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Undertaking procedure-based assessment is feasible in clinical practice.
K James1, K Cross, M E Lucarotti
1Department of Colorectal Surgery, Gloucestershire Royal Hospital, Gloucester, UK.
Annals of the Royal College of Surgeons of England
|March 26, 2009
Summary
Procedure-based assessments (PBAs) in surgical training are feasible, taking under 30 minutes to complete. These assessments provide valuable feedback for trainees with minimal disruption to clinical practice.
Area of Science:
- Surgical Education
- Medical Training Assessment
Background:
- Workplace-based assessments like procedure-based assessments (PBAs) are integral to new surgical curricula.
- Concerns exist regarding the impact of PBAs on clinical practice efficiency.
Purpose of the Study:
- To assess the time required for completing PBA forms.
- To determine the feasibility of PBAs within clinical surgical training.
Main Methods:
- PBAs were conducted for three colorectal procedures by trainers and trainees.
- A pilot study identified reasons for incomplete forms, leading to modifications.
- Time to complete consenting and operative components of PBAs was recorded.
Main Results:
- Pilot study indicated time constraints as a cause for incomplete forms.
- All PBAs in the main study were completed within 30 minutes.
- Assessment time correlated with procedural complexity; anterior resection PBAs took median 13 min (consent) and 15 min (operative).
Conclusions:
- PBAs are feasible for clinical practice and valued by trainees for focused feedback.
- Effective implementation requires commitment from trainers and trainees.
- With planning, PBAs can be used effectively with minimal impact on clinical workflow.
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