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- Title
Competence day: development of a panel of objective assessment tasks for senior house officers at MRCS level.
- Authors
Mackay, S.; Datta, V.; Morgan, P.; Mandalia, M.; Chang, A.; Darzi, A.
- Abstract
Aims: the objective assessment of surgical technical skill is an expanding area of research. This project aims to develop a panel of assessment tasks to assess technical competence in senior house officers (SHOs) at the MRCS level Methods: Six separate tasks have been developed in the format of an OSCE (objective structured clinical examination) which takes 90 min to complete. The tasks are: knot formation, and skin suturing (both assessed using electromagnetic motion analysis), excision of a skin lesion, and closure of an enterotomy (both assessed using OSAT techniques), laparoscopic tasks on the MIST VR simulator, and a test of instrument and suture knowledge. Subjects are SHOs and specialist registrars of differing levels, who perform component tasks according to seniority. Results: Analysis is complete for comparisons between SHOs from years 1–3 (32 subjects). On the knot formation task and the suturing task, regression analysis of the relationship between time taken and number of movements demonstrates significant differences in the pattern of surgical performance across these two parameters (P < 0.001, SPSS General Linear Model, univariate). These differences are observed despite the significant overlap between the groups, which renders non-significant the absolute difference for each parameter. Conclusions: The use of regression analysis of surgical performance in terms of the relationship between time taken and number of movements is a potentially useful method of demonstrating competence in surgical training. This methodology has the capacity to avoid the problems of analysis created by a strong ‘floor’ effect in performance, and significant overlap between subjects in consecutive groups.
- Subjects
PERFORMANCE; SURGERY -- Evaluation
- Publication
British Journal of Surgery, 2001, Vol 88, p46
- ISSN
0007-1323
- Publication type
Article
- DOI
10.1046/j.1365-2168.2001.00023.x