A taxonomy of perioperative surgical learning: Trending resident skill acquisition
| Autor: | Andi N. Peshkepija, Cheryl I. Anderson, Daniel E. Smith, Charles J. Yeo, Shawn H. Obi, Laura E. Tate, Alan T. Davis, Anthony S. Pozzessere, John C. Hardaway, Robert L. Osmer, Karen A. Chojnacki, Pam Haan, Nicolas Elliott, Lawrence Narkiewicz, Cody A. Nebeker, Joanna Y. Woo, Muhammad Ali, Jeffrey M. Gauvin, Francesco Palazzo, Michael K. McLeod, Rama N. Gupta, Keith A. Delman, Marc D. Basson, Rondi B. Gelbard, Christopher C. Pfeifer, Denny R. Martin, Robert G. Molnar |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Faculty Medical Databases Factual media_common.quotation_subject education Dreyfus model of skill acquisition 03 medical and health sciences 0302 clinical medicine Promotion (rank) Taxonomy (general) Milestone (project management) Humans Medicine 030212 general & internal medicine Curriculum media_common Medical education business.industry Internship and Residency General Medicine Perioperative United States Education Medical Graduate General Surgery 030220 oncology & carcinogenesis Female Surgery Clinical Competence Educational Measurement Tracking (education) business |
| Zdroj: | The American Journal of Surgery. 213:260-267 |
| ISSN: | 0002-9610 |
| Popis: | Resident and curriculum evaluation require tracking surgical resident operative performance, yet what and when to measure remains unclear.From a multi-institutional database, we reviewed 611 resident/surgeon-paired assessments of ACGME Milestones and modified OPRS ratings for different cases and postgraduate years.Faculty Milestone ratings increased with each PGY (p=0.001) and correlated with resident self-ratings (ICC = 0.83). Mean OPRS scores increased in small increments with substantial intra-year variability. Progression among individual OPRS subcategories was not apparent from more global analyses. Interestingly, male faculty offered lower ratings than female faculty.Milestones and modified mean OPRS ratings suggest residents are learning, yet lack sufficient discrimination for promotion or curricular analysis. Differential progression through OPRS subcategories suggests a taxonomy of surgical learning that can be tailored to focus on different skills at each point in the training continuum. The effect of faculty gender on resident ratings awaits further study. |
| Databáze: | OpenAIRE |
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