AI Article Synopsis
- - The American Board of Surgery is shifting towards a competency-based assessment system for residents, emphasizing Entrustable Professional Activities to evaluate and track their skills in operative procedures and other activities.
- - A survey was conducted among General Surgery trainees to assess their comfort levels in 28 different operative and clinical tasks, using a scale from "Observation Only" to "Supervising Others."
- - The results showed that comfort levels increased with experience, with residents typically achieving an "Unsupervised Practice" level by their fifth year for several tasks, suggesting a need for transparent reporting tools to enhance educational quality and inform competency standards.
Article Abstract
Introduction: The American Board of Surgery is transitioning from a volume-based to a competency-based assessment of residents using Entrustable Professional Activities. This form of feedback and evaluation should also apply to operative procedures to help residents track their own progress. We describe an operative readiness tool that measures perceived competency in trainees across several operative, procedural, and clinical activities.
Methods: We distributed a survey to General Surgery trainees at our institution. Participants were asked to rate their level of comfort in 28 operative, procedural, or clinical activities using the standard Entrustable Professional Activity scale: (1) Observation Only, (2) Direct Supervision, (3) Indirect Supervision, (4) Unsupervised Practice, or (5) Supervising Others.
Results: 43 of 46 residents (93%) responded to the survey. Median perceived comfort level generally increased with post graduate year level across all competencies. Residents reached a median perceived level of "Unsupervised Practice" by post graduate year 5 in 17 of 28 competencies of various complexity levels.
Conclusions: While residents are not expected to achieve an "Unsupervised Practice" comfort level in all competencies, creating a transparent platform for reporting this information provides programs a tool to guide educational quality improvement efforts. In addition, it allows for program directors to have greater resolution into the operative advancement of residents outside of their own specialty. In the future, this tool may be instrumental in the development of national competency standards.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jss.2023.09.017 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Use of "Cancer Ratio" in Differentiating Malignant and Tuberculous Pleural Effusions: Protocol for a Prospective Observational Study.
JMIR Res Protoc
December 2024
Department of Community Medicine, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576 104, India.
Background: Differentiating between tuberculosis and malignancy as the cause of an exudative lymphocyte predominant pleural effusion is difficult due to similarities in the cellular and biochemical characteristics of the pleural fluid in both conditions. Microbiological tests in tubercular pleural effusions have a poor diagnostic yield, and the long turnaround time for results prevents an early diagnosis. The diagnosis of malignant pleural effusion (MPE) is hampered by a variable yield of pleural fluid cytology and closed pleural biopsy and the fact that thoracoscopy may not be readily available or feasible in each patient.
View Article and Find Full Text PDFAugmented Reality Assessments to Support Human Spaceflight Performance Evaluation.
Aerosp Med Hum Perform
November 2024
Introduction: As next-generation space exploration missions require increased autonomy from crews, real-time diagnostics of astronaut health and performance are essential for mission operations, especially for determining extravehicular activity readiness. An augmented reality (AR) system may be a viable tool allowing holographic visual cueing to replace physical objects used in traditional assessments.
Methods: In this study, 20 healthy adults were compared in an Ingress and Egress Task and Obstacle Weave Task with holographic and physical objects to determine the effect of AR on performance.
Molecular matching tools for allocation and immunosuppression optimization. Ready for primetime?
Curr Opin Organ Transplant
February 2025
PIRCHE AG.
Purpose Of Review: Molecular matching continues to be an important topic in organ transplantation. Over the years, several studies - larger and smaller - supported correlations of molecular incompatibility loads and clinical outcomes. However, their practical utility for clinical decision making remains controversial and there is no consensus on the context in which they should be used.
View Article and Find Full Text PDFBiomechanical modeling combined with pressure-volume loop analysis to aid surgical planning in patients with complex congenital heart disease.
Med Image Anal
December 2024
Division of Pediatric Cardiology, Department of Pediatrics, UT Southwestern Medical Center, Dallas, TX, USA. Electronic address:
Patients with congenitally corrected transposition of the great arteries (ccTGA) can be treated with a double switch operation (DSO) to restore the normal anatomical connection of the left ventricle (LV) to the systemic circulation and the right ventricle (RV) to the pulmonary circulation. The subpulmonary LV progressively deconditions over time due to its connection to the low pressure pulmonary circulation and needs to be retrained using a surgical pulmonary artery band (PAB) for 6-12 months prior to the DSO. The subsequent clinical follow-up, consisting of invasive cardiac pressure and non-invasive imaging data, evaluates LV preparedness for the DSO.
View Article and Find Full Text PDFDeveloping entrustable professional activities for undergraduate operative dentistry clerkship.
BMC Med Educ
December 2024
Department of Community Dentistry, Dow International Dental College, Dow University of Health Sciences, Karachi, Pakistan.
Objective: In many dental schools worldwide, theoretical knowledge is prioritized over comprehensive training in essential clinical procedures. This leads to graduates with insufficient hands-on experience who are not fully "ready to practice", thereby failing to meet the demands of the job market and community needs. This study aimed to address this critical gap by developing and validating a set of core Entrustable Professional Activities (EPAs) specifically for operative dentistry clerkships to enhance the practical competencies and readiness of dental graduates for effective and independent practice.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!