Abstract:
BACKGROUND:Workplace-based assessments are a mandatory component of postgraduate surgical training within the United Kingdom and Ireland. Procedure-based assessments (PBAs) and direct observation of practical skills (DOPS) are integrated within the Intercollegiate Surgical Curriculum Programme online platform and aim to assess trainees' performance in practical surgical skills; no reviews have previously investigated their educational usefulness in postgraduate surgical training. Usefulness was defined by the 5 criteria detailed by Van der Vleuten for determining the usefulness of educational assessment tools: validity; reliability; acceptability to learners and faculty; impact on future learning and practice; and costs (to the individual trainee, the institution, and society at large). METHODS:Scoping review methodology was used to examine the educational usefulness of PBA and DOPS assessments in postgraduate surgical training. A literature search of Ovid MEDLINE, EMBASE, and Web of Science databases was undertaken. The preferred reporting items for systematic reviews and meta-analyses standards for systematic reviews were followed. RESULTS/DISCUSSION:Ten studies met the inclusion criteria, with 1368 trainees and trainers included. A variety of study methodologies were identified. Although there is some evidence for the validity and reliability of both PBA and DOPS assessments, further work is required in both these domains including on the number of assessments required to ensure satisfactory reliability. This is a research priority, especially if these assessments become a component of summative assessment of trainee competency. The literature indicates that these assessments are generally acceptable to learners and faculty but their acceptability is negatively impacted upon by uncertainty over whether these assessments constitute a formative or summative assessment of trainees. With regards to costs, correct use of PBAs does require allocated time and resources to ensure their correct use and this must be factored into trainer and trainee job plans. CONCLUSIONS:PBA and DOPS assessments are educationally useful tools in postgraduate surgical training. Further research is required to determine the number of assessments required to ensure adequate reliability. To ensure the educational benefits of these assessments are not diminished, clarification from postgraduate training schemes is required regarding whether these assessments an assessment for learning or an assessment of learning.
journal_name
J Surg Educjournal_title
Journal of surgical educationauthors
Mayne A,Wilson L,Kennedy Ndoi
10.1016/j.jsurg.2020.03.005subject
Has Abstractpub_date
2020-01-01 00:00:00pages
1227-1235issue
5eissn
1931-7204issn
1878-7452pii
S1931-7204(20)30071-4journal_volume
77pub_type
杂志文章abstract:INTRODUCTION:Entrustment is a key component connecting to resident preparedness for surgical practice in the operating room (OR). Residents' self-entrustment of their surgical competencies closely associates with their OR training experience and granted autonomy. Some recent studies have investigated how attending surg...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2020.07.019
更新日期:2021-01-01 00:00:00
abstract::Congenital agenesis of the gallbladder and cystic duct represents a rare anomaly of the biliary system. It likely results from an embryologic mishap in the development of the hepatobiliary bud and can occur with other associated malformations. We report the case of congenital absence of the gallbladder and cystic duct...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2012.07.001
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:To determine whether faculty could successfully evaluate residents using a competency-based modified Milestones global evaluation tool. DESIGN:A program's leadership team modified a draft Surgery Milestones Working Group summative global assessment instrument into a modified Milestones tool (MMT) for local ...
journal_title:Journal of surgical education
pub_type: 杂志文章,评审
doi:10.1016/j.jsurg.2013.08.004
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVES:During the last 2 decades, the advent of new technologies in trauma patient care may have resulted in a decreased number of diagnostic peritoneal lavage (DPL) evaluations. In this study, it is hypothesized that fewer DPL are being performed at a midwestern trauma center. Such negative trends may make the inc...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2011.02.003
更新日期:2011-07-01 00:00:00
abstract:INTRODUCTION:The level of interest expressed by medical students toward the field of general surgery has decreased. The aims of this study were to (1) describe an educational scheme in surgical anatomy that increases interaction between practicing surgeons and first-year medical students and (2) garner feedback and opi...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2009.04.005
更新日期:2009-07-01 00:00:00
abstract:PURPOSE:The purpose of the study was to develop a model that predicts an individual applicant's probability of successful placement into a surgical subspecialty fellowship program. METHODS:Candidates who applied to surgical fellowships during a 3-year period were identified in a set of databases that included the elec...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2011.11.006
更新日期:2012-05-01 00:00:00
abstract:INTRODUCTION:Studies involving the formal assessment of surgical skills have often reported inferior abilities among left-handed surgical trainees (LHT). Most surgical training curricula and assessment methods, however, are inherently geared toward right-handed trainees (RHT); potentially placing LHT at both a training...
journal_title:Journal of surgical education
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jsurg.2012.09.007
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:The Accreditation Council for Graduate Medical Education (ACGME) established duty-hour regulations for accredited residency programs on July 1, 2003. It is unclear what changes occurred in the national incidence of medication errors in surgical patients before and after ACGME regulations. DESIGN:Patient and ...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2015.05.013
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:Using a laparoscopic box trainer fitted with motion analysis trackers and software, we aim to identify differences between junior and senior residents performing the peg transfer task, and the impact of a distracting secondary task on performance. DESIGN:General surgery residents were asked to perform the la...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2020.07.012
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Endoscopic totally extraperitoneal inguinal hernia repair (TEP-IHR) requires practice and training to perform well. We developed a simple, low-cost, inanimate model to teach surgical residents inguinal anatomy and the technique of mesh insertion for a safe, endoscopic TEP-IHR. The objective of this study was...
