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Related Experiment Video

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Improving skills development in residency using a deliberate-practice and learner-centered model.

Nasir I Bhatti1, Aadil Ahmed1

  • 1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.

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|July 9, 2015
PubMed
Summary
This summary is machine-generated.

A new competency-based surgical training model using objective assessments and deliberate practice enhances resident skills in otolaryngology. This learner-centered approach is feasible and improves surgical competency, ultimately benefiting patient outcomes.

Keywords:
OSATSSurgical competencycompetency-based modeldeliberate practicelearner-centeredmilestonespersonalized trainingsimulationsurgical training

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Area of Science:

  • Medical Education
  • Surgical Training
  • Otolaryngology

Background:

  • Traditional surgical training faces challenges from work-hour restrictions and subjective competency assessments.
  • Competency-based models offer a time- and resource-efficient alternative.

Purpose of the Study:

  • To develop, implement, and measure outcomes of objective, structured otolaryngology training programs.
  • To investigate factors influencing the learning curve, including deliberate practice, feedback, and autonomy.

Main Methods:

  • Prospective, longitudinal study involving objective skill assessment tools for otolaryngology procedures.
  • Development of procedural milestones and validation of virtual-reality simulator training.
  • Investigation of learner-centered approaches and barriers to competency-based training.

Main Results:

  • Objective tools proved feasible, reliable, and valid for assessing competency in both lab and OR settings.
  • Formative assessments guided residents toward deliberate practice for remediation.
  • Milestones defined competency thresholds; simulator practice enhanced skills; learner-centered approach personalized training.

Conclusions:

  • A competency-based model integrating deliberate practice and learner-centeredness is feasible for training competent surgeons.
  • This model improves patient outcomes but requires effort to overcome implementation challenges.
  • Full implementation beyond technical skills aims to develop well-rounded surgical professionals and leaders.