Development and Testing for an Operative Competency Assessment Tool for Nasal Septoplasty Surgery

Obeid, Amani A.; Al‐Qahtani, Khalid; Ashraf, Masooda; Alghamdi, Fareed R.; Marglani, Osama; Alherabi, Ameen Z.

doi:10.2500/ajra.2014.28.4051

Cited by 24 publications

(24 citation statements)

References 20 publications

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“…This form of mentored surgical education has been abandoned in otolaryngology training, with a few exceptions . Since ascertaining competence is so difficult, we often will use surrogate markers, such as case logs, procedural checklists, and summative evaluations . Case logs can be inaccurate, and deciding whether an individual was the assistant surgeon, resident surgeon, or supervising surgeon is open to interpretation .…”

Section: Discussionmentioning

confidence: 99%

Experience with key indicator cases among otolaryngology residents

O’Brien

Kellermeyer

Chung

et al. 2019

Laryngoscope Investig Oto

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Objective To describe the resident experience with respect to key indicator cases for each year of training. Study Design Multi‐institution, cross‐sectional assessment. Methods Using an electronic survey, current otolaryngology residents were solicited to complete a survey regarding their experiences with the key indicator cases to that point. The survey was sent to this cohort in the winter of 2017–2018. Results Three hundred and three residents responded, with 293 completing the survey. Twenty‐three percent were PGY1, 19% PGY2, 21% PGY3, 18% PGY4, and 19% PGY5 or higher. The majority of residents progress from resident assistant as a PGY2, to resident surgeon as a PGY3 and self‐assessed competent surgeon as a PGY4 for the majority of the key indicator cases. Less than 50% of the surveyed PGY5 residents had reached independent practice in all the key indicator cases, with stapedectomy (16%), rhinoplasty (18%), and paramedian forehead flap (14.5%) being the cases least frequently performed independently. Ninety‐five percent of the respondent residents felt their program provided adequate training, but 20% of the respondents were either unsure or believed that they would be unable to perform all the key indicator cases by the completion of their training. Conclusions The majority of otolaryngology residents feel confident in their training, but experience with certain cases lags behind and may not currently be taught as resident level cases. These findings raise the question of whether the current key indicator cases are the best option for assessing breadth and depth of residency training. Level of Evidence NA

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Section: Discussionmentioning

confidence: 99%

Experience with key indicator cases among otolaryngology residents

O’Brien

Kellermeyer

Chung

et al. 2019

Laryngoscope Investig Oto

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“…We reviewed a total of 16 articles that presented a new tool for the assessment of technical skills for an OTL–HNS procedure. Table summarizes our main findings.…”

Section: Resultsmentioning

confidence: 99%

Validity evidence as a key marker of quality of technical skill assessment in OTL–HNS

2018

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“…The articles included in this review clearly identify a need for valid and reliable assessment of both technical and non‐technical skills to determine when trainees achieve competency . While there are a number of tools currently in use for the assessment of competency in OTL‐HNS procedures, they vary in structure (Table ). The majority of tools break down skills and procedures to a series of specific steps, in order to allow for a comprehensive assessment of competence and the provision of formative feedback .…”

Section: Resultsmentioning

confidence: 99%