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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
Association of intraoperative entrustment with clinical competency amongst general surgery residents
Sunjong Ji1, Charles Hwang1, Monita Karmakar2
1University of Michigan Medical School, 7300 Medical Science Building I - A Wing, 1301 Catherine Street, Ann Arbor, MI, 48109, USA.
Background:
Lack of transparency and meaningful assessment in surgical residency has led to inconsistent intraoperative entrustment and highly variable trainee competence at graduation. The relationship between faculty entrustment and resident entrustability on clinical competency remains unclear. We sought to evaluate the dynamic between entrustment/entrustability and clinical competency in general surgery residency.
Methods:
Intraoperative observations were conducted across a 22-month period at an academic tertiary center. Entrustment/entrustability were measured using OpTrust. Clinical competencies were appraised via ACGME Milestones and Objective Structured Assessment of Technical Skill (OSATS) scores. Mixed effects linear regression was used to investigate the relationship among overall ACGME Milestone scores, OSATS domain scores, and overall OpTrust scores.
Results:
Overall OpTrust scores significantly correlated with overall Milestone scores and multiple OSATS score domains.
Conclusions:
OpTrust demonstrated a positive association between ACGME general surgery Milestones and OSATS scores. Overall, OpTrust may help optimize intraoperative faculty entrustment and resident entrustability, facilitating surgical trainee success during residency.
