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Related Experiment Videos

Assessing surgical skill using bench station models.

Mansoor S Khan1, Simon D Bann, Ara W Darzi

  • 1Aylesbury and London, United Kingdom From the Department of Academic Surgery, St. Mary's Hospital, and the Department of Plastic Surgery, Royal Free Hospital.

Plastic and Reconstructive Surgery
|August 19, 2007
PubMed
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This study introduces objective tasks to assess plastic surgical trainees' technical skills. Consultants demonstrated superior competency compared to junior surgeons, validating a reliable method for skill assessment.

Area of Science:

  • Surgical Education
  • Plastic Surgery Training
  • Skill Assessment

Background:

  • Surgical skill acquisition is crucial but plastic surgery training lacks objective measures.
  • Shortened training durations and government pressure necessitate competency testing.
  • New tasks are introduced for assessing technical skills in plastic surgical trainees.

Purpose of the Study:

  • To introduce and validate a series of tasks for objectively assessing technical surgical skills.
  • To evaluate the reliability and reproducibility of the assessment method.
  • To compare the technical skill levels of plastic surgical trainees across different experience levels.

Main Methods:

  • Sixty-five surgeons with varying experience performed three technical tasks: skin suturing, skin grafting, and tendon repair.

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  • Procedures were videotaped and scored by four independent observers using the Objective Structured Assessment of Technical Skill (OSATS) system.
  • An overall competence score was assigned to each candidate.

    • Main Results:

    • Significant differences in performance were observed across experience levels (p = 0.004).
    • Consultant surgeons exhibited higher competency in the assessed tasks compared to junior surgeons.
    • The tasks proved to be easily reproducible.

    Conclusions:

    • A valid and reliable method for objectively measuring plastic surgical trainees' technical skills has been demonstrated.
    • The study confirms that experienced surgeons (consultants) outperform trainees.
    • These tasks have significant implications for formal assessment and continuous training programs for surgeons.