Objective method to evaluate the competency of residents in cardiac surgery

Abstract

OBJECTIVES Cardiac surgery training has become more challenging as patients and their diagnoses become more complex. Our goal was to develop a multicategorical assessment model for evaluating residents in cardiac surgery. This model is intended to ensure goal-directed progress in their training as well as to recognize and support their surgical talents. METHODS We developed a new questionnaire in a multistage, 3-round process based on the Delphi method ‘estimate-talk-estimate’, using 55 competencies, including 38 general and 17 domain-specific competencies. Each competency is evaluated with 1 or more questions, to which 1 (not competent) to 6 (very competent) points can be chosen as an answer. RESULTS The resulting model achieved 2 main goals: first, presenting a well-defined competency list for cardiac surgical training and second, providing an objective and realistic evaluation of trainees’ abilities. Residents were assessed by all trainers to achieve a high level of objectivity. CONCLUSIONS This evaluation model is highly objective, because residents are evaluated by multiple trainers. It allows individual support and enables better transparency in residency training. Talents and skills are evaluated, recognized and adopted as a base for individual feedback and personalized training programmes.

Construction of a Competency Model for Occupational Health Post for Chinese Medical Students

“…The Onion Model is a structure that summarizes competencies from the inside out as layers wrapped into intrinsic and extrinsic factors. The most central is motivation, then unfolds outward in order as personality, self-image, values, social roles, attitudes, knowledge and skills [30][31][32]. In the onion diagram, from the inner layer to the outer layer, you can observe the primary and secondary of various traits.…”

Disturbed Lipid Metabolism in Diabetic Patients with Manifest Coronary Artery Disease Is Associated with Enhanced Inflammation

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