Abstract：
BACKGROUND:Changes in the surgical training landscape have sparked an interest in developing new educational models anchored on entrustment assessment. We sought to optimize the validated OpTrust entrustment assessment tool by comparing ratings from short-course video reviews to previously validated intraoperative assessments. METHODS:Entrustment assessment scores for video-based and 1-h (short-course) observations were compared to previously validated intraoperative assessment scores. Faculty and residents were surveyed for their perceptions related to operative observation. RESULTS:There was a strong association between entrustment scores when comparing in-person to video-based observations (R2 = 0.76-0.84, p < 0.01) as well as short-course to full-duration observations (R2 = 0.65-0.76, p < 0.01). The majority of faculty and residents (>97%) felt observation did not negatively impact operative experience. CONCLUSIONS:Assessment of entrustment behaviors using short-course video review provides a feasible approach to intraoperative assessment. This latest application of OpTrust allows for the tool to be incorporated into surgical training programs across a variety of environments.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Nikolian VC,Sutzko DC,Georgoff PE,Matusko N,Boniakowski A,Prabhu K,Church JT,Thompson-Burdine J,Minter RM,Sandhu Gdoi
10.1016/j.amjsurg.2017.10.036subject
Has Abstractpub_date
2018-07-01 00:00:00pages
13-18issue
1eissn
0002-9610issn
1879-1883pii
S0002-9610(17)30897-8journal_volume
216pub_type
杂志文章abstract：:Parastomal hernia repair remains a significant surgical challenge. Recurrence after standard "keyhole" or primary suture repair is common. We adopted and modified a new technique using a construct shaped like an inverted top hat. We review our experience over the last six years in the first 30 patients (31 consecutive...
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journal_title：American journal of surgery
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journal_title：American journal of surgery
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abstract：BACKGROUND:The efficacy of carotid endarterectomy (CEA) in octogenarians is controversial. Recent reports have examined this question in the general population, but little data exist on veterans. With the emergence of carotid artery stenting, we need to evaluate the role of CEA in treating elderly veterans with carotid...
journal_title：American journal of surgery
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journal_title：American journal of surgery
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journal_title：American journal of surgery
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journal_title：American journal of surgery
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更新日期：2018-01-01 00:00:00
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journal_title：American journal of surgery
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journal_title：American journal of surgery
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更新日期：2011-11-01 00:00:00
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journal_title：American journal of surgery
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