Dr. Carol-Anne Moulten
Topic: Risk, Response and Repercussions: Living Well With Uncertainty in Clinical Practice
Date: October 19, 2011
Time: 12:00pm to 1:30pm (Lunch will be served at DHCC)
Locations:
- Diamond Health Care Centre 2267
- IRC 305
- CWH 2D22
- MSB 210
- RJH 125
- NHSC 9-374
- UHNBC 5009 (Port #1)
Abstract
The uncertain and evolving nature of clinical practice requires that clinicians engage in some risk-taking. This presentation will describe findings from a research program that has focused on understanding the surgeon as a self-regulating professional in this uncertain and evolving context. Through an exploration of various phenomena in surgical practice such as slowing down, risk-taking, and decision-making we begin to understand how surgeons regulate and monitor their own performance, and what factors might affect these processes. Constructs such as ‘the cowboy’, ‘the pioneer’ and ‘the settler’ are explored in the context of surgeons’ general approach to practice. Considerations included when ‘weighing up risks’ during a surgical case will be elaborated in an examination of decision making ‘in the moment’. Finally, how poor outcomes and adverse events arising from these decisions produce repercussions for clinicians that can feed back into their approach to and decisions in practice will be described as part of a self-regulatory cycle.
Biography
A graduate of Melbourne University, Dr. Carol-anne Moulton completed her FRACS in 2001 and a fellowship in Upper GI/ HPB fellowship at St. Vincent’s Hospital in 2002. She then moved to Toronto, Canada to complete a second clinical fellowship in HPB oncology at the Toronto General Hospital. Following this she was the first recipient of a fellowship in surgical education from the RACS, jointly supported by the Wilson Centre for Research in Education at the University of Toronto under the supervision of Dr. Richard Reznick. She concurrently obtained her Masters of Education studying surgical skills acquisition in the laboratory. Dr. Moulton earned her PhD through the University of Toronto under the supervision of Dr. Glenn Regehr studying surgical judgment. She is currently a surgeon scientist, on staff as a hepato-pancreatico-biliary surgeon at Toronto General Hospital and a scientist at the Wilson Centre. She continues her research program in surgical judgment, error, and error prevention.
Accreditation:
As an organization accredited to sponsor continuing medical education for physicians by the Committee on Accreditation of Canadian Medical Schools (CACMS), the UBC Division of Continuing Professional Development designates this educational program as meeting the accreditation criteria of the College of Family Physicians of Canada for up to 1.5 Mainpro-M1 credits (per session). This program has been reviewed and approved by UBC Division of Continuing Professional Development. Each physician should claim only those credits he/she actually spent in the activity.
Accreditation Statement:
The CHES Research Rounds is a self-approved group learning activity (Section 1) as defined by the Maintenance of Certification program of the Royal College of Physicians and Surgeons of Canada.
