduct research/academic projects. Thematic clustering of qualitative data revealed deficits in domains of operative autonomy, progressive responsibility, longitudinal follow-up, and scholarly focus after general surgery education.
Coaching your faculty and yourself Stem, Jonathan M.; Greenberg, Caprice C.
Surgery,
April 2024, 2024-Apr, 2024-04-00, 20240401, Letnik:
175, Številka:
4
Journal Article
Recenzirano
Surgical skills vary drastically among practicing surgeons. This variation in skill has been demonstrated to translate directly into patient outcomes, highlighting the importance of skill ...development. Despite this, directed efforts to improve surgical skills and performance among practicing surgeons remain limited. The development of surgical coaching programs offers an exciting opportunity for surgeon performance improvement and lifelong development. In this article, we will discuss the promise of surgical coaching programs, some of the challenges met when developing a program, and future avenues and opportunities for growth within the field.
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