Technical skills continue to improve beyond surgical training

Journal of Vascular Surgery
V A PandeyAra Darzi

Abstract

There is growing focus on surgical technical competence and the means by which we are able to measure it. Ongoing studies have shown a plateau effect with increasing experience of the operator. The aim of this study was to assess the technical competence of five groups of surgeons with increasing experience and validate a new rating tool for use in surgical assessment. Fifty surgeons performed a saphenofemoral junction ligation on a synthetic groin model. The procedure was videotaped, blinded, and reviewed independently by three assessors. Performance was assessed using a previously validated global rating scale of generic surgical skill. In addition, each procedure was rated with the procedure-specific Imperial College Evaluation of Procedure-Specific Skill (ICEPS) rating scale to establish the construct validity (ability to differentiate on the basis of skill) and inter-observer reliability. Both rating scales showed improved scores with ascending grades (P < .001) and demonstrated a high inter-observer reliability both for generic and procedure-specific skill (alpha = 0.97 and alpha = 0.96, respectively). Total operative scores demonstrated significant differences between surgeons in postgraduate years 1 and 2 and surgeons i...Continue Reading

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Citations

Sep 20, 2015·International Journal of Surgery·Usman JafferNigel J Standfield
Jul 30, 2011·American Journal of Surgery·Kamran AhmedGeorge B Hanna
Jul 27, 2015·The Surgical Clinics of North America·Malachi G SheahanJean Bismuth
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