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An Open Operative Readiness Standard for Surgical Trainees
Tejas S Sathe1, Meghal Shah1, Courtney J Pokrzywa1
1Department of Surgery, Columbia University, New York, New York.
The Journal of Surgical Research
|October 7, 2023
Summary
General surgery residents track their operative progress using a new tool measuring perceived competency. By postgraduate year 5, residents felt ready for unsupervised practice in most assessed surgical skills.
Area of Science:
- Medical Education
- Surgical Training
- Competency-Based Assessment
Background:
- The American Board of Surgery is shifting from volume-based to competency-based resident assessment.
- Entrustable Professional Activities (EPAs) are key to this new assessment model.
- Applying EPAs to operative procedures aids resident progress tracking.
Purpose of the Study:
- To introduce an operative readiness tool for assessing trainee competency.
- To measure perceived resident competence across operative, procedural, and clinical activities.
Main Methods:
- A survey was distributed to General Surgery trainees.
- Residents rated their comfort level in 28 activities using the EPA scale (Observation Only to Supervising Others).
Main Results:
- 93% of residents responded to the survey.
- Perceived comfort generally increased with postgraduate year level.
- By postgraduate year 5, residents achieved a median "Unsupervised Practice" level in 17 of 28 competencies.
Conclusions:
- The operative readiness tool offers a transparent platform for educational quality improvement.
- It provides program directors insight into resident operative advancement.
- This tool may help establish national competency standards.
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