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Step By Step: Microsurgical training method combining two nonliving animal models
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Self-Assessment Versus Peer-Assessment in Microsurgery Learning: A Comparative Retrospective Study in a Surgery

Eva Deveze1, Adele Traore2, Nicolas Ribault3

  • 1Département de chirurgie vasculaire et thoracique, CHU Angers, 4 Rue Larrey 49000 Angers, France.

Journal of Surgical Education
|July 31, 2023
PubMed
Summary

Surgical residents’ self-assessment accuracy did not correlate with technical skill improvement in microsurgery. While residents improved on objective tasks, their self-assessment accuracy did not predict skill gains.

Keywords:
MicrosurgerySelf-assessmentStudents

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Area of Science:

  • Surgical Education
  • Microsurgery Training
  • Skill Assessment

Background:

  • Self-assessment is crucial for surgical learning, enabling identification of strengths and weaknesses.
  • The scientific validity and impact of self-assessment accuracy on surgical skill improvement require further investigation.

Purpose of the Study:

  • To analyze the link between self-assessment accuracy and improvement in surgical skills among residents.
  • To test the hypothesis that accurate self-assessment leads to greater technical skill enhancement.

Main Methods:

  • Retrospective cohort study involving 28 surgery residents in a microsurgery program (2019-2021).
  • Residents performed anastomosis training and were evaluated by senior surgeons and self-assessed using a 10-item grid.
  • Double-blind evaluations were analyzed for concordance and the effect of self-assessment accuracy on technical improvement.

Main Results:

  • Of 25 analyzed residents, 56% underestimated their skills, 28% were concordant, and 16% overestimated.
  • Concordance between self and peer assessment was higher for objective items than subjective ones.
  • Technical skills improved across all items, but no statistical difference was found between groups based on self-assessment accuracy.

Conclusions:

  • The ability of surgery residents to self-assess accurately varies depending on the specific surgical gesture.
  • Improvement was observed for objective items, while performance on subjective items decreased.
  • No significant relationship was found between the accuracy of self-assessment and the improvement curve in surgical skills.