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Representativeness of Workplace-Based Operative Performance Assessments for Resident Operative Experience.

Kenneth L Abbott1, Andrew E Krumm2, Michael J Clark3

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Journal of Surgical Education
|January 8, 2022
PubMed
Summary
This summary is machine-generated.

Surgical training assessments using the SIMPL system largely mirror Accreditation Council for Graduate Medical Education (ACGME) case logs. This indicates that trainee performance data is representative and not biased towards simpler cases.

Keywords:
ACGMESIMPLcase logsperformance assessmentresidentworkplace-based assessment

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Area of Science:

  • Medical Education
  • Surgical Training
  • Performance Assessment

Background:

  • Workplace-based assessment is crucial for surgical education, particularly for evaluating operative skills.
  • Current assessment methods may not capture the full spectrum of trainee experience, potentially introducing bias.
  • The SIMPL system offers a method for intraoperative performance assessment in surgical residency.

Purpose of the Study:

  • To compare procedure logging patterns in the SIMPL system with Accreditation Council for Graduate Medical Education (ACGME) case logs.
  • To determine if the SIMPL system provides a representative sample of surgical trainee operative experiences.
  • To assess potential biases in case selection for assessment within surgical residency programs.

Main Methods:

  • Longitudinal intraoperative performance assessments from the SIMPL system were analyzed for categorical US general surgery residents.
  • Pearson correlation was used to compare overall procedure logging frequencies between SIMPL and ACGME case logs.
  • Fisher's exact test was employed to examine differences in the logging of individual procedures between the two systems.

Main Results:

  • A strong correlation (r=0.86) was observed between total procedure frequencies logged in SIMPL and ACGME case logs.
  • A small subset of procedures was logged more frequently in SIMPL, accounting for a disproportionate number of assessments.
  • Case complexity was found to be comparable between resident- and faculty-initiated assessments.

Conclusions:

  • Intraoperative performance ratings collected via the SIMPL application generally align with ACGME case logs.
  • There is no evidence suggesting that residents select less complex cases for assessment within the SIMPL system.
  • The SIMPL system appears to provide a largely representative sample of surgical trainee operative experiences.