Introduction of a Structured Assessment of Clinical Competency for Fellows in Gynecologic Oncology: A Pilot Study

Abstract

Background: Gynecologic oncology surgery is recognized as a highly complex surgical specialty. Technical skill is the most critical expertise that a gynecology oncologist must acquire. Objective assessment of these skills is both valuable and necessary. Objectives: This observational cohort study study had two objectives: (1) to demonstrate the feasibility of running national assessments for technical and communication skills for gynecologic oncology fellows (GOFs) in an annual conference setting; and (2) to demonstrate the design of a technical-skills assessment examination relevant to GOFs. Materials and Methods: All fellows in attendance at the conference were invited to participate in the Objective Assessment of Technical Skills (OSATS) study. Expert examiners evaluated each skills station. Results: Eight, of a possible 14, volunteer fellows participated in the pilot test. There was a statistical difference between candidates for laparoscopic vault closure ( p = 0.029). The global rating scale was able to determine a statistically significant difference skill level between Year 1 and Year 2 fellows ( p = 0.016). Laparoscopic suturing and breaking bad news were the competencies identified as requiring most improvement for fellows. Conclusions: It is feasible to assess GOFs' technical and communication skills objectively as part of a national continuing education meeting. Devoting further resources to objective skills evaluation is justified for GOFs. ( J GYNECOL SURG 31:17)