Making EPAs a 59 minute objective measure for surgical trainees – A pilot study
| Autor: | David R. Farley, Yazan N. AlJamal |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Time Factors Scoring system 020205 medical informatics business.industry Internship and Residency Pilot Projects Objective analysis Objective data 02 engineering and technology General Medicine Specialties Surgical 03 medical and health sciences 0302 clinical medicine Critical thinking 0202 electrical engineering electronic engineering information engineering Humans Medicine Surgery Medical physics Clinical Competence Prospective Studies 030212 general & internal medicine business Trauma resuscitation |
| Zdroj: | The American Journal of Surgery. 219:185-190 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2019.07.034 |
| Popis: | Introduction Accurately confirming surgical trainees have met the requirements of entrusted professional activities (EPAs) will require rigorous staff input. We pondered whether such simulation-driven evaluations might prove useful to the current ABS/APDS pilot effort on EPA analysis. Methods Our surgical trainees participate biannually in a 59-min simulation-based assessment (X-Games) which covers surgical technique, knowledge and critical thinking in a host of domains. The content and difficulty of the stations differed between the PGY levels. Only 4 EPA topics (inguinal hernia repair, appendectomy, cholecystectomy, and trauma resuscitation) were tabulated for this study. Results 16-PGY-2s, 8-PGY-3s, 10-PGY-4s, and 10-PGY-5s surgical residents completed the X-Games. Performance within and between PGY levels was variable. The mean(SD) EPA scores for all PGY levels are listed in Table- 1. Conclusion Analysis gleaned from a 59-min OSCE in a simulated-setting offers objective data that appears to have construct-validity. Refining our Surgical X-Games to cater to the specific EPA scoring system may better allow objective analysis of when trainees cross the threshold from “can do with some help” to “can do autonomously”. |
| Databáze: | OpenAIRE |
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