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Teaching and evaluating surgical skills.

L P Mandel1, G M Lentz, B A Goff

  • 1Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington 98185-6460, USA. lmandel@u.washington.edu

Obstetrics and Gynecology
|April 25, 2000
PubMed
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Most obstetrics-gynecology residency programs teach surgical skills in operating rooms and lectures, but only 29% have formal curricula. Surgical skills evaluation often relies on subjective methods with unknown validity.

Area of Science:

  • Medical Education
  • Surgical Training
  • Obstetrics and Gynecology

Background:

  • Surgical proficiency is critical for obstetrics-gynecology (OB/GYN) residents.
  • Standardized methods for teaching and evaluating surgical skills are essential for resident competency.
  • Current practices in OB/GYN residency programs require examination.

Purpose of the Study:

  • To investigate the current methodologies for teaching and evaluating surgical skills within US-based OB/GYN residency programs.
  • To assess the perceived importance of various surgical techniques and procedures at different training stages.

Main Methods:

  • A nationwide survey was distributed to directors of 266 OB/GYN residency programs.
  • The questionnaire focused on teaching methods, evaluation techniques, and the importance of specific skills.

Related Experiment Videos

  • Response rate was 76% from 203 programs.

    • Main Results:

    • 99% of programs teach surgical skills in operating rooms; 29% have formal curricula.
    • Programs with formal curricula more frequently utilized animal surgery labs and formal skills assessments.
    • Surgical skills evaluation predominantly used subjective faculty assessments (56%), with limited use of objective methods.

    Conclusions:

    • The majority of OB/GYN residency programs utilize operating rooms and lectures for surgical skills instruction.
    • A significant gap exists in the implementation of formal surgical curricula and objective evaluation methods.
    • Reliance on subjective evaluations for surgical skills assessment raises concerns about validity and reliability.