Construct validity of a novel, objective evaluation tool for the basics of open laparotomy training using a simulated model.

Background: We describe initial success in designing and implementing an objective evaluation for opening and closing a simulated abdomen.

Methods: (1) An assessment for laparotomy was created using peer-reviewed literature, texts, and the input of academic surgeons nationally; (2) the assessment was evaluated for construct validity, comparing the videotaped performance of laparotomy by surgical experts and novices on a viscoelastic model; and (3) the basics of open laparotomy training (BOLT) curriculum was piloted with junior residents to evaluate efficacy at improving performance.

Results: Experts performed better than novices opening (.

A 5-year review of feedback on the Philadelphia-area mock ABS certifying examination.

Objectives: The American Board of Surgery Certifying Examination (ABSCE) is an oral examination designed to evaluate a resident׳s ability to apply their cognitive knowledge to manage a broad range of clinical problems. In this study, we analyze our 5-year experience with a Philadelphia-wide mock oral examination (PMOE).

Setting: The PMOE is organized by the Metropolitan Philadelphia Chapter of the American College of Surgeons and offered annually to all postgraduate year 4/5 residents from the 8 participating Philadelphia general surgery programs.