Literature DB >> 28638511

Passing a Technical Skills Examination in the First Year of Surgical Residency Can Predict Future Performance.

Sandra de Montbrun, Marisa Louridas, Teodor Grantcharov.   

Abstract

BACKGROUND: The ability of an assessment to predict performance would be of major benefit to residency programs, allowing for early identification of residents at risk.
OBJECTIVE: We sought to establish whether passing the Objective Structured Assessment of Technical Skills (OSATS) examination in postgraduate year 1 (PGY-1) predicts future performance.
METHODS: Between 2002 and 2012, 133 PGY-1 surgery residents at the University of Toronto (Toronto, Ontario, Canada) completed an 8-station, simulated OSATS examination as a component of training. With recently set passing scores, residents were assigned a pass/fail status using 3 standards setting methods (contrasting groups, borderline group, and borderline regression). Future in-training performance was compared between residents who had passed and those who failed the OSATS, using in-training evaluation reports from resident files. A Mann-Whitney U test compared performance among groups at PGY-2 and PGY-4 levels.
RESULTS: Residents who passed the OSATS examination outperformed those who failed, when compared during PGY-2 across all 3 standard setting methodologies (P < .05). During PGY-4, only the contrasting groups method showed a significant difference (P < .05).
CONCLUSIONS: We found that PGY-1 surgical resident pass/fail status on a technical skills examination was associated with future performance on in-training evaluation reports in later years. This provides validity evidence for the current PGY-1 pass/fail score, and suggests that this technical skills examination may be used to predict performance and to identify residents who require remediation.

Entities:  

Mesh:

Year:  2017        PMID: 28638511      PMCID: PMC5476382          DOI: 10.4300/JGME-D-16-00517.1

Source DB:  PubMed          Journal:  J Grad Med Educ        ISSN: 1949-8357


  29 in total

1.  Setting performance standards for medical practice: a theoretical framework.

Authors:  L Southgate; R B Hays; J Norcini; H Mulholland; B Ayers; J Woolliscroft; M Cusimano; P McAvoy; M Ainsworth; S Haist; M Campbell
Journal:  Med Educ       Date:  2001-05       Impact factor: 6.251

2.  Quality assurance data for residents' global performance ratings.

Authors:  J Littlefield; J Paukert; J Schoolfield
Journal:  Acad Med       Date:  2001-10       Impact factor: 6.893

3.  Surgical skills assessment: a blinded examination of obstetrics and gynecology residents.

Authors:  Barbara A Goff; Peter E Nielsen; Gretchen M Lentz; Greg E Chow; Robert W Chalmers; Dee Fenner; Lynn S Mandel
Journal:  Am J Obstet Gynecol       Date:  2002-04       Impact factor: 8.661

4.  Assessment of resident surgical skills: is testing feasible?

Authors:  Barbara Goff; Lynn Mandel; Gretchen Lentz; Amy Vanblaricom; Anne-Marie Amies Oelschlager; David Lee; Andrew Galakatos; Matthew Davies; Peter Nielsen
Journal:  Am J Obstet Gynecol       Date:  2005-04       Impact factor: 8.661

5.  Teaching surgical skills--changes in the wind.

Authors:  Richard K Reznick; Helen MacRae
Journal:  N Engl J Med       Date:  2006-12-21       Impact factor: 91.245

6.  Predictors of future success in otolaryngology residency applicants.

Authors:  Richard A Chole; M Allison Ogden
Journal:  Arch Otolaryngol Head Neck Surg       Date:  2012-08

7.  Still under the microscope: can a surgical aptitude test predict otolaryngology resident performance?

Authors:  Eric J Moore; Daniel L Price; Kathryn M Van Abel; Matthew L Carlson
Journal:  Laryngoscope       Date:  2014-06-19       Impact factor: 3.325

8.  Effect of clinically discriminating, evidence-based checklist items on the reliability of scores from an Internal Medicine residency OSCE.

Authors:  Vijay J Daniels; Georges Bordage; Mark J Gierl; Rachel Yudkowsky
Journal:  Adv Health Sci Educ Theory Pract       Date:  2014-01-22       Impact factor: 3.853

9.  Multi-Institutional Validation of an OSATS for the Assessment of Cystoscopic and Ureteroscopic Skills.

Authors:  Omer Burak Argun; Kristin Chrouser; Sanket Chauhan; Manoj Monga; Bodo Knudsen; Geoffrey N Box; David I Lee; Matthew T Gettman; Lauren H Poniatowski; Qi Wang; Troy E Reihsen; Robert M Sweet
Journal:  J Urol       Date:  2015-05-27       Impact factor: 7.450

10.  Attrition in surgical residency programmes: Causes and effects.

Authors:  Mehwash Nadeem; M Shahrukh Effendi; M Hammad Ather
Journal:  Arab J Urol       Date:  2013-08-15
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  1 in total

Review 1.  Competency-Based Education in Minimally Invasive and Robotic Colorectal Surgery.

Authors:  Marisa Louridas; Sandra de Montbrun
Journal:  Clin Colon Rectal Surg       Date:  2021-03-29
  1 in total

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