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Objective assessment of surgical performance and its impact on a national selection programme of candidates for

Sean M Carroll1, A M Kennedy, Oscar Traynor

  • 1St Vincent's University Hospital, Dublin 4, Ireland. smdc@indigo.ie

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|October 22, 2008
PubMed

Insights

A new assessment program for plastic surgery higher surgical training (HST) selection proved effective. Combining interviews and skills assessments significantly improved candidate selection, ensuring fairness and reliability.

Area of Science:

  • Surgical Education
  • Medical Training Assessment
  • Plastic Surgery

Background:

  • Selection for higher surgical training (HST) requires objective and fair assessment methods.
  • Previous selection processes may lack robust validation for plastic surgery trainees.

Purpose of the Study:

  • To develop and validate a transparent and objective assessment program for selecting surgical trainees into plastic surgery HST.
  • To enhance the fairness and reliability of the selection process.

Main Methods:

  • Thirty-four applicants for plastic surgery HST at the Royal College of Surgeons in Ireland (RCSI) were assessed.
  • Short-listed candidates underwent skills simulations, interviews, and career suitability assessments.
  • Data from undergraduate education, postgraduate development, and assessments were analyzed.

Main Results:

  • A combined score of short-listing, interview, and suitability assessments significantly differentiated selected candidates (P<0.002).
  • Adding technical skills assessment scores further increased the significance (P<0.0001) and statistical power (99.9%) of the selection process.
  • The developed assessment package demonstrated increased robustness.

Conclusions:

  • The assessment protocol reliably and statistically significantly discriminated between candidate performances.
  • The developed program offers a transparent, fair, and objective method for selecting plastic surgery trainees.
  • This validated approach enhances the selection of suitable candidates for higher surgical training.
Abstract

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