Table 2 Frequency of students’ responses to factors affecting their perception of the operation theater

OR practice adequate Yes

 No

Reason of not adequate practice

Tutors miss OR program Yes

 No

Inadequate learning resources Yes

 No

Inadequate supervision Yes

 No

Skill Lab before practicing on real patients Yes

 No

Reason not practice in the Skill Lab

Lack of demonstration doll Yes

 No

Lack of skill lab Yes

 No

Missing skill lab program Yes

 No

Lack of skill lab technical assistant Yes

 No

Clinical simulation practice Yes

 No

Reason not practice with clinical simulation

Lack of simulation equipment Yes

 No

Lack of simulation learning room Yes

 No

Lack of interest Yes

 No

Discussion of elective cases preoperatively Yes

 No

Reason not discuss cases preoperatively

Absence of morning discussion trend Yes

 No

Due to a concern of delay time for beginning time

Yes

 No

Missing of tutors from morning discussion Yes

 No

Lack of morning discussion class room Yes

 No

Behavior seen on student at clinical practice

Lack of self-confidence Yes

 No

Absenteeism from clinical area from time to time Yes

 No

Overconfidence Yes

 No

Fear during patient management Yes

 No

Situations cause to fear students in the OR

Clinical assessment Yes

 No

Strict supervision Yes

 No

Patient complication Yes

 No

Death of patient Yes

 No

Intrinsic factors make students fear in the OR

Fear of making mistakes Yes

 No

Lack of competency Yes

 No

Fear of OR environment Yes

 No

Measures will reduce students fear at the OR

Appropriate clinical supervision Yes

 No

Clinical case presentation Yes

 No

Skill lab demonstration Yes

 No

Resource is often missed in clinical practice

Glove Yes

 No

Syringe Yes

 No

Drug Yes

 No

Gown drape Yes

 No

Common problem presents in OR environment

Lack of competent clinical instructors Yes

 No

Lack of teaching facilities in clinical area Yes

 No

Inadequate number of patients Yes

 No

Common factors in clinical area influence learning

Non supportive environment Yes

 No

Practicing under stressful situation Yes

No

Inadequate PPE (personal protective equipment Yes

 No

Caring of serious patients Yes

 No

Noise from music opened in the OR Yes

 No

Enough theatre sessions per week Yes

 No

Reason not enough theatre sessions per week

Limited case flow to the hospital Yes

 No

Number of student is large Yes

 No

Inadequate number of OR table Yes

 No

Lack of specific specialist Surgeon Yes

 No

All clinical tutor respect their student Yes

 No

All tutor role model for students Yes

 No