Validity of surgical simulation for the assessment of operative skill

Author:

Paisley A M1,Baldwin P J2,Paterson-Brown S1

Affiliation:

1. University Department of Clinical and Surgical Sciences (Surgery), Royal Infirmary, Edinburgh, UK

2. Working Minds Project, Astley Ainslie Hospital, Edinburgh, UK

Abstract

Abstract Background Surgical simulators are being promoted as a means of assessing a surgeon's technical skills. Little evidence exists that simulator performance correlates with actual technical ability. This study was undertaken to determine the criterion and construct validity of currently available surgical simulations in the evaluation of technical skill. Methods Simulator assessment was carried out on 36 basic surgical trainees, 37 surgically naïve first-year medical students and 16 experienced general surgical consultants. Some 26 trainees and 36 students underwent repeat assessment after 6 months. A previously validated, 19-point technical skill assessment form, based on direct observation of trainee performance in the operating theatre, was also completed by each trainee's supervising consultant. Results An insignificant or weak correlation was found between simulator performance and both duration of basic surgical experience and consultant assessment of technical skill. Six months of basic surgical training led to an improvement in performance, not seen in an untrained control group, in only one of the six simulations tested. Discrimination between surgically naïve and experienced subjects was only demonstrated, in part, for four of the six tasks. Conclusion The assessment of technical skill needs to be improved. Work is needed to establish the reliability and validity of currently available simulation models before they are formally introduced for high-stakes assessment.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference54 articles.

1. Consultant surgeons' opinion of the skills required of basic surgical trainees;Baldwin;Br J Surg,1999

2. Objectives of basic surgical training;Clark;Br J Hosp Med,1993

3. Teaching and testing technical skills;Reznick;Am J Surg,1993

Cited by 97 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Evaluation of the Educational Value of Low-Cost Training Model for Emergency Cricothyrotomy;Surgical Innovation;2023-03-31

2. Development of Competencies in Oral and Maxillofacial Surgery Training;Oral and Maxillofacial Surgery Clinics of North America;2022-11

3. Effect of Short-term-focused Training on a Phantom Model in Improving Operative Room Performance Among Surgical Residents;Surgical Laparoscopy, Endoscopy & Percutaneous Techniques;2021-10-22

4. Surgical Simulation in East, Central, and Southern Africa: A Multinational Survey;Journal of Surgical Education;2021-09

5. Simulation in Upper and Lower Limb Trauma Skill Acquisition;Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare;2021-03-13

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3