Does Residency Training Improve Cognitive Competence in Obstetric and Gynaecologic Surgery?

Balayla, Jacques; Abenhaim, Haim A.; Martin, Markus C.

doi:10.1016/s1701-2163(16)35163-5

Cited by 6 publications

(2 citation statements)

References 14 publications

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“…Studies of the same importance are being conducted in the United States, with the objective of developing operational evaluation tools regarding residents’ knowledge, in order to measure surgical cognitive competence as an independent component of general clinical competence among obstetrics and gynecology trainees. 18 The guidelines developed by the Association of Academic Professionals in Obstetrics and Gynecology of Canada describes their expected search requirements, so that all OBG residents can successfully complete residency programs in Canada. 19 …”

Section: Discussionmentioning

confidence: 99%

Construction of a competence-based curriculum for internship in obstetrics and gynecology within the medical course at the Federal University of Ceará (Sobral campus)

et al. 2015

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CONTEXT AND OBJECTIVE: This research project arose from a proposal made to the teachers by the students of a medical course at a federal university in Brazil, from their personal experiences regarding the skills and competencies that should be developed during the obstetrics and gynecology (OBG) stage of the internship. The objective here was to develop the matrix of skills necessary for training good general physicians in the medical course. DESIGN AND SETTING: Exploratory qualitative study conducted in a federal university in Brazil. METHODS:The basis for developing these competencies among OBG interns was "The Competency Matrix for Medical Internship" developed by Bollela and Machado. The instrument was presented to, analyzed by and modified by a set of OBG specialists, at two sessions. RESULTS:The specific competencies expected from students over the internship in OBG were framed within overall topics that had previously been determined and listed: healthcare, decision-making, communication and interpersonal relationships, management and organization of the Brazilian National Health System (Sistema Único de Saúde, SUS) and professionalism. CONCLUSIONS: A competency matrix that standardizes the minimum requirements that interns should be capable of putting into practice after concluding the OBG stage is a valuable tool for ensuring student performance and a fair and rigorous assessment for them, thereby seeking to train good general physicians who meet the community's needs.RESUMO CONTEXTO E OBJETIVO: Este projeto de pesquisa surgiu de proposta feita aos professores pelos estudantes de um curso de medicina de uma universidade federal do Brasil, a partir de suas vivências pessoais acerca das habilidades e competências que devem ser desenvolvidas durante o estágio de Ginecologia e Obstetrícia (GO) ao longo do internato. O objetivo é desenvolver uma matriz de habilidades necessárias para a formação de um bom médico generalista no Curso de Medicina. TIPO DE ESTUDO E LOCAL: Pesquisa qualitativa do tipo exploratória realizada em uma universidade federal do Brasil. MÉTODOS: A base para o desenvolvimento dessas competências do internato em GO foi "A Matriz de Competências para o Internato Médico", desenvolvida por Bollela e Machado. Este instrumento foi, em duas sessões, apresentado a, analisado e modificado por um grupo de especialistas em GO. RESULTADOS: As competências específicas esperadas do estudante no decorrer do internato foram enquadradas a partir de temas globais previamente determinados e listados: atenção à saúde, tomada de decisões, comunicação e relação interpessoal, gerenciamento e ordenação do SUS (Sistema Único de Saúde) e profissionalismo. CONCLUSÕES: Uma matriz de competências que padronize os requisitos mínimos que os internos sejam capazes de pôr em prática, após a conclusão do estágio em GO, é uma ferramenta valiosa para garantir o desempenho e avaliação justa e rigorosa dos estudantes, buscando a formação de um bom médico generalista, que atenda às necessidades da comunidade.

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Section: Discussionmentioning

confidence: 99%

Construction of a competence-based curriculum for internship in obstetrics and gynecology within the medical course at the Federal University of Ceará (Sobral campus)

et al. 2015

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“…This operative competence requires more than the pure technical competence, the psychomotor skills. In fact, the cognitive domain, which entails the appreciation of the anatomy and the comprehension of the procedural steps, plays a critical role (1)(2)(3)(4). Indeed, the importance of the cognitive competence overcomes that of the pure technical counterpart (5).…”

Section: Introductionmentioning

confidence: 99%

Randomized controlled trial on the effect of YouTube surgical videos on procedural knowledge and perceived self-efficacy of surgery residents

Albarrak

Alnefaie

Almasoud

2019

Preprint

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Background Multiple factors have challenged the surgical training which led to the development of the instructional videos to hasten the proficiency in performing surgical procedures. However, their educational effect has not been objectively studied yet. This study aims at objectively assessing the effect of instructional videos along with the subjective assessment of the self-efficacy of the training residents. The videos used were selected from YouTube, which is a valuable resource currently because of its ubiquitous availability and cost effectiveness. Methods A stratified randomized controlled trial was performed using an objective assessment tool for the procedural knowledge along with a questionnaire to assess the effect of videos on the perceived self-efficacy of the residents. Results There was a significant positive effect of watching instructional videos on the procedural knowledge. Even though residents report positive experience with using the videos, there was no significant effect of videos on the self-efficacy scores as reported by the residents. Conclusion instructional videos improved the procedural knowledge of the residents. This positive observation of the use of the YouTube videos offers great opportunities for the educationalists to select from thousands of videos instead of making the videos themselves.

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Total laparoscopic hysterectomy: how does training for surgeons in a standardized operation affect hospitals and patients?

Hildebrandt

Emir

Boosz

et al. 2018

Arch Gynecol Obstet

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Training and teaching operations supervised by experienced surgeons are just as safe as operations by experienced surgeons themselves. Interpretation of these data is of course limited by the retrospective study design; patients treated by specialists tended to have more prior operations and were older, with a trend toward larger uteri. Surgical training, as the example of TLH in benign indication shows here, involves an additional time of approximately 10-20 min per operation. With regard to the revenue situation, the hospitalization periods in both groups were within the profit zone for the hospital concerned.

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Does Residency Training Improve Cognitive Competence in Obstetric and Gynaecologic Surgery?

Cited by 6 publications

References 14 publications

Construction of a competence-based curriculum for internship in obstetrics and gynecology within the medical course at the Federal University of Ceará (Sobral campus)

Construction of a competence-based curriculum for internship in obstetrics and gynecology within the medical course at the Federal University of Ceará (Sobral campus)

Randomized controlled trial on the effect of YouTube surgical videos on procedural knowledge and perceived self-efficacy of surgery residents

Total laparoscopic hysterectomy: how does training for surgeons in a standardized operation affect hospitals and patients?

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