Remote evaluation of laparoscopic performance using the global operative assessment of laparoscopic skills

Choy, Ian; Fecso, Andras B.; Kwong, Josephine; Jackson, T.D.; Okrainec, Allan

doi:10.1007/s00464-012-2456-4

Cited by 29 publications

(16 citation statements)

References 20 publications

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“…15 This assessment tool has been validated for use to evaluate the performance of general surgery trainees, but it has not been used to evaluate trainees in other surgical fields. 2,3,8 Our study represents the first effort to implement this rating scale for evaluation of neurosurgery resident performance in the operating room. This rating scale can be used to direct feedback following a case, track resident progress during the course of the rotation, and give the residency training program information about areas in which there may be gaps in education.…”

Section: Discussion Rationale For Establishing a Rating Toolmentioning

confidence: 99%

Use of a formal assessment instrument for evaluation of resident operative skills in pediatric neurosurgery

Hadley

Lam

Briceño

et al. 2015

PED

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OBJECT Currently there is no standardized tool for assessment of neurosurgical resident performance in the operating room. In light of enhanced requirements issued by the Accreditation Council for Graduate Medical Education’s Milestone Project and the Matrix Curriculum Project from the Society of Neurological Surgeons, the implementation of such a tool seems essential for objective evaluation of resident competence. Beyond compliance with governing body guidelines, objective assessment tools may be useful to direct early intervention for trainees performing below the level of their peers so that they may be given more hands-on teaching, while strong residents can be encouraged by faculty members to progress to conducting operations more independently with passive supervision. The aims of this study were to implement a validated assessment tool for evaluation of operative skills in pediatric neurosurgery and determine its feasibility and reliability. METHODS All neurosurgery residents completing their pediatric rotation over a 6-month period from January 1, 2014, to June 30, 2014, at the authors’ institution were enrolled in this study. For each procedure, residents were evaluated by means of a form, with one copy being completed by the resident and a separate copy being completed by the attending surgeon. The evaluation form was based on the validated Objective Structured Assessment of Technical Skills for Surgery (OSATS) and used a 5-point Likert-type scale with 7 categories: respect for tissue; time and motion; instrument handling; knowledge of instruments; flow of operation; use of assistants; and knowledge of specific procedure. Data were then stratified by faculty versus resident (self-) assessment; postgraduate year level; and difficulty of procedure. Descriptive statistics (means and SDs) were calculated, and the results were compared using the Wilcoxon signed-rank test and Student t-test. A p value < 0.05 was considered statistically significant. RESULTS Six faculty members, 1 fellow, and 8 residents completed evaluations for 299 procedures, including 32 ventriculoperitoneal (VP) shunt revisions, 23 VP shunt placements, 19 endoscopic third ventriculostomies, and 18 craniotomies for tumor resection. There was no significant difference between faculty and resident self-assessment scores overall or in any of the 7 domains scores for each of the involved residents. On self-assessment, senior residents scored themselves significantly higher (p < 0.02) than junior residents overall and in all domains except for “time and motion.” Faculty members scored senior residents significantly higher than junior residents only for the “knowledge of instruments” domain (p = 0.05). When procedure difficulty was considered, senior residents’ scores from faculty members were significantly higher (p = 0.04) than the scores given to junior residents for expert procedures only. Senior residents’ self-evaluation scores were significantly higher than those of junior residents for both expert (p = 0.03) and novice (p = 0.006) procedures. CONCLUSIONS OSATS is a feasible and reliable assessment tool for the comprehensive evaluation of neurosurgery resident performance in the operating room. The authors plan to use this tool to assess resident operative skill development and to improve direct resident feedback.

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Section: Discussion Rationale For Establishing a Rating Toolmentioning

confidence: 99%

Use of a formal assessment instrument for evaluation of resident operative skills in pediatric neurosurgery

Hadley

Lam

Briceño

et al. 2015

PED

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“…Previous studies have reported an important role in structured mentorship with feedback for the performance in laparoscopic cholecystectomy . In these studies, feedback was given by video‐review of the surgery.…”

Section: Discussionmentioning

confidence: 99%

“…One study stressed the importance of structured mentorship with feedback, by showing that simulator training, if not combined with feedback, does not improve learning . Moreover, structured mentorship with feedback has been shown to enhance performance in laparoscopic cholecystectomy .…”

Section: Introductionmentioning

confidence: 99%

Simulator training and non‐technical factors improve laparoscopic performance among OBGYN trainees

Ahlborg

Hedman

Nisell

et al. 2013

Acta Obstet Gynecol Scand

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“…12,13 These surgical GRS tools have been shown to accurately differentiate between varying levels of experience in anesthetists performing skills within regional anesthesia. 14 A GRS and a Checklist have been validated in regional anesthesia in 2 previous studies.…”

Section: Discussionmentioning

confidence: 99%

A Valid and Reliable Assessment Tool for Remote Simulation-Based Ultrasound-Guided Regional Anesthesia

Laurent

Niazi

Cunningham

et al. 2014

Regional Anesthesia and Pain Medicine

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Remote evaluation of laparoscopic performance using the global operative assessment of laparoscopic skills

Cited by 29 publications

References 20 publications

Use of a formal assessment instrument for evaluation of resident operative skills in pediatric neurosurgery

Use of a formal assessment instrument for evaluation of resident operative skills in pediatric neurosurgery

Simulator training and non‐technical factors improve laparoscopic performance among OBGYN trainees

A Valid and Reliable Assessment Tool for Remote Simulation-Based Ultrasound-Guided Regional Anesthesia

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