H MacRae1, G Regehr, W Leadbetter, R K Reznick. 1. Department of Surgery and Centre for Research in Education, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Abstract
BACKGROUND: Two complimentary examinations designed to comprehensively assess competence for surgical practice have been developed. The Objective Structured Assessment of Technical Skill (OSATS) evaluates a resident's operative skill, and the Patient Assessment and Management Examination (PAME) evaluates clinical management skills. METHODS: Twenty-four postgraduate year (PGY)-4 and PGY-5 general surgery residents from four training programs were examined. Each examination had eight stations, with a total of 6 hours of testing time. RESULTS: Interstation reliability for the OSATS was 0.64, for the PAME was 0.71, and for the total test was 0. 74. Examination scores discriminated between PGY-4 and PGY-5 residents for the OSATS (t = 4.39, P <.01), the PAME (t = 1.86, P <. 05), and the total examination (t = 3.90, P <.01). Year of training accounted for 40%, of the variance of scores. CONCLUSIONS: This comprehensive examination is a reliable and valid method of assessing critical skills in senior surgical residents and may be useful for the formal assessment of readiness for practice.
BACKGROUND: Two complimentary examinations designed to comprehensively assess competence for surgical practice have been developed. The Objective Structured Assessment of Technical Skill (OSATS) evaluates a resident's operative skill, and the Patient Assessment and Management Examination (PAME) evaluates clinical management skills. METHODS: Twenty-four postgraduate year (PGY)-4 and PGY-5 general surgery residents from four training programs were examined. Each examination had eight stations, with a total of 6 hours of testing time. RESULTS: Interstation reliability for the OSATS was 0.64, for the PAME was 0.71, and for the total test was 0. 74. Examination scores discriminated between PGY-4 and PGY-5 residents for the OSATS (t = 4.39, P <.01), the PAME (t = 1.86, P <. 05), and the total examination (t = 3.90, P <.01). Year of training accounted for 40%, of the variance of scores. CONCLUSIONS: This comprehensive examination is a reliable and valid method of assessing critical skills in senior surgical residents and may be useful for the formal assessment of readiness for practice.
Authors: J D Hernandez; S D Bann; Y Munz; K Moorthy; V Datta; S Martin; A Dosis; F Bello; A Darzi; T Rockall Journal: Surg Endosc Date: 2004-02-02 Impact factor: 4.584
Authors: Anne-Lise D D'Angelo; Elaine R Cohen; Calvin Kwan; Shlomi Laufer; Caprice Greenberg; Jacob Greenberg; Douglas Wiegmann; Carla M Pugh Journal: Am J Surg Date: 2014-10-22 Impact factor: 2.565