Assessment of Anatomical Knowledge and Core Trauma Competency Vascular Skills

Autor:	Hegang Chen, Colin F. Mackenzie, Babak Sarani, Stacy Shackelford, Kristy Pugh, Sharon Henry, Evan Garofalo, Guinevere Granite, Mark W. Bowyer, Nyaradzo Longinaker, Jason Pasley, Valerie L. Shalin, Adam C. Puche
Rok vydání:	2018
Předmět:	Adult Male medicine.medical_specialty Educational measurement medicine.medical_treatment Femoral artery 030230 surgery Fasciotomy Likert scale 03 medical and health sciences 0302 clinical medicine Axillary artery medicine.artery medicine Humans Brachial artery Surgeons Core (anatomy) Maryland business.industry Public Health Environmental and Occupational Health Internship and Residency 030208 emergency & critical care medicine General Medicine Anatomical knowledge Physical therapy Female Clinical Competence Educational Measurement Anatomy business Vascular Surgical Procedures
Zdroj:	Military Medicine. 183:66-72
ISSN:	1930-613X 0026-4075
Popis:	Objectives Surgical residents express confidence in performing specific vascular exposures before training, but such self-reported confidence did not correlate with co-located evaluator ratings. This study reports residents' self-confidence evaluated before and after Advanced Surgical Skills for Exposure in Trauma (ASSET) cadaver-based training, and 12-18 mo later. We hypothesize that residents will better judge their own skill after ASSET than before when compared with evaluator ratings. Methods Forty PGY2-7 surgical residents performed four procedures: axillary artery (AA), brachial artery (BA), femoral artery exposure and control (FA), and lower extremity fasciotomy (FAS) at the three evaluations. Using 5-point Likert scales, surgeons self-assessed their confidence in anatomical understanding and procedure performance after each procedure and evaluators rated each surgeon accordingly. Results For all the three evaluations, residents consistently rated their anatomical understanding (p < 0.04) and surgical performance (p < 0.03) higher than evaluators for both FA and FAS. Residents rated their anatomical understanding and surgical performance higher (p < 0.005) than evaluators for BA after training and up to 18 mo later. Only for third AA evaluation were there no rating differences. Conclusions Residents overrate their anatomical understanding and performance abilities for BA, FA, and FAS even after performing the procedures and being debriefed three times in 18 mo.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::695d85a9bfaae7eeb80d95d93c95db58 https://doi.org/10.1093/milmed/usx151 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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