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Developing the Blueprint for a General Surgery Technical Skills Certification Examination: A Validation Study.

Sandra de Montbrun¹, Marisa Louridas², Peter Szasz²

¹Department of Surgery, University of Toronto, Toronto, Ontario, Canada; Division of General Surgery, St. Michael's Hospital, Toronto, Ontario, Canada.

Journal of Surgical Education

|September 3, 2017

Summary

This summary is machine-generated.

A consensus-based methodology was used to develop a blueprint for the Canadian General Surgery certifying examination. This blueprint outlines essential technical skills for assessing surgical residents.

Keywords:

General Surgery Interpersonal and Communication Skills Medical Knowledge Patient Care Practice-Based Learning and Improvement Professionalism Systems-Based Practice assessment certification education surgical trainee technical skill

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Area of Science:

Medical Education
Surgical Assessment
Professional Certification

Background:

High-stakes technical skills assessments are crucial for certifying surgeons and promoting residents.
Developing valid examinations requires a rigorous, evidence-based approach, starting with a content blueprint.

Purpose of the Study:

To develop a comprehensive examination blueprint for a Canadian General Surgery technical skill certifying examination.
To establish a foundational document for future assessment development and validation.

Main Methods:

A Delphi methodology was employed, involving Canadian General Surgery program directors to achieve consensus on examination content.
Consensus was defined by a Cronbach's α ≥ 0.70 and ≥80% agreement on item ratings.
Two rounds of Delphi surveys were conducted to refine the content.

Main Results:

A total of 59 procedures and tasks reached consensus among program directors.
The final examination blueprint includes content validated through expert consensus.
Response rates for the Delphi rounds were 82.4% and 58.8% respectively.

Conclusions:

A consensus-driven methodology successfully produced a validated examination blueprint for General Surgery technical skills assessment.
This blueprint provides a solid foundation for developing and evaluating simulation-based assessments.