Self-assessment during a 2-day laparoscopic colectomy course: can surgeons judge how well they are learning new skills?

Sidhu, Ravi; Vikis, Elena; Cheifetz, Rona; Phang, Terry

doi:10.1016/j.amjsurg.2006.01.041

Cited by 41 publications

(50 citation statements)

References 14 publications

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“…Consequently, a total of 12 papers were included (Table 3). 7,8,11,12,[16][17][18][19][20][21][22][23] According to our criteria, eight studies (66.7%) found that self-assessment of technical skills is accurate (Table 4). 11,[16][17][18][19][20][21][22] All studies were evidence level 2b.…”

Section: Resultsmentioning

confidence: 91%

“…7,11,12,21 The accuracy of self-assessment improved with experience in two studies (16.7%) 11,23 (level 2 recommendation) and with surgical level in one study (8.3%) 22 (level 3 recommendation). However, Munz et al found senior trainees were less accurate, overrating performance.…”

Section: Participants Undertaking the Self-assessment Processmentioning

confidence: 91%

“…One study (8.3%) suggested that the use of an animal laboratory setting could underlie inaccurate self-assessment. 7 The use of a stressful environment (eg examination setting) was proposed to reduce self-assessment accuracy by a further two studies (16.7%).…”

Section: Participants Undertaking the Self-assessment Processmentioning

confidence: 99%

“…5 Although gauging performance is key to lifelong learning, 6 evidence indicates self-assessment accuracy is poor. 7,8 A meta-analysis of higher education self-assessment studies found a weak correlation between self and expert assessment (0.39) with a tendency for underestimation. 9 Subsequent review work of healthcare professionals found similarly low correlations.…”

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confidence: 99%

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Are general surgeons able to accurately self-assess their level of technical skills?

Rizan

Ansell²,

Tilston

et al. 2015

annals

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Introduction Self-assessment is a way of improving technical capabilities without the need for trainer feedback. It can identify areas for improvement and promote professional medical development. The aim of this review was to identify whether selfassessment is an accurate form of technical skills appraisal in general surgery. Methods The PubMed, MEDLINE®, Embase™ and Cochrane databases were searched for studies assessing the reliability of self-assessment of technical skills in general surgery. For each study, we recorded the skills assessed and the evaluation methods used. Common endpoints between studies were compared to provide recommendations based on the levels of evidence. Results Twelve studies met the inclusion criteria from 22,292 initial papers. There was no level 1 evidence published. All papers compared the correlation between self-appraisal versus an expert score but differed in the technical skills assessment and the evaluation tools used. The accuracy of self-assessment improved with increasing experience (level 2 recommendation), age (level 3 recommendation) and the use of video playback (level 3 recommendation). Accuracy was reduced by stressful learning environments (level 2 recommendation), lack of familiarity with assessment tools (level 3 recommendation) and in advanced surgical procedures (level 3 recommendation). Conclusions Evidence exists to support the reliability of self-assessment of technical skills in general surgery. Several variables have been shown to affect the accuracy of self-assessment of technical skills. Future work should focus on evaluating the reliability of self-assessment during live operating procedures.

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Section: Resultsmentioning

confidence: 91%

Section: Participants Undertaking the Self-assessment Processmentioning

confidence: 91%

Section: Participants Undertaking the Self-assessment Processmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Are general surgeons able to accurately self-assess their level of technical skills?

Rizan

Ansell²,

Tilston

et al. 2015

annals

View full text Add to dashboard Cite

show abstract

“…In order for a computer-based simulator training to succeed, for example, at hospitals, it is vital not only to have the necessary equipment, but also to organise training conditions with proper techniques by including curriculums with working culture and organisational processes. For example, the structure of training and assessment measures and processes requires careful consideration of many aspects (Kneebone 2003, Van Dongen et al 2008, Sidhu et al 2006). This review leaves open questions concerning how laparoscopic skills are learned today at Finnish hospitals and how these aforementioned technological training possibilities, simulators, are utilised.…”

Section: Sub-study 1: Expertise and Skill In Minimally Invasive Surgerymentioning

confidence: 99%