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Development of a Spine Surgical Skills and Written Assessment for Orthopaedic Surgery Residents
Robert Ryu1, Andrew Campbell1, Nikhil Jain1
1The Ohio State University Wexner Medical Center, Department of Orthopaedics, Columbus, Ohio.
Objective:
The objective of this study was to develop an assessment module for orthopaedic spine surgery residents which is cost-effective and can reliably test knowledge and surgical skills.
Design:
A ten-question multiple choice question and hands-on spine sawbones combination assessment was prospectively administered to consenting PGY-3 and PGY-4 residents before and after their 8-week spine rotation. Pre- and postrotation scores were compared using the paired t-test.
Setting:
The Department of Orthopaedics, The Ohio State University Wexner Medical Center, a large academic medical centre providing primary and tertiary care.
Participants:
Orthopaedic resident physicians.
Results:
A total of 21 residents (15 PGY-3, 6 PGY-4) participated in the study. The mean pre- and postrotation written test score was 7.38 ± 1.53 and 9.24 ± 0.83, respectively (p < 0.001). Corresponding surgical skills assessment scores were 95.4% ± 4.7 and 97.1% ± 2.6, respectively (p = 0.10). Overall, the postrotation written and surgical scores improved and showed less variation about the mean.
Conclusions:
This combination assessment measured improvement in below-average scoring residents and maintenance or improvement in residents with average and above average prerotation scores.
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