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Establishing technical performance norms for general surgery residents.

Dimitrios Stefanidis1, Harsh Grewal, John T Paige

  • 1Department of Surgery and Carolinas Simulation Center, Carolinas HealthCare System, University of North Carolina Charlotte, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC, 28204, USA, dimitrios.stefanidis@carolinashealthcare.org.

Surgical Endoscopy
|June 19, 2014
PubMed
Summary

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Performance norms for surgical skills were established for general surgery residents (PGY I-V) across multiple institutions. These norms help identify residents needing additional training and advance residency milestones.

Area of Science:

  • Medical Education
  • Surgical Simulation
  • Resident Training Assessment

Background:

  • Surgery residents require performance milestones for advancement.
  • Current residency programs lack level-specific technical performance norms.
  • The study aimed to develop these crucial performance benchmarks.

Purpose of the Study:

  • To establish level-specific technical performance norms for general surgery residents.
  • To assess performance on simulated surgical tasks across various institutions.
  • To provide data for residency milestone development.

Main Methods:

  • Prospective, multi-institutional study of general surgery residents (PGY I-V).
  • Performance assessment on 3 laparoscopic and 5 open simulated surgical tasks.

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  • Analysis of task time, errors, and identification of outliers (1 SD below mean).
  • Main Results:

    • 147 residents evaluated; senior residents showed greater experience (p < 0.001).
    • Performance improved with PGY level, plateauing earlier for open tasks.
    • 0-18% of residents were outliers; 66% supported national performance norms.

    Conclusions:

    • Established performance norms for select tasks in US surgery residents.
    • Norms facilitate informed skill assessment against national data.
    • Enables identification of outliers for targeted additional training.