Significance of Objective Structured Clinical Examinations to Plastic Surgery Residency Training

Simmons, Brian J.; Zoghbi, Yasmina; Askari, Morad; Birnbach, David J.; Shekhter, Ilya; Thaller, Seth R.

doi:10.1097/sap.0000000000001107

Cited by 7 publications

(4 citation statements)

References 16 publications

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“…In-service scores are modestly predictive of performance on the American Board of Plastic Surgery written examination. 11,12 Plastic surgery clinical competency committees should consider how additional assessment methods might add value to their deliberations (e.g., quality improvement projects, error reporting, objective structured clinical exams, 13 postprocedure assessments, 5,14 morbidity and mortality reporting, 15 oral examinations, simulation, 16 resident milestone self-assessments). 17,18 Some of these are already ACGME requirements for residents to fulfill and thus are data points that are already available for committees to collect.…”

Section: Survey Resultsmentioning

confidence: 99%

The Accreditation Council for Graduate Medical Education Milestones in Integrated Plastic Surgery Programs: How Competency-Based Assessment Has Been Implemented

Kearney¹,

Rokni²,

Gosain³

2022

Plastic &Amp; Reconstructive Surgery

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Background: The plastic surgery milestones are a central component of resident assessment. The authors performed a survey to evaluate how milestones have been implemented across integrated plastic surgery programs and how faculty perceive the Milestones Project has impacted their program. Methods: A 25-question survey was directed to the head of the clinical competency committee of all 82 integrated plastic surgery programs through the American Council of Academic Plastic Surgeons. The survey queried the composition of the committee, how ratings are generated, and the data used in generating these ratings. Results: Committee leaders from 57 programs (69.5 percent) responded to the survey. For most programs (73 percent), one faculty member completed milestone ratings for each resident and reviewed them with the residents. To determine milestone ratings, 92 percent utilized resident assessment after every rotation, and 63 percent utilized in-service examination scores. For documented resident assessment overall, 96 percent of programs assess residents after every rotation; 37 percent asses after every procedure. Feedback is most frequently provided to residents after every rotation (52 percent), rather than only during committee reviews (32 percent) or after every documented assessment (16 percent). Sixty-four percent of respondents did not believe that milestones have helped in the mentorship role. Conclusions: Implementation of the milestones has varied among integrated plastic surgery programs. Structured training for core faculty directed to methods of assessment will make milestones a more effective a tool by which to improve resident evaluation and education. These findings provide a key data set by which to revise the milestones for their second iteration.

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Section: Survey Resultsmentioning

confidence: 99%

The Accreditation Council for Graduate Medical Education Milestones in Integrated Plastic Surgery Programs: How Competency-Based Assessment Has Been Implemented

Kearney¹,

Rokni²,

Gosain³

2022

Plastic &Amp; Reconstructive Surgery

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“…Given the benefits yielded among medical students, it seems natural that these tools would extend to residency training. Indeed, many specialties including surgical specialties have successfully tested and implemented OSCEs within their training programs 34. However, there has been limited research and testing of OSCEs within plastic surgery.…”

Section: Assessment Tools With Applications For Plastic Surgerymentioning

confidence: 99%

“…Indeed, many specialties including surgical specialties have successfully tested and implemented OSCEs within their training programs. 34 However, there has been limited research and testing of OSCEs within plastic surgery.…”

Section: Standardized Patients and Objective Structured Clinical Exam...mentioning

confidence: 99%

Competency-Based Education: Will This be the New Training Paradigm in Plastic Surgery?

Reddy

Applebaum

Gosain

2022

Journal of Craniofacial Surgery

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The Accreditation Council for Graduate Medical Education created the “Next Accreditation System” in 2013 requiring residents to meet educational milestones based on core competencies over the course of their training. The 6 core competencies include patient care and technical skills, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. Since the traditional time-based model requires a predetermined length of training irrespective of learning style, pace, or activity, a competency-based model is appealing because it refocuses education on deliberate and relevant skills acquisition and retention. Plastic surgery has been slowly transitioning to competency-based education (CBE), thereby permitting residents to learn at their own pace to master each competency. We performed a nonsystematic literature review of the efficacy of CBE and implementation efforts, particularly within plastic surgery. The literature revealed perceived barriers to implementation, as well as the nuts and bolts of implementation. We highlighted possible solutions and training tools with practical applications in plastic surgery. Success of CBE in plastic surgery requires instituting a transparent process that involves continuously piloting multiple assessment tools and a discussion of related costs. CBE may be particularly appealing for trainees focused on further training in craniofacial or pediatric plastic surgery after completion of an integrated or independent training program in plastic surgery to allow them to focus on their career interests once competence is achieved in the core skills required of a plastic surgeon.

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“…But, considering the educational objectives, it is essential to create a variety of stations, checklists, and scenarios. Hence, medical schools have progressively endeavored to enhance the quality of this examination by devising different scenarios and stations tailored to students' educational levels, with appropriate scoring rubrics and trained evaluators [ [19] , [20] , [21] , [22] ].…”

Section: Introductionmentioning

confidence: 99%

OSABSS: An authentic examination for assessing basic surgical skills in surgical residents

Sadati,

Edalattalab,

Hajati

et al. 2024

Surgery Open Science

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Significance of Objective Structured Clinical Examinations to Plastic Surgery Residency Training

Cited by 7 publications

References 16 publications

The Accreditation Council for Graduate Medical Education Milestones in Integrated Plastic Surgery Programs: How Competency-Based Assessment Has Been Implemented

The Accreditation Council for Graduate Medical Education Milestones in Integrated Plastic Surgery Programs: How Competency-Based Assessment Has Been Implemented

Competency-Based Education: Will This be the New Training Paradigm in Plastic Surgery?

OSABSS: An authentic examination for assessing basic surgical skills in surgical residents

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