Surgical resident technical skill self-evaluation: increased precision with training progression

Quick, Jacob; Kudav, Vishal; Doty, Jennifer; Crane, Megan; Bukoski, Alex; Bennett, Bethany J.; Barnes, Stephen L.

doi:10.1016/j.jss.2017.05.070

Cited by 37 publications

(35 citation statements)

References 17 publications

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“…As Ward et al has demonstrated, surgical trainees with more experience are more often likely to be reflective and critical of their clinical and technical skills compared with less experienced trainees 27. This feedback both from a self-reflection and direct consultant staff participation may represent another effective tool to further grow and develop expert and proficient neuromodulation skills for our trainees 26…”

Section: Discussionmentioning

confidence: 95%

“…Given such concerns, there has been a change in practice with the development of a competency-based training across many of the surgical fields focusing on essential development of skills and performance 25. Using a model where the trainee can learn directly from an expert and reflect on their experience is an important aspect of procedural-based learning 26. The goal of all medical trainees is to ensure competence to effectively and safely care for a patient.…”

Section: Discussionmentioning

confidence: 99%

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Pain medicine fellow neuromodulation surgical skill assessment tool: a pilot

Pittelkow

Hagedorn

Eldrige

et al. 2019

Reg Anesth Pain Med

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ObjectiveSpinal cord stimulation (SCS) is an evidence-based therapy for the treatment of refractory pain. Current American College of Graduate Medical Education requirements for pain medicine fellowship graduation include observation of five neuromodulation cases. Matriculating fellows have varying degrees of technical skill, training, and experience. The purpose of this study was to use an innovative skill-based assessment tool using the validated Zwisch scale to evaluate fellow surgical performance during SCS cases.DesignCross-sectional surveySettingMayo Clinic, Rochester, Minnesota.SubjectsConsultant faculty (10) in the Division of Pain Medicine and pain medicine fellows (5).MethodsA list of faculty-driven neuromodulation surgical objectives was formed and a rubric was created that focused on technical approach, imaging, epidural access and wound closure. Consultants who perform surgical cases were instructed to use the Zwisch scale as a guide to evaluate fellow surgical performance during a neuromodulation case. Faculty and fellows were surveyed before and after implementation of the tool to determine their satisfaction with use of the skill assessment tool.ResultsThe consultants reported they were more satisfied, consistent, and efficient with feedback provided to the trainee on every aspect of neuromodulation surgical cases. The improvement was most significant during the fellows’ intraoperative skill assessment. The fellows indicated increased satisfaction, improved communication, and increased efficiency of feedback when the tool was utilized. The fellows reported greater intraoperative skill assessment and consistency of feedback provided.ConclusionsThe diverse nature of primary specialty backgrounds observed in pain medicine fellowship training offers a unique opportunity to assess and improve fellow skill and surgical competence in the field of neuromodulation. Both faculty and fellows reported improved satisfaction, consistency and efficiency with feedback provided. Importantly, this pilot project observed that implementation of a skill assessment tool was beneficial for both the faculty and fellow as the feedback received was viewed as strongly beneficial to the educational experience.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Pain medicine fellow neuromodulation surgical skill assessment tool: a pilot

Pittelkow

Hagedorn

Eldrige

et al. 2019

Reg Anesth Pain Med

View full text Add to dashboard Cite

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“…This aligns with findings from studies in the healthcare field reporting that less-experienced trainees or novice practitioners tend to over-or-underestimate their competence compared to those with more experience or training who demonstrate higher self-assessment precision. [26,27] 3.3 Cultural awareness and sensitivity CAS subscale scores improved significantly in both groups (see Table 2). The cultural simulation experience group had a greater improvement in the CAS subscale scores than the cultural case-based learning group, however, there was no significant difference between the groups, t(78) = -1.369, p = .175.…”

Section: Perceived Cultural Competencementioning

confidence: 89%

Improving nursing student cultural competence: Comparing simulation to case-based learning

Chung

Jarvill²

2019

JNEP

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Background: Cultural competence encompasses knowledge, skills, and comfort in caring for patients from diverse cultures and is a core competency in providing patient-centered care. Simulation provides an opportunity to expose students to diverse cultures. Case-based learning has been effective in improving nursing student communication and problem-solving skills, but no research describes its use in cultural education. The purpose of this study was to compare the effect of simulation to case-based learning on nursing students’ perceived cultural competence, awareness, and sensitivity.Methods: Eighty baccalaureate nursing students were randomly assigned to a simulation experience or case-based learning exercise. The Cultural Competence Assessment Survey was used to measure perceived cultural competence, awareness, and sensitivity. Results: Both simulation and case-based learning improved nursing student perceived cultural awareness and sensitivity. Case-based learning improved perceived cultural competence.Conclusions: Integration of cultural learning opportunities into nursing education provides a foundation for continued development of cultural competence.

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“…In complicated tasks, such as aviation and surgery, the addition of multiple factors (patient condition, disease severity, operating room (OR) environment, complexity of the procedure, etc.) is invariably associated with increased cognitive load, which subsequently influences learning [11,22,23,25,26]. The cognitive load is defined as the information processed by the working memory, which is limited in its capacity to process information [27].…”

Section: Discussionmentioning

confidence: 99%

Cognitive training for robotic surgery: a chance to optimize surgical training? A pilot study

et al. 2020

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The rapid rise of robotic-assisted surgery (RAS) has necessitated an efficient and standardized training curriculum. Cognitive training (CT) can significantly improve skills, such as attention, working memory and problem solving, and can enhance surgical capacity and support RAS training. This pilot study was carried out between 02/2019 and 04/2019. The participants included 33 student volunteers, randomized into 3 groups: group 1 received training using the da Vinci training simulator, group 2 received computer-based cognitive training, and group 3 was the control group without training. Before (T1) and after-training (T2), performance was measured. Additionally, expert ratings and self-evaluations were collected. Subjective evaluations of performance were supplemented by evaluations based on three scales from the revised NEO Personality Inventory (NEO PI-R). In total, 25 probands remained with complete data for further analyses: n = 8 (group 1), n = 7 (group 2) and n = 10 (group 3). There were no significant differences in T1 and T2 among all three groups. The average training gain of group 1 and 2 was 15.87% and 24.6%, respectively, (a restricting condition is the loss of the last training session in group 2). Analyses of semi-structured psychological interviews (SPIs) revealed no significant differences for T1, but in T2, significance occurred at ‘self-reflection’ for group 2 (F(2.22) = 8.56; p < .005). The efficacy of CT in training highly complex and difficult procedures, such as RAS, is a proven and accepted fact. Further investigation involving higher numbers of training trials (while also being cost effective) should be performed.

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Surgical resident technical skill self-evaluation: increased precision with training progression

Cited by 37 publications

References 17 publications

Pain medicine fellow neuromodulation surgical skill assessment tool: a pilot

Pain medicine fellow neuromodulation surgical skill assessment tool: a pilot

Improving nursing student cultural competence: Comparing simulation to case-based learning

Cognitive training for robotic surgery: a chance to optimize surgical training? A pilot study

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