How Do Thresholds of Principle and Preference Influence Surgeon Assessments of Learner Performance?

Abstract

The findings of the present study provide the first empirical evidence to suggest that surgeons' attitudes toward their own procedural variations may be an important influence on the subjectivity of intraoperative assessment in surgical education. Assessment based on intraoperative entrustment may harness such subjectivity for the purpose of implementing competency-based surgical education.

Unravelling residents’ and supervisors’ workplace interactions: an intersubjectivity study

“…Understanding the resident's and supervisor's interaction as a process of adaptation has important theoretical implications. As Apramian et al . describe, clinical supervisors’ and residents’ preferences may differ to various degrees.…”

“Languaging” tacit judgment in formal postgraduate assessment: the documentation of ad hoc and summative entrustment decisions

“…How much additional information, then, needs to be documented together with retrospective scales in ad hoc entrustment? And will it consist only of easily documentable, “neutral” factors like the aforementioned, or will more “personal” and less readily recordable information also be included (anything from an acknowledgement of problems a resident is dealing with in their private life that may contribute to an unusually suboptimal performance, to a reflection by the assessor on personal practice preferences [ 23 ] that might enter into a decision to entrust or not)? It must be remembered that assessors may not just find certain kinds of knowledge challenging to surface in language, but that they may also be reticent to document information perceived as sensitive in official forms that become part of an institutional record.…”

Development and validation of surgical training tool: cystectomy assessment and surgical evaluation (CASE) for robot-assisted radical cystectomy for men

“…The scoring system can be utilized consistently across various institutions, with various using a tool with consistent and standardized language. This is despite, and in contrast to, previously identified variation in what actually is meant by ‘technical proficiency’ among different surgeons [14, 17].…”

“…Prostatectomy Assessment and Competency Evaluation (PACE) is a validated procedure-specific tool for radical prostatectomy that has been developed using a similar expert-based methodology by our group [16]. Prior studies have shown that what constitutes ‘technical proficiency’ varies widely among surgeons [14, 17]. To our knowledge, CASE is the first objective assessment tool for RARC developed using real surgical performances and with involvement of both open and robotic expert surgeons.…”