Assessment of surgical competence
Open Access
- 1 December 2001
- Vol. 10 (Supplement), ii64-ii69
- https://doi.org/10.1136/qhc.0100064..
Abstract
This paper examines the issues that arise in the broad area of competence assessment in surgical practice, with particular reference to the objective assessment of technical skill which has historically been the weakest aspect of assessment in surgical training. To facilitate a thorough appraisal of competence, a simple model of surgical practice is advanced, followed by a review of both current and experimental methods of assessing technical skill. The review comprises not only the published literature, but also work (both from the authors' and other groups) that is in progress or under consideration for publication. Significant issues in the implementation of these new technologies, especially the necessary further validation, and the imperative to demonstrate that the process introduced does indeed improve the outcomes are discussed.Keywords
This publication has 21 references indexed in Scilit:
- The challenge of objective assessment of surgical skillThe American Journal of Surgery, 2001
- The role of simulation in surgical training.2000
- A comprehensive examination for senior surgical residentsThe American Journal of Surgery, 2000
- The effect of a second-generation 3D endoscope on the laparoscopic precision of novices and experienced surgeonsSurgical Endoscopy, 1999
- Objective assessment of surgical dexterity using simulatorsHospital Medicine, 1999
- Early experience and validation work with Procedicus VA--the Prosolvia virtual reality shoulder arthroscopy trainer.1999
- The Objective Structured Clinical Examination The New Gold Standard for Evaluating Postgraduate Clinical PerformanceAnnals of Surgery, 1995
- Guidelines for estimating the real cost of an objective structured clinical examinationAcademic Medicine, 1993
- Teaching and testing technical skillsThe American Journal of Surgery, 1993
- A new approach to a final examination in surgery. Use of the objective structured clinical examination.1979