Roxana Geoffrion1, Terry Lee2, Joel Singer2. 1. Faculty of Medicine, University of British Columbia, Vancouver BC. 2. Centre for Health Evaluation and Outcome Sciences, University of British Columbia, Vancouver BC.
Abstract
OBJECTIVE:Self-confidence is a feeling of trust in one's abilities, qualities, and judgement. It is one of the cognitive mechanisms underlying behavioural change. Variations in self-confidence influence motivation and predict performance success. We sought to validate a new tool for measuring self-confidence in surgical residents. METHODS: A self-confidence rating scale was developed and consisted of six questions about the attitudes of gynaecology residents while performing a vaginal hysterectomy. The residents were participants in a randomized controlled trial (2008 to 2011) and performed a vaginal hysterectomy before and after an educational intervention. They rated their own surgical performance on a validated global rating scale (GRS) of surgical skill and their self-confidence on the new rating scale. Supervising surgeons concurrently rated the residents' performance on the GRS. Correlations were sought between self-confidence scale scores and measures of competence. RESULTS: There was no difference in self-confidence scores between intervention and control residents at baseline. The number of vaginal hysterectomies performed before the educational intervention was associated with a significantly higher confidence level (P = 0.024). Other demographic variables such as age and gender did not influence confidence levels. Internal consistency between the individual scale items was good (Cronbach alpha 0.85). Self-confidence scores were significantly higher after the educational intervention (P = 0.04). Self-confidence was positively correlated with both self-assessed and supervising-surgeon-assessed GRS scores in both intervention and control residents. CONCLUSION: The self-confidence scale is a psychometrically valid tool to measure residents' self-confidence during surgical learning. More research is needed to establish the role of this scale for feedback, to channel self-confidence, and to optimize surgical skill acquisition.
RCT Entities:
OBJECTIVE: Self-confidence is a feeling of trust in one's abilities, qualities, and judgement. It is one of the cognitive mechanisms underlying behavioural change. Variations in self-confidence influence motivation and predict performance success. We sought to validate a new tool for measuring self-confidence in surgical residents. METHODS: A self-confidence rating scale was developed and consisted of six questions about the attitudes of gynaecology residents while performing a vaginal hysterectomy. The residents were participants in a randomized controlled trial (2008 to 2011) and performed a vaginal hysterectomy before and after an educational intervention. They rated their own surgical performance on a validated global rating scale (GRS) of surgical skill and their self-confidence on the new rating scale. Supervising surgeons concurrently rated the residents' performance on the GRS. Correlations were sought between self-confidence scale scores and measures of competence. RESULTS: There was no difference in self-confidence scores between intervention and control residents at baseline. The number of vaginal hysterectomies performed before the educational intervention was associated with a significantly higher confidence level (P = 0.024). Other demographic variables such as age and gender did not influence confidence levels. Internal consistency between the individual scale items was good (Cronbach alpha 0.85). Self-confidence scores were significantly higher after the educational intervention (P = 0.04). Self-confidence was positively correlated with both self-assessed and supervising-surgeon-assessed GRS scores in both intervention and control residents. CONCLUSION: The self-confidence scale is a psychometrically valid tool to measure residents' self-confidence during surgical learning. More research is needed to establish the role of this scale for feedback, to channel self-confidence, and to optimize surgical skill acquisition.
Authors: F Schneider; C M Schulz; M May; G Schneider; M Jacob; H Mutlak; M Pawlik; M Zoller; M Kretzschmar; C Koch; M G Kees; M Burger; S Lebentrau; A Novotny; M Hübler; T Koch; M Heim Journal: Anaesthesist Date: 2020-02-13 Impact factor: 1.041
Authors: Xiaotong Wang; Eman Shaheen; Sohaib Shujaat; Jan Meeus; Paul Legrand; Pierre Lahoud; Maurício do Nascimento Gerhardt; Constantinus Politis; Reinhilde Jacobs Journal: Int J Implant Dent Date: 2022-10-10