Journal Review in Surgical Education: Operative Performance Assessment

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 2 December 2021

⏱️ 35 minutes

🔗️ Recording | iTunes | RSS

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Summary

5 years of General Surgery residency? Check. Case numbers? Check. Ready for independent practice? Hmmm.

Join Drs. John D. Mellinger, Jeremy Lipman, Judith French, and Amy Han as we discuss the past, present and future of operative assessment.

Learning objectives:

In this episode, we discuss the current practices of operative assessment in surgical training and the opportunities for improvement. We delve into evidence-based framework for operative performance assessment outlined in “A Proposed Blueprint for Operative Performance Training, Assessment, and Certification.” We explore the distinction between high versus low frequency operations, standards setting, training of assessors, and the role of technology in improving reliability, generalizability, and frequency of operative assessments.

References:

Bansal N, Simmons KD, Epstein AJ, Morris JB, Kelz RR. Using Patient Outcomes to Evaluate General Surgery Residency Program Performance. JAMA Surg. 2016;151(2):111–119. doi:10.1001/jamasurg.2015.3637

Bell RH Jr, Biester TW, Tabuenca A, et al. Operative experience of residents in US general surgery programs: a gap between expectation and experience. Ann Surg. 2009;249(5):719-724. doi:10.1097/SLA.0b013e3181a38e59

Williams RG, Sanfey H, Chen XP, Dunnington GL. A controlled study to determine measurement conditions necessary for a reliable and valid operative performance assessment: a controlled prospective observational study. Ann Surg. 2012;256(1):177-187. doi:10.1097/SLA.0b013e31825b6de4

Williams RG, George BC, Bohnen JD, et al. A Proposed Blueprint for Operative Performance Training, Assessment, and Certification. Ann Surg. 2021;273(4):701-708. doi:10.1097/SLA.0000000000004467

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Transcript

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0:00.0	Behind the Night, the surgery podcast, relevant and engaging content designed to help you dominate the day.
0:13.0	We're the surgical education team from Cleveland Clinic, and we're back with another behind-the-knife episode on surgical education.
0:29.0	I'm Jeremy Lippman. I'm the program director of the General Surgery Residency.
0:33.0	I'm Judith French from the PhD Education Scientist for the program.
0:37.0	And I'm Amy Hahn, General Surgery Resident at Cleveland Clinic.
0:40.0	So today we're going to be talking about the assessment of technical skill.
0:45.0	At the end of General Surgery Residency, the program director must sign a form stating that the graduate residents are now ready for independent practice.
0:53.0	So how does a resident know if they're on the right path to get there?
0:56.0	How does a program director recognize who is and is not prepared?
1:00.0	And what evidence can we show the public that the community of surgical educators has done their job preparing surgeons for independent practice?
1:07.0	Now we selected the topic of operative assessment to highlight the need for an evidence-based standardized process.
1:14.0	And it's crucial to evaluate General Surgery residents to ensure competency in graduates not only high-stakes certification purposes, but also to identify trainees who require focused attention in improving their operative skills.
1:28.0	Today we'll delve into operative assessment in surgical education.
1:32.0	As we reviewed the journal article titled, a proposed blueprint for operative performance training assessment and certification.
1:39.0	It was published in Annals of Surgery in April 2021, posthumously by first author Dr. Reed Williams.
1:47.0	We would like to recognize Dr. Williams who contributed significantly to the field of performance evaluation and operative assessment.
1:55.0	Due to his untimely passing, the manuscript is finalized by his co-authors who are also giants in surgical education, including senior author Dr. John D. Melinger.
2:06.0	For today's episode, we invited Dr. Melinger to discuss the paper further and to gain his perspective on the future of operative performance assessment in general surgery.
2:16.0	So we're going to introduce Dr. Melinger. He is well known to many in surgical education as a true giant in the field.
2:25.0	Dr. Melinger is accomplished about everything someone can in surgical education. He's currently professor emeritus of surgery at Southern Illinois University School of Medicine and his vice president for the American Board of Surgery, president elective sages, and a past president of the association of program doctors in surgery.
2:42.0	He's been on the editorial boards for Annals of Surgery in the journal for surgical education and his co-editor in chief of resources in surgical education.
2:51.0	He's received more than 30 teaching awards. He epitomizes the surgical educator who researchers disseminates and models excellence in education, and we are just thrilled to be joined by him today. Dr. Melinger, thank you so much for being with us.
	...

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