Objective assessment of technical surgical skills

The British Journal of Surgery
P D van HoveJ Dankelman

Abstract

Surgeons are increasingly being scrutinized for their performance and there is growing interest in objective assessment of technical skills. The purpose of this study was to review all evidence for these methods, in order to provide a guideline for use in clinical practice. A systematic search was performed using PubMed and Web of Science for studies addressing the validity and reliability of methods for objective skills assessment within surgery and gynaecology only. The studies were assessed according to the Oxford Centre for Evidence-based Medicine levels of evidence. In total 104 studies were included, of which 20 (19.2 per cent) had a level of evidence 1b or 2b. In 28 studies (26.9 per cent), the assessment method was used in the operating room. Virtual reality simulators and Objective Structured Assessment of Technical Skills (OSATS) have been studied most. Although OSATS is seen as the standard for skills assessment, only seven studies, with a low level of evidence, addressed its use in the operating room. Based on currently available evidence, most methods of skills assessment are valid for feedback or measuring progress of training, but few can be used for examination or credentialing. The purpose of the assessment det...Continue Reading

References

Jun 1, 1995·Obstetrics and Gynecology·C R BeckmannL Barton
Apr 1, 1994·American Journal of Surgery·C P WinckelB Taylor
Mar 1, 1993·American Journal of Surgery·R K Reznick
Feb 1, 1997·The British Journal of Surgery·J A MartinM Brown
Dec 1, 1996·Academic Medicine : Journal of the Association of American Medical Colleges·H FaulknerR Reznick
Mar 1, 1997·American Journal of Surgery·R ReznickW McCulloch
Jun 30, 1998·American Journal of Surgery·A M DerossisJ L Meakins
Oct 6, 1998·Academic Medicine : Journal of the Association of American Medical Colleges·G RegehrD Szalay
Apr 2, 1999·BMJ : British Medical Journal·A DarziN Taffinder
Dec 10, 1999·Journal of the American College of Surgeons·T R EubanksC Pellegrini
Sep 16, 2000·Journal of the American College of Surgeons·D J ScottD B Jones
Sep 21, 2000·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·D J ScottD B Jones
Jan 13, 2001·Archives of Surgery·N K FrancisA Cuschieri
May 19, 2001·Surgical Endoscopy·T P GrantcharovP Funch-Jensen
Aug 22, 2001·American Journal of Surgery·A DarziS Mackay
Oct 6, 2001·American Journal of Surgery·G AultG Regehr
Nov 16, 2001·Journal of the American College of Surgeons·P L FigertR W Schwartz
Apr 23, 2002·American Journal of Obstetrics and Gynecology·Barbara A GoffLynn S Mandel
Apr 25, 2002·Surgical Endoscopy·S G T SmithA Darzi
Jul 24, 2002·American Journal of Surgery·Vivek DattaAra Darzi
Aug 17, 2002·The European Journal of Surgery = Acta Chirurgica·Teodor P GrantcharovJacob Rosenberg
Mar 27, 2003·World Journal of Surgery·Simon D BannAra W Darzi
Oct 4, 2003·American Journal of Obstetrics and Gynecology·Karen Fung Kee FungGeoff Norman
Nov 1, 2003·BMJ : British Medical Journal·Krishna MoorthyAra Darzi
Nov 25, 2003·American Journal of Obstetrics and Gynecology·Peter E NielsenGregory E Chow
Dec 31, 2003·Journal of the American College of Surgeons·Liane S FeldmanGerald M Fried
Aug 21, 2004·Annals of Surgery·Gerald M FriedChristopher G Andrew
Nov 18, 2004·The British Journal of Surgery·R AggarwalA Darzi
Dec 30, 2004·Surgical Endoscopy·A J DuffyD L Fowler
Mar 18, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Atul K MadanLisa M Sasso
Apr 6, 2005·The British Journal of Surgery·J D BeardL J Southgate
Apr 23, 2005·American Journal of Obstetrics and Gynecology·Barbara GoffPeter Nielsen
Jun 1, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J D Beard, UNKNOWN Education and Training Committee of the Vascular Society of Great Britain and Ireland
Jun 24, 2005·American Journal of Surgery·Melina C VassiliouGerald M Fried
Jul 19, 2005·Surgical Endoscopy·K R Van SickleC D Smith

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Citations

Oct 12, 2012·International Journal of Colorectal Disease·K S LehmannH J Buhr
Dec 20, 2011·Surgical Endoscopy·Lars KongeCharlotte Ringsted
Jan 25, 2012·Surgical Endoscopy·Jeanett OestergaardJette Led Sorensen
Dec 13, 2012·Surgical Endoscopy·John D MasonJared Torkington
Jan 29, 2013·Surgical Endoscopy·Cecilie VåpenstadMagdalena Karolina Chmarra
Jan 29, 2013·Surgical Endoscopy·Juan CendanKevin Behrns
Jul 20, 2012·General Thoracic and Cardiovascular Surgery·Robert R Cima, Claude Deschamps
Nov 30, 2011·Current Opinion in Cardiology·David O'Donnell, Mathew J Swale
Dec 12, 2012·Annals of Surgery·Louise HullUNKNOWN Delphi Expert Consensus Panel
May 2, 2013·BMC Medical Education·Justin L Hodgins, Christian Veillette
May 16, 2013·BMC Medical Education·Claire TouchieLara Varpio
Jul 17, 2013·American Journal of Respiratory and Critical Care Medicine·Lars Konge, Jouke Annema
Feb 9, 2012·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Rafael Denadai, Erika Malheiros Bastos
Aug 12, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J J StuntG J M Tuijthof
Dec 4, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C G CarlsenL Konge
Jun 26, 2014·Surgery·Carly E GlarnerCaprice C Greenberg
Sep 23, 2014·Surgery·Nathaniel J Soper, Debra A DaRosa
Dec 7, 2013·Perspectives on Medical Education·Vivian E EkkelenkampRobert A De Man
Feb 27, 2013·Journal of Educational Evaluation for Health Professions·Evgenios EvgeniouSrinivasan Iyer
Oct 28, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Miryam C ObdeijnGabrielle J M Tuijthof
Aug 13, 2013·Journal of Minimally Invasive Gynecology·Rasiah BharathanRajesh Aggarwal
Feb 13, 2016·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Silvia EncisoFrancisco M Sánchez-Margallo
Dec 2, 2015·Cirugía española·Silvia EncisoFrancisco Miguel Sánchez-Margallo
Apr 15, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Justin L HodginsRanil Sonnadara
Nov 13, 2013·American Journal of Surgery·D Wayne Overby, Robert A Watson
Feb 22, 2014·The Journal of Surgical Research·Carolyn ChenThomas Lendvay
Nov 12, 2013·Journal of Surgical Education·Carly E GlarnerEugene F Foley
May 15, 2013·Cirugía española·Juan A Sánchez-MargalloJosé Moreno del Pozo
Sep 11, 2013·Journal of Surgical Education·Jennifer DaviesFernando Bello
May 15, 2013·Actas dermo-sifiliográficas·J M CasanovaR Pujol
Jan 27, 2016·Actas urologicas españolas·S EncisoF M Sánchez-Margallo
May 1, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Abtin AlvandJonathan L Rees
Jan 3, 2016·American Journal of Surgery·Ayca ToprakLaura McEwen
Oct 24, 2012·Revista da Associação Médica Brasileira·Rafael DenadaiRogério Saad-Hossne
Apr 10, 2012·Journal of Surgical Education·Richard J GrayJohn Ferrara

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