Assessment of Chief Resident Practice Readiness in a Porcine Lab: A 4-Year Experience

Collings, Amelia T.; Stefanidis, Dimitrios; Doster, Dominique L.; Athanasiadis, Dimitrios I.; Selzer, Don J.; Huffman, Elizabeth M.; Lee, Nicole Kissane

doi:10.1016/j.jsurg.2021.11.009

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…Studies reporting on the development of simulation-based assessments of surgical trainees have used expert faculty opinion to generate procedural stations. 32,33 The utilization of the CAMES NAF, modified specifically for assessment, can support this approach. However, prior to this study, the CAMES approach has been used to generate procedures for simulation-based teaching rather than assessment.…”

Section: Discussionmentioning

confidence: 99%

“…The data generated by this study can be used by surgical training bodies or institutions to develop robust assessment curricula for subsequent validity testing. Studies reporting on the development of simulation-based assessments of surgical trainees have used expert faculty opinion to generate procedural stations 32,33 . The utilization of the CAMES NAF, modified specifically for assessment, can support this approach.…”

Section: Discussionmentioning

confidence: 99%

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Generating a Prioritised List of Operative Procedures for Simulation-Based Assessment of General Surgery Trainees through Consensus

Toale,

Morris,

Konge

et al. 2023

Annals of Surgery

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Objective: to develop appropriate content for high-stakes simulation-based assessments of operative competence in general surgery training through consensus. Summary Background Data: Valid methods of summative operative competence assessment are required by competency-based training programmes in surgery. Method: An online Delphi consensus study was conducted. Procedures were derived from the competency expectations outlined by the Joint Commission on Surgical Training (JCST) curriculum 2021, and subsequent brainstorming. Procedures were rated according to their perceived importance, perceived procedural risk, how frequently they are performed, and feasibility, by a purposive sample of thirty surgical trainers and a five-person steering group. A modified Copenhagen Academy for Medical Education and Simulation Needs Assessment Formula (CAMES NAF) was applied to generated data in order to produce ranked procedural lists, which were returned to participants for re-prioritization. Results: Prioritised lists were generated for simulation-based operative competence assessments at two key stages of training; end of ‘phase 2’ prior to development of a sub-specialty interest, and end of ‘phase 3’ i.e. end-of-training certification. A total of 21 and 16 procedures were deemed suitable for assessments at each of these stages respectively. Conclusions: This study describes a national needs assessment approach to content generation for simulation-based assessments of operative competence in general surgery using Delphi consensus methodology. The prioritised procedural lists generated by this study can be used to further develop operative skill assessments for use in high-stakes scenarios such as trainee progression, entrustment and end-of-training certification prior to subsequent validity testing.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Generating a Prioritised List of Operative Procedures for Simulation-Based Assessment of General Surgery Trainees through Consensus

Toale,

Morris,

Konge

et al. 2023

Annals of Surgery

View full text Add to dashboard Cite

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“…2,3 Large live animal models offer high fidelity simulations due to their close similarity with human anatomy, while also providing an anesthetized patient with active perfusion for practicing surgical and hemostatic techniques. Prior studies have used porcine models to evaluate chief resident readiness for fundamental skills and procedures, such as ostomy creation and laparoscopic cholecystectomy 4 Porcine models for training have been successfully utilized by cardiovascular surgery programs to train for complex surgeries such as coronary-artery bypass grafts and aortic surgery, in addition to the introduction of a formalized course for trauma exposure 5,6 We describe a research experience that utilizes large animal models for translational research with the additional purpose of advancing a trainee's operative abilities. At our tertiary care academic research institution, residents dedicate 1 year to translational research after two clinical years.…”

Section: Introductionmentioning

confidence: 99%

Utilization Large Animal Research as an Adjunct for Surgical Education Increases Perceived Resident Confidence

Crudeli

Kooragayala

Lou

et al. 2022

The American Surgeon™

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Surgical education has evolved over time to incorporate supplemental modalities of training beyond the operating room. Even with the utility of simulation software and didactic education, there is still a need to provide surgical residents with experience in live tissue dissection and tissue handling while maintaining patient safety. In our program, after two clinical years, residents participate in a year of translational research which uses porcine models for complex open abdominal procedures. During the porcine surgeries, our residents are guided by the supervising attending to perform key portions of the procedure typically reserved for those more senior trainees. We found in a survey that research residents after two clinical years found this experience with large animal surgeries helped them better navigate anatomic structures and would recommend this to future trainees. We believe this dual-purpose research-training model provides a valuable resource that can be adapted to other programs.

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The American Board of Surgery flexible endoscopy curriculum prepares individuals to pass the fundamentals of endoscopic surgery manual skills test

et al. 2022

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Assessment of Chief Resident Practice Readiness in a Porcine Lab: A 4-Year Experience

Cited by 4 publications

References 24 publications

Generating a Prioritised List of Operative Procedures for Simulation-Based Assessment of General Surgery Trainees through Consensus

Generating a Prioritised List of Operative Procedures for Simulation-Based Assessment of General Surgery Trainees through Consensus

Utilization Large Animal Research as an Adjunct for Surgical Education Increases Perceived Resident Confidence

The American Board of Surgery flexible endoscopy curriculum prepares individuals to pass the fundamentals of endoscopic surgery manual skills test

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