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Updated: Nov 25, 2025
Simulator Training for Endovascular Neurosurgery
Published on: May 6, 2020
Setting standards of performance expected in neurosurgery residency: A study on entrustable professional activities
Jessica E Rabski1, Ashirbani Saha2, Michael D Cusimano3
1Injury Prevention Research Office, St. Michael's Hospital, Toronto, Ontario, Canada; Division of Neurosurgery, Department of Surgery, University of Ottawa, Ottawa, ON, Canada.
Background:
Competency-based medical education requires evaluations of residents' performances of tasks of the discipline (ie. entrustable professional activities (EPAs)). Using neurosurgical Faculty perspectives, this study investigated whether a sample of neurosurgical EPAs accurately reflected the expectations of general neurosurgical practice.
Method:
A questionnaire was sent to all Canadian neurosurgery Faculty using a SurveyMonkey® platform.
Results:
The proportion of respondents who believed the EPAs were representative of general neurosurgery competences varied significantly across all EPAs [47%-100%] (p < 0.0001). For 9/15 proposed EPAs, ≥75% agreed they were appropriate for general neurosurgery training and expected residents to attain the highest standard of performance. However, a range of 27-53% of the respondents felt the other six EPAs would be more appropriate for fellowship training and thus, require a lower standard of performance from graduating residents.
Conclusion:
The shift towards subspecialization in neurosurgery has implications for curriculum design, delivery and certification of graduating residents.
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