Passing a Technical Skills Examination in the First Year of Surgical Residency Can Predict Future Performance

Montbrun, Sandra de; Louridas, Marisa; Grantcharov, Teodor P.

doi:10.4300/jgme-d-16-00517.1

Cited by 4 publications

(2 citation statements)

References 31 publications

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“…Feasibility, including financial cost associated with different examination methods, is thus a major concern regarding high-quality specialty certification exams organized in resource-constrained contexts. Despite its relevance, we observe a relative scarcity of studies concerning this criterion [ 24 , 25 , 55 , 61 , 66 , 68 , 71 , 73 , 74 , 76 , 77 , 79 , 84 , 91 ].…”

Section: Discussionmentioning

confidence: 99%

Medical specialty certification exams studied according to the Ottawa Quality Criteria: a systematic review

Staudenmann,

Waldner,

Lörwald

et al. 2023

BMC Med Educ

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Background Medical specialty certification exams are high-stakes summative assessments used to determine which doctors have the necessary skills, knowledge, and attitudes to treat patients independently. Such exams are crucial for patient safety, candidates’ career progression and accountability to the public, yet vary significantly among medical specialties and countries. It is therefore of paramount importance that the quality of specialty certification exams is studied in the scientific literature. Methods In this systematic literature review we used the PICOS framework and searched for papers concerning medical specialty certification exams published in English between 2000 and 2020 in seven databases using a diverse set of search term variations. Papers were screened by two researchers independently and scored regarding their methodological quality and relevance to this review. Finally, they were categorized by country, medical specialty and the following seven Ottawa Criteria of good assessment: validity, reliability, equivalence, feasibility, acceptability, catalytic and educational effect. Results After removal of duplicates, 2852 papers were screened for inclusion, of which 66 met all relevant criteria. Over 43 different exams and more than 28 different specialties from 18 jurisdictions were studied. Around 77% of all eligible papers were based in English-speaking countries, with 55% of publications centered on just the UK and USA. General Practice was the most frequently studied specialty among certification exams with the UK General Practice exam having been particularly broadly analyzed. Papers received an average of 4.2/6 points on the quality score. Eligible studies analyzed 2.1/7 Ottawa Criteria on average, with the most frequently studied criteria being reliability, validity, and acceptability. Conclusions The present systematic review shows a growing number of studies analyzing medical specialty certification exams over time, encompassing a wider range of medical specialties, countries, and Ottawa Criteria. Due to their reliance on multiple assessment methods and data-points, aspects of programmatic assessment suggest a promising way forward in the development of medical specialty certification exams which fulfill all seven Ottawa Criteria. Further research is needed to confirm these results, particularly analyses of examinations held outside the Anglosphere as well as studies analyzing entire certification exams or comparing multiple examination methods.

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Section: Discussionmentioning

confidence: 99%

Medical specialty certification exams studied according to the Ottawa Quality Criteria: a systematic review

Staudenmann,

Waldner,

Lörwald

et al. 2023

BMC Med Educ

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“…22,23 In the simulation setting all three methods have been successfully used to set pass/fail scores for bench top model. 24 In the operating room, Szasz et al utilized the contrasting groups methods to set a competency threshold for laparoscopic cholecystectomy, while using the GRS tool OSATS to assess performance. 25 The authors demonstrated that these sound methodologic techniques can successfully be used to set a competency threshold for performance within the operating room.…”

Section: Standard Settingmentioning

confidence: 99%

Competency-Based Education in Minimally Invasive and Robotic Colorectal Surgery

Louridas

Montbrun

2021

Clin Colon Rectal Surg

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Minimally invasive and robotic techniques have become increasingly implemented into surgical practice and are now an essential part of the foundational skills of training colorectal surgeons. Over the past 5 years there has been a shift in the surgical educational paradigm toward competency-based education (CBE). CBE recognizes that trainees learn at different rates but regardless, are required to meet a competent threshold of performance prior to independent practice. Thus, CBE attempts to replace the traditional “time” endpoint of training with “performance.” Although conceptually sensible, implementing CBE has proven challenging. This article will define competence, outline appropriate assessment tools to assess technical skill, and review the literature on the number of cases required to achieve competence in colorectal procedures while outlining the barriers to implementing CBE.

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A simulation-based selection process for trying to identify medical students who will become outstanding general surgery residents

AlJamal

Prabhakar

Rivera

et al. 2020

The American Journal of Surgery

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Passing a Technical Skills Examination in the First Year of Surgical Residency Can Predict Future Performance

Abstract: Background The ability of an assessment to predict performance would be of major benefit to residency programs, allowing for early identification of residents at risk.

Cited by 4 publications

References 31 publications

Medical specialty certification exams studied according to the Ottawa Quality Criteria: a systematic review

Medical specialty certification exams studied according to the Ottawa Quality Criteria: a systematic review

Competency-Based Education in Minimally Invasive and Robotic Colorectal Surgery

A simulation-based selection process for trying to identify medical students who will become outstanding general surgery residents

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