Multicenter longitudinal assessment of resident technical skills - 09/12/14

Doi : 10.1016/j.amjsurg.2014.09.018

Dimitrios Stefanidis, M.D., Ph.D., F.A.C.S. ^a,^⁎ , Christopher Gardner ^a, John T. Paige, M.D., F.A.C.S. ^b, James R. Korndorffer, M.D., M.H.P.E., F.A.C.S. ^c, Dmitry Nepomnayshy, M.D., F.A.C.S. ^d, Devin Chapman ^a
^a Department of Surgery and Carolinas Simulation Center, Carolinas HealthCare System, Charlotte, NC
^b Department of Surgery, LSU Health New Orleans School of Medicine, New Orleans, LA
^c Department of Surgery, Tulane University Health Sciences Center, New Orleans, LA
^d Department of General Surgery, Lahey Clinic, Tufts Medical School, Burlington, MA

^∗Corresponding author. Tel.: +1-704-355-5114; fax: +1-704-355-4956.

Abstract

Background

Our aim was to report the longitudinal assessment of technical performance of general surgery residents on select tasks from multiple programs over a 2-year period.

Methods

An institutional review board-approved, multi-institutional collaborative study was undertaken with yearly resident performance assessments over a 3-year period. General surgery residents (postgraduate year [PGY] 1 to 5) were tested on 3 laparoscopic and 5 open simulated surgical tasks. Resident performance was compared individually over time and among interns and more senior residents.

Results

Forty-one residents from 4 residency programs were evaluated. Scores increased in all tasks with each assessment, plateauing at a lower PGY level for open tasks compared with laparoscopic tasks. Change in performance scores between assessments were higher for interns compared with more senior residents (P < .003).

Conclusions

Resident performance on basic open and laparoscopic tasks assessed over time improved the most between the PGY 1 and 2 levels and was dependent on task difficulty. This documented skill evolution may allow tailoring of skills curricula to both meet existing needs and minimize performance variability.

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Keywords : Simulation, Surgery residents, Skills training, Performance assessment, Performance norms, Learning curve

Plan

The authors declare no conflicts of interest.

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Vol 209 - N° 1

P. 120-125 - janvier 2015 Retour au numéro

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Multicenter longitudinal assessment of resident technical skills - 09/12/14

Abstract

Background

Methods

Results

Conclusions

Plan

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