What supports students' education in the operating room? A focus group study including students' and surgeons' views.

BACKGROUND AND METHODS We conducted a focus group analysis with students and surgeons on factors which influence medical school students' education in the operating room (OR). The interviews were analyzed using grounded theory. RESULTS The analysis resulted in 18 detailed and easily applyable themes, which were grouped into the four categories: "Students' preparation and organizational aspects", "Learning objectives", "Educational strategies for the teacher", and "Social-environmental aspects". CONCLUSION By including students and surgeons, we were able to extend existing knowledge and enable better understanding of factors influencing teaching in the OR.

Sieben Schauspieler sind durchgefallen!! Betrachtungen über das gestürzte Ministerium: So lange ick Coulissen schiebe, hat die Welt nich so ville Aehnlichkeit mit's Theater jehabt als jerade jetzt ...

Welsch (Projektbearbeiter): Satirische Kommentierung der Politik des gestürzten Ministeriums Auerswald-Hansemann in Form einer Theaterkritik des Kulissenschiebers Hähnchen (fiktiv). Plädoyer für eine demokratischere Politik des neuen Ministeriums: "Vor Allem aber wähle man en jutes, zeitjemäßes Stück, worin och das Volk ene jute Rolle hat ... "

National-Theater: Die schlechte Auführung [sic!], 1. Act, darauf folgt Die Versöhnung: Musick: War denn je ein Mensch so frech als wie: Fürst von Haggern: Das ist frech ...

Welsch (Projektbearbeiter): Karikatur auf die sich in kleinlichen Streitigkeiten verzettelnde Frankfurter Nationalversammlung am Beispiel einer Auseinandersetzung zwischen dem Präsidenten Gagern und dem Abgeordneten Rösler

Noise peaks influence communication in the operating room. An observational study

Noise peaks are powerful distractors. This study focuses on the impact of noise peaks on surgical teams' communication during 109 long abdominal surgeries. We related measured noise peaks during 5-min intervals to the amount of observed communication during the same interval. Results show that noise peaks are associated with less case-relevant communication; this effect is moderated by the level of surgical experience; case-relevant communications decrease under high noise peak conditions among junior, but not among senior surgeons. However, case-irrelevant communication did not decrease under high noise level conditions, rather there was a trend to more case-irrelevant communication under high noise peaks. The results support the hypothesis that noise peaks impair communication because they draw on attentional resources rather than impairing understanding of communication. As case-relevant communication is important for surgical performance, exposure to high noise peaks in the OR should be minimised especially for less experienced surgeons. Practitioner Summary: This study investigated whether noise during surgeries influenced the communication within surgical teams. During abdominal surgeries, noise levels were measured and communication was observed. Results showed that high noise peaks reduced the frequency of patient-related communication, but did not reduce patient-irrelevant communication. Noise may negatively affect team coordination in surgeries.

Die Stellung des Katholiken zum Theater

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Theater

Felix Stössinger

Theater

Felix Stössinger

Theater

Felix Stössinger

Theater : Lia Rosen als Jüdin von Toledo

Felix Stössinger

Theater : (Rezitationen - Der Feind und der Bruder - Offenbach)

Felix Stössinger

Theater : (Offenbach - Narrentanz - Lustspielhaus)

Felix Stössinger

Theater : zwei Inszenierungen von Max Reinhardt

Felix Stössinger

Theater : (Fortsetzung von Seite 1129/1130)

Felix Stössinger