Measuring competence in Endoscopic Sinus Surgery

Video-Based Assessment of Operative Competency in Endoscopic Sinus Surgery

“…The aims of our study were to establish the feasibility and validity of the video-based use of our previously validated assessment tool for ESS. 8,14 In the current study a shortened version of the instrument, modified specifically for video-based assessment, showed statistically significant differences between junior (PGY-1, -2, and -3) and senior (PGY-4 and -5) residents. The inability of the instrument to discriminate between the residents from PGY-1 and PGY-2 can be attributed to the fact that the two PGY-2 residents who took part in the study were completing their research year at the time of the study and had had no more exposure to clinical rhinology than the PGY-1 residents.…”

Assessing Technical Competence in Surgical Trainees

“…One such practice is to use standard setting methodology adapted from other educational tests. [25][26][27] In this review, we found only 4 33,35,36,42 such studies, 3 in this category and 1 in the benchmark category, which attempted to establish standards to differentiate a pass/fail cutoff for technical competence for surgical trainees.…”

“…The global rating scale in the included studies assessed technical competence across multiple disciplines including, General Surgery 33,38-40 Gynecology, 41 Otolaryngology, 42 and Cardiac Surgery. 43 They used various platforms to acquire technical competence information and then utilized the global rating scale for assessment.…”

“…43 They used various platforms to acquire technical competence information and then utilized the global rating scale for assessment. These platforms included recorded 33,38,39 or live [40][41][42] assessments that were performed intraoperatively via a laparoscopic approach, open approach, or a da Vinci robot or live assessments that were performed on standardized bench model. 43 The task-specific scale in this section is in fact a Likert scale with task-specific components.…”

Danger points, complications and medico-legal aspects in endoscopic sinus surgery

“…The use of special evaluation forms is a tool for practical analysis of the actual competence of inexperienced sinus surgeons. Two special data forms have been validated (“Endoscopic Sinus Surgery Competence Assessment Tool ESSCAT” and “Endoscopic Sinus Surgery Assessment Tool”) [697], [698]. Due to the repeated use of these forms in the operation room, the evolving competence of the sinus surgeon can be analyzed, quantified and compared.…”