Should technical aptitude evaluation become part of resident selection for surgical residency?

Bishawi, Muath; Pryor, Aurora D.

doi:10.1007/s00464-014-3715-3

Cited by 9 publications

(7 citation statements)

References 7 publications

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“…The question of whether testing of these abilities can be used in the selection of trainees is currently a topic of vehement debate. [5][6][7][8][9] Although there is evidence that the ability to learn and perform laparoscopic surgery can be assessed with measurements of these aptitudes, there are also reports that contradict such a correlation. [10][11][12][13][14] To date, reviews that have aimed to reach an univocal conclusion on this topic have been mainly descriptive in nature, have lacked a quantitative analysis or have investigated a broad spectrum of surgical skills.…”

Section: Resultsmentioning

confidence: 99%

“…Visual–spatial ability refers to the ability to mentally visualise or manipulate objects; perceptual ability refers to the ability to interpret two‐dimensional representations of three‐dimensional objects, and psychomotor ability refers to the ability to perform motor movements that involve eye–hand coordination, bimanual dexterity and short reaction times. The question of whether testing of these abilities can be used in the selection of trainees is currently a topic of vehement debate . Although there is evidence that the ability to learn and perform laparoscopic surgery can be assessed with measurements of these aptitudes, there are also reports that contradict such a correlation .…”

Section: Introductionmentioning

confidence: 99%

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The predictive value of aptitude assessment in laparoscopic surgery: a meta-analysis

et al. 2016

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In general, aptitude assessments are associated with laparoscopic skill level. Simulator-based assessment of aptitude appears to have the potential to represent a job sample and to enable the assessment of all forms of aptitude for laparoscopic surgery at once. A laparoscopy aptitude test can be a valuable additional tool in the assessment of candidates for medical specialties that require laparoscopic skills.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The predictive value of aptitude assessment in laparoscopic surgery: a meta-analysis

et al. 2016

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“…Recruitment from the locum system was deemed by the experienced Swedish surgeons to be positive as it allowed decisions to be made after observing the candidates´ work in situ [ 23 ]. Previous job performance in the department is considered a valid way to assess a candidate if done in a structured way by peer ratings [ 24 – 26 ]. Such a system allows for a holistic assessment over time compared with a “collection of indicators” rendered through a series of discrete assessments produced by multi-instrument centralized systems.…”

Section: Discussionmentioning

confidence: 99%

Different approaches to selection of surgical trainees in the European Union

et al. 2021

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Background There is an increasing global interest in selection processes for candidates to surgical training. The aim of the present study is to compare selection processes to specialist surgeon training in the European Union (EU). A secondary goal is to provide guidance for evidence-based methods by a proposed minimum standard that would align countries within the EU. Methods Publications and grey literature describing selection strategies were sought. Correspondence with Union Européenne des Médecins Specialists (UEMS) Section of Surgery delegates was undertaken to solicit current information on national selection processes. Content analysis of 13 semi-structured interviews with experienced Swedish surgeons on the selection process. Two field trips to Ireland, a country with a centralized selection process were conducted. Based on collated information typical cases of selection in a centralized and decentralized setting, Ireland and Sweden, are described and compared. Results A multitude of methods for selection to surgical training programs were documented in the 27 investigated countries, ranging from locally run processes with unstructured interviews to national systems for selection of trainees with elaborate structured interviews, and non-technical and technical skills assessments. Associated with the difference between centralized and decentralized selection systems is whether surgical training is primarily governed by an employment or educational logic. Ireland had the most centralized and elaborate system, conducting a double selection process using evidence-based methods along an educational logic. On the opposite end of the scale Sweden has a decentralized, local selection process with a paucity of evidence-based methods, no national guidelines and operates along an employment logic, and Spain that rely solely on examination tests to rank candidates. Conclusion The studied European countries all have different processes for selection of surgical trainees and the use of evidence-based methods for selection is variable despite similar educational systems. Selection in decentralized systems is currently often conducted non-transparent and subjectively. A suggested improvement towards an evidence-based framework for selection applicable in centralized and decentralized systems as well as educational and employer logics is suggested.

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“…Recruitment from the locum system was deemed by the experienced Swedish surgeons to be positive as it allowed decisions to be made after observing the candidates´ work in situ (23). Previous job performance in the department is considered a valid way to assess a candidate if done in a structured way by peer ratings (24)(25)(26). Such a system allows for a holistic assessment over time compared with a "collection of indicators" rendered through a series of discrete assessments produced by multi-instrument centralized systems.…”

Section: Discussionmentioning

confidence: 99%

Different Approaches to Selection of Surgical Trainees in the European Union 

Hagelsteen

Pedersen

Bergenfelz

et al. 2021

Preprint

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Background: There is an increasing global interest in selection processes for candidates to surgical training. The aim of the present study is to compare selection processes to specialist surgeon training in the European Union (EU). A secondary goal is to provide guidance for evidence-based methods by a proposed minimum standard that would align countries within the EU.Methods: Publications and grey literature describing selection strategies were sought. Correspondence with Union Européenne des Médecins Specialists (UEMS) Section of Surgery delegates was undertaken to solicit current information on national selection processes. Content analysis of thirteen semi-structured interviews with experienced Swedish surgeons on the selection process. Two field trips to Ireland, a country with a centralized selection process were conducted. Based on collated information typical cases of selection in a centralized and decentralized setting, Ireland and Sweden, are described and compared.Results: A multitude of methods for selection to surgical training programs were documented in the 27 investigated countries, ranging from locally run processes with unstructured interviews to national systems for selection of trainees with elaborate structured interviews, and non-technical and technical skills assessments. Associated with the difference between centralized and decentralized selection systems is whether surgical training is primarily governed by an employment or educational logic. Ireland had the most centralized and elaborate system, conducting a double selection process using evidence-based methods along an educational logic. On the opposite end of the scale Sweden has a decentralized, local selection process with a paucity of evidence-based methods, no national guidelines and operates along an employment logic, and Spain that rely solely on examination tests to rank candidates.Conclusion: The studied European countries all have different processes for selection of surgical trainees and the use of evidence-based methods for selection is variable despite similar educational systems. Selection in decentralized systems is currently often conducted non-transparent and subjectively. A suggested improvement towards an evidence-based framework for selection applicable in centralized and decentralized systems as well as educational and employer logics is suggested.

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Should technical aptitude evaluation become part of resident selection for surgical residency?

Cited by 9 publications

References 7 publications

The predictive value of aptitude assessment in laparoscopic surgery: a meta-analysis

The predictive value of aptitude assessment in laparoscopic surgery: a meta-analysis

Different approaches to selection of surgical trainees in the European Union

Different Approaches to Selection of Surgical Trainees in the European Union

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Should technical aptitude evaluation become part of resident selection for surgical residency?

Cited by 9 publications

References 7 publications

The predictive value of aptitude assessment in laparoscopic surgery: a meta-analysis

The predictive value of aptitude assessment in laparoscopic surgery: a meta-analysis

Different approaches to selection of surgical trainees in the European Union

Different Approaches to Selection of Surgical Trainees in the European Union&nbsp;

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Different Approaches to Selection of Surgical Trainees in the European Union