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Emergency Undocking in Robotic Surgery: A Simulation Curriculum

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Consensus-based training and assessment model for general surgery.

P Szasz¹, M Louridas¹, S de Montbrun¹

¹Department of Surgery, University of Toronto, Toronto, Canada.

The British Journal of Surgery

|March 24, 2016

Summary

This study developed a consensus on operative procedures for general surgery trainees, creating a training model with 101 tasks and an assessment model with 4 procedures for competency-based progression.

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Area of Science:

Medical Education
Surgical Training
Competency-Based Education

Background:

Surgical education is transitioning to a competency-based model using in-training milestones.
Training guidelines need to evolve to incorporate specific procedures for milestone assessments.
This study addresses the need for consensus on operative procedures for general surgery trainee progression.

Purpose of the Study:

To establish a consensus on operative procedures and tasks for junior and senior general surgery trainees.
To identify procedures suitable for technical milestone assessments.
To inform the development of competency-based assessment models in surgical training.

Main Methods:

A modified Delphi process involving Canadian general surgery program directors.
Questionnaires utilized a 5-point Likert scale for ranking procedures and tasks.
Consensus was defined by Cronbach's α ≥ 0.70 and 80% agreement on items rated 4 or above.

Main Results:

Two Delphi rounds achieved high overall consensus (Cronbach's α = 0.98).
A comprehensive training model was developed, including 101 unique procedures and tasks (24 junior, 68 senior, 9 all levels).
A distinct assessment model comprising four key procedures was identified.

Conclusions:

A structured system of operative procedures and tasks for general surgery trainees has been established.
An assessment model for evaluating trainee progression has been developed.
These models serve as valuable milestones for competency-based surgical education.