Prospective Evaluation of a Teaching Model to Determine Competency in Performing Flexible Sigmoidoscopies

Abstract

The teaching model method offers objective criteria to evaluate skill in performing flexible sigmoidoscopies.

Assessing Technical Competence in Surgical Trainees

“…125 In the reviewed literature and in other publications, most definitions have embedded within them a minimum standard needed to be safe and/or the ability to perform the operation independently without help. 31,35,45,48,51,53,55,56,[58][59][60][61][62]64,87,103,[105][106][107]109,110,[113][114][115] Surgical competence has been described as a collection of skill, knowledge, and judgment required to complete new or familiar tasks incorporating both technical and nontechnical (ie, clinical problem solving) components. [119][120][121] Furthermore, operative competence builds on this definition but also includes a surgeon's experience and opportunities to form a broader, more universal domain.…”

“…31,35,45,48,51,53,55,56,[58][59][60][61][62]64,87,103,[105][106][107]109,110,[113][114][115] Differentiating competence from proficiency in the reviewed literature demonstrated that a proficient performer is one who approaches expertise and is thus at an advanced stage compared with a competent performer. 56,62,66,67,69,73,75,76,78-80,82-84,87-89,92-94, 96,97,100,113,116 …”

“…112 They utilized live assessments performed intraoperatively or intraprocedurally via an open approach. [109][110][111][112] …”

“…110,111 There was also a study that evaluated trainees who were either categorical or preliminary surgical interns currently rotating through a critical care setting. 112 They utilized live assessments performed intraoperatively or intraprocedurally via an open approach.…”

Quality in the technical performance of screening flexible sigmoidoscopy: recommendations of an international multi-society task group

“…37 A formalised training programme may allow determination of competency in the performance of FS. 38 Understanding the indications and contraindications for FS are part of the cognitive process. Initial hands-on training begins with time spent becoming familiar with the technical aspects of handling the sigmoidoscope by practising on a plastic model.…”