A systematic review of assessment of skill acquisition and operative competency in vascular surgical training

Abstract

The literature describing assessment tools pertinent to vascular surgery is diverse. Existing assessment tools may be relevant to individual technical skill acquisition assessment; however, an operative assessment tool relevant to vascular/endovascular surgery and generalizable to the wide spectrum of technical and nontechnical skills pertinent to vascular surgery needs to be developed, validated, and implemented to allow the practical assessment of resident readiness to operate in an unsupervised setting.

Using an Individual Procedure Score Before and After the Advanced Surgical Skills Exposure for Trauma Course Training to Benchmark a Hemorrhage-Control Performance Metric

“…[10][11][12][13][14][15][16][26][27][28][29][30][31][32] However, none of those measures are specific for trauma-related emergency surgical procedures, which have unique temporal and management criteria, nor is individual surgeon performance measured systematically or specifically during residency training. 32 The present study of trauma-specific vascular procedures shows that correct identification of surface landmarks, incisions, and procedural steps can be documented and the IPS increased for vascular exposure and control after ASSET training.…”

“…There is very little good data describing precisely what surgeons do when performing surgery. Much of surgeon performance data are focused on team performance, rather than individual surgeon performance, 11,14,15,31 and there is no consensus on the objective analysis of technical performance by clinicians. 31 There are no benchmarks for evaluation of individual surgeon performance, nor is there agreement on how such metrics might improve clinical outcomes.…”

“…Much of surgeon performance data are focused on team performance, rather than individual surgeon performance, 11,14,15,31 and there is no consensus on the objective analysis of technical performance by clinicians. 31 There are no benchmarks for evaluation of individual surgeon performance, nor is there agreement on how such metrics might improve clinical outcomes. 11, 14,31 In the present study, preliminary expert video recording captured recurrent and interrelated factors in communication and task performance and facilitated identification of individual, and technical constraints that characterize ASSET training.…”

Motion-Based Technical Skills Assessment in Transoesophageal Echocardiography

“…To fully compliment surgical training, VR simulators must incorporate detailed performance feedback that will assist users to refine their skills. So far these systems are restricted in providing generic metrics without benchmarking, that are generally considered as surrogate markers of surgical competency [6,8].…”

Skill and colonoscopy: even the pros take lessons

“…Advances in robotics, imaging, and simulation enable educators to build skill development and assessment programs in surgery and cardiology. [6][7][8] The gastroenterology community, clinicians, technologists, and vendors are diligent in the pursuit of new methods to improve training and define and measure skill. However, many of these technologies are not widely available and are resource intensive.…”