journal_title:Journal of surgical education
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jsurg.2017.09.003
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:In efforts to maintain standards required to evaluate the high-stakes assessment, Society of American Gastrointestinal and Endoscopic Surgeons Fundamentals of Laparoscopic Surgery (FLS) requires all new proctors to complete the train-the-proctor workshop. As the pool of FLS proctors expands, new methods to s...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2014.07.008
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:The Luke Commission, a provider of comprehensive mobile health outreach in rural Swaziland, focuses on human immunodeficiency virus testing and prevention, including the performance of over 100 circumcisions weekly. Educational objectives for medical student global health electives are essential. Learning re...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2017.09.015
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:In 2013, we developed an education workshop to enhance the teaching skills of surgical fellows. We sought to investigate the feasibility of the monthly educational workshop format and its effect on participant teaching skills. STUDY DESIGN:Surgical and medical education faculty created a broadly applicable ...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2016.02.001
更新日期:2016-07-01 00:00:00
abstract:PURPOSE:The Accreditation Council for Graduate Medical Education (ACGME) monitors fellow case numbers. Previous literature has shown new fellowships detrimentally affecting general surgery residency case numbers. We hypothesize that an increase in pediatric otolaryngology and pediatric urology fellowships would decreas...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2021.01.004
更新日期:2021-01-19 00:00:00
abstract:OBJECTIVE:Though many medical schools applied various admission criteria in the selection process, the evidence of using those criteria is unclear. This study examined the predictive validity of each admission criterion for student competency. DESIGN, SETTING, AND PARTICIPANTS:We conducted a prospective cohort study o...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2016.03.006
更新日期:2016-07-01 00:00:00
abstract:PURPOSE:The amount of financial debt incurred by Texas medical students and residents during training was examined as well as the impact of this debt on these trainees' career choices. METHOD:An invitation to participate was sent in a Web-based survey to medical students and residents at 6 university programs in Texas...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2008.09.003
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:We developed a system of resident-driven, evidence-based standardization of care in our trauma-surgical intensive care unit (TSICU). Our main purposes are to improve patient care and outcomes and to help the residents develop practical competency in practice-based learning and improvement and in systems-based p...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2008.01.003
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Clinician-scientist numbers have been stagnant over the past few decades despite awareness of this trend. Interventions attempting to change this problem have been seemingly ineffective, but research residency positions have shown potential benefit. OBJECTIVE:We sought to evaluate the effectiveness of a cli...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2017.10.003
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:Visualization tools are essential for effective medical education, to aid students understanding of complex anatomical systems. Three dimensional (3D) printed models are showing a wide-reaching potential in the field of medical education, to aid the interpretation of 2D imaging. This study investigates the us...
journal_title:Journal of surgical education
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jsurg.2017.07.023
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:The Neurosurgical Atlas is a popular world-wide multimedia website in neurosurgery with informative chapters and videos to promote excellence and safety in neurosurgical techniques. Here, we present our analysis of the viewing data of this website. This is intended to describe how online neurosurgical resourc...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2018.05.001
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Suturing is a skill expected to be attained by all medical students on graduation, according to the General Medical Council's (GMC) Tomorrow's Doctors. There are no GMC recommendations for the amount of suture training required at medical school nor the level of competence to be achieved. This study examines...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2015.09.017
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:Few medical school programs in Canada address challenges related to the significant increase in responsibility for patient care between medical school and residency. This is particularly important in surgery and anesthesia due to the high-acuity care required during the perioperative period. The purpose of th...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2017.08.022
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:Our objectives were to (1) develop a curriculum based upon participants' needs, (2) evaluate baseline QI knowledge of the Illinois Surgical Quality Improvement Collaborative (ISQIC) members, and (3) evaluate the effectiveness of the educational curriculum. DESIGN:The Surgeon Champion (SC), Surgical Clinical ...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2020.04.018
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:Short-term, high-volume surgical training experiences can lead to successful skills transfer and be an effective method of training surgical providers in low-resource settings. However, immediate skills acquisition does not guarantee long-term performance of surgical procedures by trainees. This study aims to...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2019.08.009
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:The purpose of the study was to determine the optimal number of throws to ensure knot security. STUDY DESIGN:Knots were tied with 3, 4, 5, or 6 square throws with 0-gauge coated polyester, polydioxanone, polypropylene, and polyglactin 910. The suture was soaked in 0.9% sodium chloride and subsequently transf...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2010.11.001
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:Wrong-site surgery (WSS) is considered a sentinel event by the Joint Commission. The education of spine surgery fellows on WSS is unknown. Our objective was to evaluate North American spine surgery fellows' education, awareness, and experience with WSS. DESIGN:Observational survey study. SETTING:Spine surge...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2015.01.010
更新日期:2015-07-01 00:00:00
abstract:PURPOSE:We implemented and evaluated the outcomes of a proficiency-based program to enhance basic suturing and knot-tying skills in surgical interns. METHODS:A suturing and knot-tying "masters program" was implemented for 9 surgical interns. Assessment consisted of timed and videotaped technical performance (TP) of 6 ...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2011.04.005
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:International Medical Graduates (IMGs) secured greater than 10% of all general surgery (GS) residency positions in the US during the past decade. The Match process remains competitive, with a significant number of IMGs performing dedicated research before residency application. The impact of such research rem...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2018.06.003
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To1 describe the development and evaluate the feasibility of a surgical objective structured clinical examination (OSCE) for the purpose of competency assessment based on the Royal College of Canada's CanMEDS framework. DESIGN:A unique surgical OSCE was developed to evaluate the clinical and surgical managem...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2020.02.018
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Quality improvement (QI) activities are an integral part of residency training. We started the process to implement team-based, multilevel QI project streams within our academic surgical residency by studying resident perceptions. OBJECTIVE:Our residency carried out 6 QI projects in line with the American C...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2018.10.006
更新日期:2019-01-01 00:00:00