The modern surgeon and competency assessment: are the workplace-based assessments evidence-based?
| Title: | The modern surgeon and competency assessment: are the workplace-based assessments evidence-based? |
|---|---|
| Authors: | Torsney KM; West Middlesex Hospital, Twickenham Rd, London, Middlesex, TW7 6AF, UK, kellitors@gmail.com.; Cocker DM; Slesser AA |
| Source: | World journal of surgery [World J Surg] 2015 Mar; Vol. 39 (3), pp. 623-33. |
| Publication Type: | Journal Article; Review |
| Language: | English |
| Journal Info: | Publisher: Wiley Country of Publication: United States NLM ID: 7704052 Publication Model: Print Cited Medium: Internet ISSN: 1432-2323 (Electronic) Linking ISSN: 03642313 NLM ISO Abbreviation: World J Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2024- : [Hoboken, NJ] : Wiley; Original Publication: New York, Springer International. |
| MeSH Terms: | Clinical Competence*; Educational Measurement/*methods ; Surgical Procedures, Operative/*education ; Surgical Procedures, Operative/*standards; Evidence-Based Medicine ; Humans ; Reproducibility of Results |
| Abstract: | Introduction: The assessment of higher surgical training has changed in the last decade or two, with a greater emphasis on work-based assessments (WBAs) to prove competency. The aim of this study was to determine the evidence underpinning the use and number of WBAs in surgical training.; Methods: In July 2013, a systematic electronic literature review was undertaken using PubMed (Medline), Embase, Google Scholar and the Cochrane library.; Results: A total of 27 studies met the inclusion criteria of which 25 were observational studies and only five assessed WBAs in a surgical setting. Validity and feasibility in surgical training were assessed in two studies, respectively, with the results suggesting that WBAs maybe neither feasible nor valid in surgical training. The number required to achieve reliability in surgical training was demonstrated to be three in two separate studies. The evidence for the reliability, feasibility and validity of WBAs in other non-surgical fields was conflicting.; Conclusion: There is a paucity of evidence supporting the use of WBAs as a tool to determine competency in surgical training, and as such, they should only have a limited role in training until more evidence is available. There appears to be no justification or evidence underpinning the use of a specific number of WBAs to determine surgical competency. |
| Comments: | Comment in: World J Surg. 2015 Nov;39(11):2838-9. doi: 10.1007/s00268-015-3128-z.. (PMID: 26133909); Comment in: World J Surg. 2015 Nov;39(11):2840. doi: 10.1007/s00268-015-3200-8.. (PMID: 26294259) |
| References: | Acad Med. 2003 Aug;78(8):826-30. (PMID: 12915378); Med Teach. 2007 Oct;29(8):785-90. (PMID: 17917984); Clin Med (Lond). 2011 Feb;11(1):48-53. (PMID: 21404785); Med Teach. 2013;35(1):80. (PMID: 22931141); Ann Intern Med. 1995 Nov 15;123(10):795-9. (PMID: 7574198); ANZ J Surg. 2009 Mar;79(3):148-53. (PMID: 19317780); Int J Surg. 2012;10 (8):389-92. (PMID: 22449833); Ann R Coll Surg Engl. 2008 May;90(4):282-5. (PMID: 18492389); Postgrad Med J. 2006 Apr;82(966):285-8. (PMID: 16597818); Gastrointest Endosc. 2012 Mar;75(3):591-7. (PMID: 22227035); BMJ. 2009 Jul 21;339:b2535. (PMID: 19622551); Med J Aust. 2008 Aug 4;189(3):159-61. (PMID: 18673104); Acad Med. 2003 Oct;78(10 Suppl):S33-5. (PMID: 14557089); Acad Med. 2002 Sep;77(9):900-4. (PMID: 12228088); Ann R Coll Surg Engl. 2009 Mar;91(2):110-2. (PMID: 19317934); Med Teach. 2009 Apr;31(4):282-98. (PMID: 19404891); Med Teach. 2011;33(11):919-27. (PMID: 22022902); Adv Health Sci Educ Theory Pract. 1997;2(1):27-33. (PMID: 16180056); Med Teach. 2012;34(12):1017-23. (PMID: 23039836); Br J Anaesth. 2009 May;102(5):633-41. (PMID: 19336537); J R Soc Med. 2009 Sep;102(9):357-8. (PMID: 19734525); Med J Aust. 2012 Apr 2;196(6):399-402. (PMID: 22471542); Med Educ. 2008 Apr;42(4):364-73. (PMID: 18338989); Ann Intern Med. 2003 Mar 18;138(6):476-81. (PMID: 12639081); Med Educ. 2011 Dec;45(12):1190-8. (PMID: 21995509); Med Educ. 2009 Apr;43(4):326-34. (PMID: 19335574); Adv Health Sci Educ Theory Pract. 2013 Dec;18(5):1087-102. (PMID: 23494202); Med Teach. 2008;30(4):414-9. (PMID: 18569664); Med Teach. 2013 Aug;35(8):e1416-21. (PMID: 23544917); Acad Med. 2002 Nov;77(11):1156-7. (PMID: 12431932); J Surg Educ. 2014 Nov-Dec;71(6):906-15. (PMID: 24831439); Br J Surg. 2011 Mar;98(3):450-7. (PMID: 21254025); Med Educ. 2011 Jun;45(6):560-9. (PMID: 21501218) |
| Entry Date(s): | Date Created: 20141119 Date Completed: 20150923 Latest Revision: 20181202 |
| Update Code: | 20260130 |
| DOI: | 10.1007/s00268-014-2875-6 |
| PMID: | 25403889 |
| Database: | MEDLINE |
Journal Article; Review