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Surgery resident selection and evaluation. A critical incident study.

J C Edwards1, M L Currie, T P Wade

  • 1Medical College of Wisconsin.

Evaluation & the Health Professions
|February 7, 1993
PubMed
Summary
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This study developed a structured process for selecting and evaluating general surgery residents using the Critical Incident Technique. Key behavioral categories for surgical competence were identified to improve interview and performance assessments.

Area of Science:

  • Medical Education
  • Personnel Psychology
  • Surgical Training

Background:

  • Effective selection and evaluation of general surgery residents are crucial for ensuring high-quality surgical care.
  • Existing methods may lack the reliability and validity needed for robust resident assessment.

Purpose of the Study:

  • To develop and implement a systematic approach for selecting and evaluating general surgery residents.
  • To define essential behavioral categories that constitute surgical competence.

Main Methods:

  • Conducted a job analysis of general surgery using the Critical Incident Technique (CIT).
  • Collected 235 critical incidents through interviews with faculty and senior residents.
  • Categorized incidents through a two-step sorting and naming process, reaching consensus on essential behavioral categories.

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Main Results:

  • Identified 12 essential categories of surgical competence: knowledge/self-education, clinical performance, diagnostic skills, surgical skills, communication skills, reliability, integrity, compassion, organization skills, motivation, emotional control, and personal appearance.
  • Developed interview and performance evaluation forms based on these categories.
  • Structured the interview process to enhance validity and reliability.

Conclusions:

  • The developed framework establishes a continuum of evaluation from selection through residency training.
  • Implementation of structured interviews and performance evaluations is ongoing and documented.
  • This systematic approach aims to improve the selection and ongoing assessment of surgical residents.