Implementing and Evaluating a National Certification Technical Skills Examination: The Colorectal Objective Structured Assessment of Technical Skill

Annals of Surgery
Sandra de MontbrunHelen MacRae

Abstract

To implement the Colorectal Objective Structured Assessment of Technical skill (COSATS) into American Board of Colon and Rectal Surgery (ABCRS) certification and build evidence of validity for the interpretation of the scores of this high stakes assessment tool. Currently, technical skill assessment is not a formal component of board certification. With the technical demands of surgical specialties, documenting competence in technical skill at the time of certification with a valid tool is ideal. In September 2014, the COSATS was a mandatory component of ABCRS certification. Seventy candidates took the examination, with their performance evaluated by expert colorectal surgeons using a task-specific checklist, global rating scale, and overall performance scale. Passing scores were set and compared using 2 standard setting methodologies, using a compensatory and conjunctive model. Inter-rater reliability and the reliability of the pass/fail decision were calculated using Cronbach alpha and Subkoviak methodology, respectively. Overall COSATS scores and pass/fail status were compared with results on the ABCRS oral examination. The pass rate ranged from 85.7% to 90%. Inter-rater reliability (0.85) and reliability of the pass/fail de...Continue Reading

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Citations

Mar 8, 2019·World Journal for Pediatric & Congenital Heart Surgery·Brett R AndersonUNKNOWN Congenital Heart Technical Skill Study
Feb 8, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Anthony ChiodoLawrence R Robinson
Oct 1, 2016·The British Journal of Surgery·M G GoldenbergT P Grantcharov
Oct 17, 2019·General Thoracic and Cardiovascular Surgery·Shun WatanabeMasanori Nishimura
Jun 24, 2017·Journal of Graduate Medical Education·Sandra de MontbrunTeodor Grantcharov
Aug 25, 2020·JAMA Surgery·Jonah J StulbergKarl Y Bilimoria
Jul 23, 2020·International Journal of Oral and Maxillofacial Surgery·M F CaminitiS DeMontbrun
Apr 24, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ganesh SankaranarayananAlessandro Fichera
Jul 10, 2021·The Surgical Clinics of North America·Amy HanJeremy Lipman
Aug 22, 2021·Updates in Surgery·I MontroniUNKNOWN AIMS Academy clinical research network

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Methods Mentioned

BETA
dissection

Software Mentioned

COSATS

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