title: Neurosurgery patients' feelings about the role of residents in their care: a qualitative case study.
abstract: OBJECTIVE
  The role of residents in surgery is not clearly explained to patients. The authors undertook a study to explore the level of knowledge and anxiety in patients regarding residents' involvement in their surgery.
  
  
  METHODS
  Qualitative case study methodology was used. Thirty face-to-face interviews of patients were conducted prior to elective neurosurgery. Interviews were transcribed and subjected to modified thematic analysis by 4 reviewers. The majority of patients had a postsecondary education, and there was substantial religious and ethnic diversity among them. Most underwent craniotomy for brain tumor.
  
  
  RESULTS
  Six prominent themes arose from the analysis: 1) the level of knowledge about residents is low; 2) the level of anxiety about residents is low; 3) it is desirable for patients to meet the residents before surgery; 4) residents' educational needs are understood and supported; 5) anxiety was not increased by the interview; and 6) patients trust in the medical system.
  
  
  CONCLUSIONS
  Patients appear to be unaware of the role of residents in their surgical care but do not seem anxious about it. Trust in the medical system helps patients proceed with risky operations. Surgeons could be more forthcoming with patients about the role of residents.
authors.affiliation: Division of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Ontario, Canada.
authors.forename: Eva
authors.initials: E
authors.lastname: Knifed
authors.forename: Julius
authors.initials: J
authors.lastname: July
authors.forename: Mark
authors.initials: M
authors.lastname: Bernstein
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000523:psychology; D001007:Anxiety / Q000523:psychology; D001294:Attitude to Health; D001932:Brain Neoplasms / Q000601:surgery; D002983:Clinical Competence; D003399:Craniotomy / Q000523:psychology; D018864:Cultural Diversity; D030881:Disclosure; D004522:Educational Status; D017558:Elective Surgical Procedures / Q000523:psychology; D005260:Female; D006801:Humans; D007396:Internship and Residency; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009493:Neurosurgery / Q000193:education*; D019635:Neurosurgical Procedures / Q000523:psychology*; D010817:Physician-Patient Relations; D035502:Trust