Research Residents' perceptions of skill decay: Effects of repeated skills assessments and scenario difficulty

Jones, Grace F.; Forsyth, Katherine L.; Jenewein, Caitlin G.; Ray, Ranjan; DiMarco, Shannon M.; Pugh, Carla M.

doi:10.1016/j.amjsurg.2016.12.003

Cited by 15 publications

(16 citation statements)

References 9 publications

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“… 73 Residents who are off of clinical rotations report significant skill atrophy, which may support a more longitudinal curriculum. 74 …”

Section: Introductionmentioning

confidence: 99%

Central venous catheterization training: current perspectives on the role of simulation

Soffler¹,

Hayes²,

Smith³

2018

AMEP

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Simulation is a popular and effective training modality in medical education across a variety of domains. Central venous catheterization (CVC) is commonly undertaken by trainees, and carries significant risk for patient harm when carried out incorrectly. Multiple studies have evaluated the efficacy of simulation-based training programs, in comparison with traditional training modalities, on learner and patient outcomes. In this review, we discuss relevant adult learning principles that support simulation-based CVC training, review the literature on simulation-based CVC training, and highlight the use of simulation-based CVC training programs at various institutions.

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“… 73 Residents who are off of clinical rotations report significant skill atrophy, which may support a more longitudinal curriculum. 74 …”

Section: Introductionmentioning

confidence: 99%

Central venous catheterization training: current perspectives on the role of simulation

Soffler¹,

Hayes²,

Smith³

2018

AMEP

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“…Time- and Exposure-related Decay In D’Angelo et al's (2015) initial study demonstrating a perceived reduction in technical skills, the level of the self-reported perceived reduction in surgical skills ( p = 0.007) and knowledge of procedure steps ( p = 0.015) correlated directly with the number of months residents had participated in research [29]. This premise was further supported in Jones et al (2016) and Grova et al's (2017) data [31,33]. In comparing the cohorts of new residents versus those being reassessed, new residents had completed an average of 7.66 months less research than those returning residents being reassessed.…”

Section: Reviewmentioning

confidence: 80%

“…urinary catheterization, central line insertion; p < 0.001) [29]. This was again demonstrated in the follow-up study by Jones et al (2016) in which both the returning and the new cohorts of research residents perceived the greatest reduction of skill in tasks that require higher levels of decision-making, problem-solving, and technical skill (termed open-loop tasks, such as bowel anastomosis and laparoscopic ventral hernia repair; Table 3) [31]. Leadership Skills Related to Technical Skills…”

Section: Reviewmentioning

confidence: 90%

“…A follow-up study to D’Angelo et al’s (2015) multi-centre study by Jones et al (2016) set out to assess the same tasks (urinary catheterization, subclavian central line insertion, bowel anastomosis, and laparoscopic ventral hernia repair) performed by general surgery research residents ( n = 46) in a longitudinal fashion and to determine if perceptions of skill decay among returning research residents ( n = 16) change over time with reassessment [31]. In addition, the perceptions of the returning research residents were also compared to a new cohort of research residents ( n = 30) being assessed for the first time.…”

Section: Reviewmentioning

confidence: 99%

“…A self-efficacy questionnaire administered to residents demonstrated self-reported decay of technical skills during dedicated research training (Table 3). In the most recent of the four studies by this research group at the University of Wisconsin, D’Angelo et al (2018) expand on data from their longitudinal study in 2014 and 2015 [29,31-32]. For the first time, general surgery faculty members ( n = 77) were evaluated on their perception of general surgery residents’ ( n = 97) skill decay for those in dedicated research fellowships and to compare faculty perceptions with research residents’ self-perceptions.…”

Section: Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Decay of Competence with Extended Research Absences During Residency Training: A Scoping Review

Gawad¹,

Allen²,

Fowler³

2019

Cureus

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A significant number of residents in postgraduate training programs pursue dedicated research training. Currently, no formal curricula exist to transition residents back into clinical roles following dedicated research leave. This scoping review aims to determine what literature exists on the challenges faced by trainees who interrupt their clinical training for extended periods of time for research leave. The Pubmed and Medline databases were searched for all study designs related to postgraduate trainees taking academic or research leave. A three-step selection process including title, abstract and full-article review was employed to identify articles that mentioned decay of knowledge, skill or competence. A narrative review of the literature was generated to present key themes identified within the studies. The search yielded 174 articles of which five investigated resident skill decay during research leave. The five studies included for analysis were cohort studies that used general surgery residents’ self-perception and faculty members’ perception of residents’ skill decay as a measure. Residents and faculty perceived decay of residents’ technical skills, leadership skills and knowledge following dedicated research leave. The greatest decay perceived was in technical skills, specifically with more complex tasks and longer periods of non-use. This review identified that residents and faculty perceive a decay of resident skills following dedicated research training. To provide the necessary support to limit this potential decay, as well as to assist in the transition back into clinical training, the needs of and challenges faced by research residents and postgraduate programs must be better understood.

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Resident attitudes and compliance towards robotic surgical training

Tam

Lutfi

Novak

et al. 2018

The American Journal of Surgery

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Research Residents' perceptions of skill decay: Effects of repeated skills assessments and scenario difficulty

Cited by 15 publications

References 9 publications

Central venous catheterization training: current perspectives on the role of simulation

Central venous catheterization training: current perspectives on the role of simulation

Decay of Competence with Extended Research Absences During Residency Training: A Scoping Review

Resident attitudes and compliance towards robotic surgical training

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