Advancements in Surgical Performance Evaluation and Feedback

Kraft, Kate H.

doi:10.1007/s11934-022-01134-5

Cited by 3 publications

(10 citation statements)

References 32 publications

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“…In terms of reconstructive techniques, iatrogenic ureteric injuries can occur during both open and minimum invasive surgery including urologic and gynecologic procedures, 13,14 Recently, perioperative teaching and feedback are considered to be imperative for surgical education. 16,17 For example, Roberts et al developed the BID model (briefing, intraoperative teaching, and debriefing). 18 Popat et al also reported a similar model of education time out (before surgery) and debrief between faculty members and trainees.…”

Section: Discussionmentioning

confidence: 99%

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Gap analysis between trainees' subjective competencies and the competencies expected by instructors in urology: A need assessment survey in Japan

Hori,

Abe,

Abe

et al. 2024

Int J of Urology

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ObjectiveAccording to the rapid progress in surgical techniques, a growing number of procedures should be learned during postgraduate training periods. This study aimed to clarify the current situation regarding urological surgical training and identify the perception gap between trainees' competency and the competency expected by instructors in Japan.MethodsRegarding the 40 urological surgical procedures selected via the Delphi method, we collected data on previous caseloads, current subjective autonomy, and confidence for future skill acquisition from trainees (<15 post‐graduate years [PGY]), and the competencies when trainees became attending doctors expected by instructors (>15 PGY), according to a 5‐point Likert scale. In total, 174 urologists in Hokkaido Prefecture, Japan were enrolled in this study.ResultsThe response rate was 96% (165/174). In a large proportion of the procedures, caseloads grew with accumulation of years of clinical practice. However, trainees had limited caseloads of robotic and reconstructive surgeries even after 15 PGY. Trainees showed low subjective competencies at present and low confidence for future skill acquisition in several procedures, such as open cystectomy, ureteroureterostomy, and ureterocystostomy, while instructors expected trainees to be able to perform these procedures independently when they became attending doctors.ConclusionTrainees showed low subjective competencies and low confidence for future skill acquisition in several open and reconstructive procedures, while instructors considered that these procedures should be independently performable by attending doctors. We believe that knowledge of these perception gaps is helpful to develop a practical training program.

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Section: Discussionmentioning

confidence: 99%

“…Recently, perioperative teaching and feedback are considered to be imperative for surgical education 16,17 . For example, Roberts et al.…”

Section: Discussionmentioning

confidence: 99%

Gap analysis between trainees' subjective competencies and the competencies expected by instructors in urology: A need assessment survey in Japan

Hori,

Abe,

Abe

et al. 2024

Int J of Urology

View full text Add to dashboard Cite

show abstract

“…This accommodates diverse learning styles and provides flexibility for faculty members to access educational materials at their convenience. 1 Continuous evaluation and 360 feedback loop: establish a continuous evaluation process to gather feedback on the faculty development program itself. Regularly assess its impact and be prepared to adapt and refine the program based on feedback from participants.…”

Section: Faculty Developmentmentioning

confidence: 99%

“…Feedback is often confused with evaluation, and it is vital that educators understand the difference. 1,8 Feedback can be classified as formative but can often be confused or inadvertently blended with summative evaluations.…”

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confidence: 99%

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Providing Impactful Feedback to the Current Generation of Anesthesiology Residents

Parikh,

Jones

2024

International Anesthesiology Clinics

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Incentive policy for the comprehensive development of young medical talents: an evolutionary game study

Li,

He,

Huang

et al. 2024

Front. Public Health

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IntroductionCurrently in China, there is a lack of well-defined and viable incentive mechanisms at the governmental and hospital levels to support the development of young medical talents, thereby hindering their growth Existing studies primarily investigate the current state and trajectory of incentives, yet they inadequately address the distinctive characteristics of various stakeholders involved in medical talent incentive processes, particularly the lack of research on incentive mechanisms with Chinese attributes.MethodsThis study adopts evolutionary game theory to investigate the dynamics of replication and the strategies for achieving evolutionary stability in the comprehensive development of young medical talents, considering both scenarios with and without supportive policies.ResultsIn the absence of any supportive policy measures, the evolutionarily stable strategy (ESS) point is O(0,0), the unstable equilibrium point is C(1,1), and the saddle points are A(0,1), B(1,0). The initial state of the system is at the unstable equilibrium point C(1,1), which means that the young medical talents and medical institutions adopt a combination of strategies (actively seeking comprehensive development and taking incentive measures). Under the scenario with supportive policies, the ESS point is C(1,1), the unstable equilibrium point is O(0,0), and the saddle points are A(0,1), B(1,0). The initial state of the system is at the unstable equilibrium point O(0,0), which means that young medical talents and medical institutions adopt (N,N) strategy combinations (inactively seeking comprehensive development, implementing no incentive measure).Discussion(1) Government incentives play a crucial role in motivating young medical talents to seek comprehensive development. (2) The level of government incentive support for young medical talents should exceed the cost increment of individual efforts. Additionally, the policy support provided by the government to medical institutions should surpass the incentive support offered by these institutions to young medical talents. This will enhance the motivation and encouragement efforts of medical institutions in actively promoting comprehensive development among young medical talents. (3) With the backing of certain government incentive policies, medical institutions implementing incentive measures and young medical talents actively seeking comprehensive development will establish a virtuous cycle of mutual promotion.

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Advancements in Surgical Performance Evaluation and Feedback

Cited by 3 publications

References 32 publications

Gap analysis between trainees' subjective competencies and the competencies expected by instructors in urology: A need assessment survey in Japan

Gap analysis between trainees' subjective competencies and the competencies expected by instructors in urology: A need assessment survey in Japan

Providing Impactful Feedback to the Current Generation of Anesthesiology Residents

Incentive policy for the comprehensive development of young medical talents: an evolutionary game study

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