Learning in Operation Theatre; Postgraduate Trainees’ Perspective Using OREEM (Operation Theatre Educational Environment Measure) Survey

Authors

  • Ambreen Syed Khyber Medical University, Peshawar, Pakistan.
  • Musawer Khan Mardan Medical Complex/Bacha Khan Medical College, Mardan, Pakistan
  • Syed Nasir Shah Bacha Khan Medical College, Mardan, Pakistan
  • Imtiaz uddin Bacha Khan Medical College, Mardan, Pakistan.
  • Shoaib Ur Rehman Bacha Khan Medical College, Mardan, Pakistan.
  • Naeem Ul Haq Bacha Khan Medical College, Mardan, Pakistan.

DOI:

https://doi.org/10.36283/ziun-pjmd14-1/024

Keywords:

Surgical specialties, Operation Theatre, Learning Environment

Abstract

Background: This study examines postgraduate surgical trainees' perceptions of the operating theatre learning environment using the OREEM survey to identify satisfaction areas and challenges such as biases, inadequate supervision, workload, and support, proposing potential improvements and solutions.

Methods: This prospective cross-sectional, single-institute study was conducted in Mardan Medical Complex, Mardan. The study was two months (March-April 2024),with a simple purposive sampling technique. ostgraduate FCPS trainees in surgical specialties were included in the study, while residents in non-FCPS programs were excluded. A validated “OREEM” questionnaire was distributed through Google Forms, and responses were recorded. The data was analyzed using Excel 2022 software.

Results: 71 residents participated in the study. 46 (64.8%) were male and 25 (35.2%) females. The mean age was 29. The OT learning environment was satisfactory, with the highest mean score for the “trainer and training” subscale and the lowest for “supervision, workload, and support” in the OREEM survey. A significant mean difference (p < 0.05) was noted between male and female responses regarding “anesthetist pressuring the trainer to perform surgery to shorten anesthesia time.” Additionally, there was a significant difference in responses between senior (years 3-5) and junior (years 1-2) residents on five items about the number and variety of available surgical cases interventions.

Conclusion: The OT learning environment was satisfactory, but some areas need improvement. Biases appeared in senior vs. junior and male vs. female responses to the OREEM questionnaire. Suggested solutions addressed these issues.

Author Biographies

  • Ambreen Syed, Khyber Medical University, Peshawar, Pakistan.

    Department of Institute of Health Professions Education and Research (IHPER), 

  • Musawer Khan, Mardan Medical Complex/Bacha Khan Medical College, Mardan, Pakistan

    Assistant Professor, Neurosurgery Department,

  • Syed Nasir Shah, Bacha Khan Medical College, Mardan, Pakistan

    Mardan Medical Complex

  • Imtiaz uddin, Bacha Khan Medical College, Mardan, Pakistan.

    Mardan Medical Complex

  • Shoaib Ur Rehman, Bacha Khan Medical College, Mardan, Pakistan.

    Mardan Medical Complex

  • Naeem Ul Haq, Bacha Khan Medical College, Mardan, Pakistan.

    Mardan Medical Complex

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Published

2025-01-10

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How to Cite

1.
Syed A, Khan M, Shah SN, uddin I, Rehman SU, Haq NU. Learning in Operation Theatre; Postgraduate Trainees’ Perspective Using OREEM (Operation Theatre Educational Environment Measure) Survey. PJMD [Internet]. 2025 Jan. 10 [cited 2026 Jun. 4];14(1):161-70. Available from: https://ojs.zu.edu.pk/pjmd/article/view/3208

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