Consultant surgeons' opinion of the skills required of basic surgical trainees

Baldwin, P. J.; Paisley, Anna; Brown, S. Paterson

doi:10.1046/j.1365-2168.1999.01169.x

Cited by 123 publications

(69 citation statements)

References 6 publications

(3 reference statements)

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“…Obviously, passing a motor skills test on its own does not guarantee that the individual is competent in all the required domains. Good motor skills are only one of the necessary requirements to become a competent laparoscopic surgeon [16,17]. On the other hand, if a trainee is unable to pass a validated simulation test or demonstrate improvement during training, then a surgical career is questionable.…”

Section: Discussionmentioning

confidence: 99%

Incorporation of proficiency criteria for basic laparoscopic skills training: how does it work?

et al. 2008

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Background It is desirable that surgical trainees are proficient in basic laparoscopic motor skills (eye-hand coordination). The present study evaluated the use of predefined proficiency criteria on a basic virtual reality (VR) simulator in preparation for a laparoscopic course on animal models. Methods Twenty-eight surgical trainees who enrolled for a basic laparoscopic course were trained on a basic (VR) simulator until their performance met predefined criteria. Two different criteria were defined, based on the performance of experienced laparoscopic surgeons on the simulator. In the first group (n = 10), the criteria were set at the 75th percentile of the laparoscopic surgeons' performance on the simulator and in the second group, at the 50th percentile (n = 18). Training time and number of attempts needed until the performance criteria were met were measured. Results In the first group, training time needed to pass the test ranged from 29 to 77 min (median: 63 min) with a range of 43-90 attempts (median 61 attempts). In the second group, training time ranged from 38 to 180 min (median 80 min) with a range of 55-233 attempts (median 95 attempts). Experience with assisting or performing laparoscopic procedures varied widely and was not correlated with the training time and number of attempts needed to pass the criteria. Conclusions The performance criteria for training laparoscopic motor skills on a (VR) simulator resulted in wide variation between surgical trainees in time and number of attempts needed to pass the criteria. This demands training courses with a flexible time span tailored to the individual level of the trainee.

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Section: Discussionmentioning

confidence: 99%

Incorporation of proficiency criteria for basic laparoscopic skills training: how does it work?

et al. 2008

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“…This checklist's content was systematically derived using a Delphi survey of surgeons in Scotland to establish the 'essential' technical skills required of trainees. 71 The OpComp form was shown to have good construct validity, and trainers found it simple to complete. 68 Although an advance, there were aspects of this method that undermined its reliability.…”

Section: Opcompmentioning

confidence: 99%

Assessing the surgical skills of trainees in the operating theatre: a prospective observational study of the methodology

Beard

Marriott²,

Purdie³

et al. 2011

Health Technol Assess

100

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTAAssessing the surgical skills of trainees in the operating theatre: a prospective observational study of the methodology NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA program...

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“…Y eso sólo puede lograrse mediante un programa de enseñan-za acorde con los contenidos teóricos y correlacionados con la práctica misma, que debe ser evalua- 23 . Las cualidades deseables de encontrar en los cirujanos son 24 la destreza, su capacidad de decisión, poseer buena pericia técnica, habilidad de trabajar en equipo y de resolver problemas. Para asegurar estas características, es imprescindible definir los métodos que aseguren su aprendizaje y especificar su forma de evaluación.…”

Section: Discussionunclassified

“…La realización apropiada de las incisiones operatorias, por ejemplo, su real ubicación espacial al emplear el instrumental elegido o el desempeño ordenado sin exceso del número de intentos para completar un gesto quirúrgico se destacaron como buenos, coincidentes con otros autores que encuestaban a cirujanos consultores que destacaban estas mismas cualidades con deducciones similares 24,61 . Los resultados aquí presentados, si bien pueden considerarse de un valor relativo dentro de un programa general de una residencia quirúrgica, nunca antes habían sido puestos en evidencia en nuestro país con una estimación cuantitativa simple y de fácil recolección.…”

Section: Discussionunclassified

Estudio observacional de habilidades quirúrgicas en residentes

Arribalzaga

Jacovella

2006

Educ. méd.

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Introducción: existen actualmente "agujeros negros" en la transmisión de conocimientos aplicables que obligan a poner atención en los mecanismos de adquisición de destrezas y habilidades. El objetivo es evaluar características cualitativas de las habilidades en 2 tipos de procedimientos técnicos básicos al alcance de un cirujano general. Material y Métodos: estudio preliminar exploratorio observacional prospectivo en un Hospital Universitario consistente en la observación de los pasos de una toracotomía axilar o una dermolipectomía abdominal anterior con neo ombligo. Se analizó la práctica de las operaciones programadas, no discriminando que médicos residentes las habían efectuado. Los datos se medían en una lista de cotejos con una escala tipo Likert modificada de 3 items. Cada paso de la técnica observada era evaluado sin considerar el tiempo de duración de cada maniobra. Los evaluadores eran ajenos al equipo quirúrgico actuante ubicados donde no se los veía (en miradores) para evitar sesgos o maniobras que afectaran la actividad. Se usaron pruebas estadísticas de ANOVA y prueba de t para detectar validez y diferencias en los resultados.Resultados: observada una toracotomía, todos los pasos quirúrgicos fueron evaluados por encima del valor 2 (bueno), sin variaciones en el desarrollo de cada paso ni existir diferencias significativas en la comparación de destrezas. Similares resultados se hallaron en la observación de la otra técnica. Conclusiones: con un sencillo método de observación directa inadvertida por el evaluado con criterios específicos se hizo un diagnóstico de situación demostrando la existencia de habilidades adquiridas en cirujanos en formación durante programas de residencia. Palabras clave: cirugía-enseñanza-residencia -habilidadesevaluaciónIntroduction: Some " black holes" in the knowledge transmission process, suggest to pay attention on the correct way to acquire specific surgical skills. The objective is to evaluate qualitative features of main surgical skills in two basis surgical techniques performed by residents. Material and method: Observational prospective preliminary study in University Hospital, in both thoracotomy and abdominoplasty performed. Through a modified comparison Likert scale, specific maneuvers were evaluated. Observers did not know surgeons identity. Statistical analysis (ANOVA and Student t test) was used to detect results validity and differences. Results: Both surgical techniques obtainded a number 2 value (good), without significant differences between them.

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Consultant surgeons' opinion of the skills required of basic surgical trainees

Cited by 123 publications

References 6 publications

Incorporation of proficiency criteria for basic laparoscopic skills training: how does it work?

Incorporation of proficiency criteria for basic laparoscopic skills training: how does it work?

Assessing the surgical skills of trainees in the operating theatre: a prospective observational study of the methodology

Estudio observacional de habilidades quirúrgicas en residentes

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