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Procedure-based assessments: the past, the present and the future.

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Workplace-based assessments (WBAs), particularly procedure-based assessments (PBAs), are crucial for surgical training in the UK. This review examines PBA

Keywords:
PBA surgical trainingWBAreliabilityvalidity

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Area of Science:

  • Surgical Education
  • Medical Training Assessment
  • Workplace-Based Assessment

Background:

  • The UK introduced workplace-based assessments (WBAs) as a significant structural change in surgical training.
  • Procedure-based assessment (PBA) is a core component of WBAs, essential for completing surgical trainee portfolios.
  • The author, a senior trainee, shares personal experiences with PBA as both a trainee and assessor.

Purpose of the Study:

  • To provide a trainee's perspective on the values and limitations of Procedure-based Assessments (PBAs).
  • To discuss concerns arising from the implementation of PBAs in surgical training.
  • To suggest potential improvements for the PBA process based on practical experience.

Main Methods:

  • Qualitative review of personal experiences as a surgical trainee and assessor.
  • Analysis of the role and impact of Procedure-based Assessments (PBAs) within the UK's Intercollegiate Surgical Curriculum Programme.
  • Exploration of challenges and benefits associated with PBA implementation.

Main Results:

  • Procedure-based Assessments (PBAs) are a fundamental yet challenging aspect of surgical training.
  • Trainees and assessors encounter difficulties in understanding and effectively implementing PBAs.
  • There is a recognized need for refinement and improvement in the PBA process.

Conclusions:

  • Procedure-based Assessments (PBAs) offer significant value but face implementation challenges in surgical training.
  • Addressing trainee and assessor concerns can enhance the effectiveness of PBAs.
  • Continuous improvement and adaptation of PBAs are necessary for optimal surgical education.