OBJECTIVE The aim of the study was to characterize surgeon perspectives regarding the benefits and downsides of conducting overlapping surgery. BACKGROUND Although surgeons are key stakeholders in current discussions surrounding overlapping surgery, little has been published regarding their opinions on the practice. Further characterization of surgeon perspectives is needed to guide future studies and policy development regarding overlapping surgery. METHODS Study information was sent to all members of 3 professional surgical societies. Interested individuals were eligible to participate if they identified as attending surgeons in an academic setting who work with trainees. Purposive selection was used to diversify surgeons interviewed across multiple dimensions, including subspecialty and opinion regarding appropriateness of overlapping surgery. In-depth, qualitative interviews were conducted with participants regarding their opinions on overlapping surgery. RESULTS The 51 surgeons interviewed identified a wide array of potential benefits and disadvantages of overlapping surgery, some of which have not previously been measured, including downsides to surgeon wellness and patient experience, less surgeon control over procedures, and difficulty in scheduling cases. Interviewees often disagreed as to whether overlapping surgery negatively or positively affects each dimension discussed, particularly regarding the impact on resident training. CONCLUSIONS The utilization of the novel perspectives presented here will allow for targeted assessment of physician perspectives in future quantitative studies and increase the likelihood that variables measured encompass the range of factors that surgeons find meaningful and relevant. Priority areas of future research should include examining effects of overlapping surgery on surgical training and surgeon wellness.

中文翻译：

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外科医生对重叠手术的优点和缺点的看法：深入、定性访谈。

目的 该研究的目的是描述外科医生对进行重叠手术的优点和缺点的看法。背景尽管外科医生是当前有关重叠手术讨论的主要利益相关者，但关于他们对实践的看法却很少发表。需要进一步描述外科医生的观点，以指导有关重叠手术的未来研究和政策制定。方法 研究信息已发送给 3 个专业外科学会的所有成员。感兴趣的个人如果确定是在学术环境中与实习生一起工作的主治外科医生，就有资格参加。有目的的选择用于使接受采访的外科医生在多个维度上多样化，包括亚专业和关于重叠手术适当性的意见。我们对参与者进行了深入的定性访谈，了解他们对重叠手术的看法。结果 接受采访的 51 名外科医生确定了重叠手术的一系列潜在好处和坏处，其中一些以前没有被测量过，包括外科医生健康和患者体验的缺点、外科医生对手术的控制较少以及安排病例的困难。对于重叠手术是否会对所讨论的各个方面产生负面影响或正面影响，受访者常常意见不一，特别是对住院医师培训的影响。结论 利用这里提出的新颖观点将有助于在未来的定量研究中对医生的观点进行有针对性的评估，并增加测量的变量涵盖外科医生认为有意义和相关的一系列因素的可能性。未来研究的优先领域应包括检查重叠手术对手术训练和外科医生健康的影响。