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Related Experiment Videos

Technical skills continue to improve beyond surgical training.

Vikas Pandey1, John H N Wolfe, Krishna Moorthy

  • 1Regional Vascular Unit, Imperial College, St. Mary's Hospital, London, United Kingdom.

Journal of Vascular Surgery
|March 8, 2006
PubMed
Summary

Surgical technical competence improves beyond consultancy, with generic skills showing continued gains. The Imperial College Evaluation of Procedure-Specific Skill (ICEPS) rating scale effectively measures these improvements.

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Area of Science:

  • Surgical Education and Training
  • Medical Simulation
  • Assessment of Surgical Skills

Background:

  • Growing emphasis on objectively measuring surgical technical competence.
  • Previous studies indicate a plateau in surgical skill with operator experience.
  • Need for validated tools to assess surgical proficiency across experience levels.

Purpose of the Study:

  • To evaluate the technical competence of surgeons across five experience levels.
  • To validate the Imperial College Evaluation of Procedure-Specific Skill (ICEPS) rating scale.
  • To assess the construct validity and inter-observer reliability of the ICEPS scale.

Main Methods:

  • Fifty surgeons performed a saphenofemoral junction ligation on a synthetic groin model.
  • Procedures were videotaped and independently reviewed by three blinded assessors.

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  • Performance was assessed using a generic global rating scale and the procedure-specific ICEPS scale.

    • Main Results:

    • Both rating scales showed significant improvement with increasing surgical experience (P < .001).
    • High inter-observer reliability was demonstrated for both generic (alpha = 0.97) and ICEPS scales (alpha = 0.96).
    • Procedure-specific skills plateaued at the registrar level, while generic skills continued to improve, notably between newly appointed and senior consultants.

    Conclusions:

    • Surgical performance, particularly generic skills, significantly improves beyond the consultant level.
    • The ICEPS rating scale is a valid and reliable tool for assessing surgical skills.
    • The ICEPS scale supports both formative and summative surgical skill assessment.