Improving the feasibility and utility of OpTrust—A tool assessing intraoperative entrustment - 18/06/18
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.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Using OpTrust, short-course video-based review of intraoperative interactions reliably assessed entrustment behaviors. |
• | This observation form demonstrated feasibility, utility, and non-disruptive approach to assessment of operative entrustment. |
• | OpTrust lends itself to qualitative and quantitative feedback related to entrustment in procedural-based specialties. |
Keywords : OpTrust, Autonomy, Competence, Entrustment, Video observation
Plan
Vol 216 - N° 1
P. 13-18 - juillet 2018 Retour au numéro
Article précédent
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