Maja Joosten1, Guus M J Bökkerink2, Bas H Verhoeven1, Jonathan Sutcliffe3, Ivo de Blaauw1, Sanne M B I Botden1. 1. Department of Pediatric Surgery, Radboudumc, Nijmegen, The Netherlands. 2. Department of Pediatric Surgery, Princess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands. 3. Department of Pediatric Surgery, Leeds General Infirmary, Leeds, United Kingdom.
Abstract
INTRODUCTION: Self-assessment aids "reflection-before-practice," which is expected to result in a better understanding of one's strengths and weaknesses and consequently a better overall performance. This is, however, rarely used in surgical training. This study aims to evaluate the correlation between self-, peer-, and expert assessment on surgical skills of pediatric surgical trainees. MATERIALS AND METHODS: A competency assessment tool for the posterior sagittal anorectoplasty (CAT-PSARP) was previously developed and validated. During international hands-on pediatric colorectal workshops in 2019 and 2020, participants practiced the PSARP on an inanimate anorectal malformation model. They were assisted by a peer and assessed by two independent expert observers, using the CAT-PSARP. After the training session, both self- and peer assessment were completed, using the same CAT-PSARP. RESULTS: A total of 79 participants were included. No correlation was found between the overall CAT-PSARP scores of the expert observers and the self-assessment (r = 0.179, p = 0.116), while a weak correlation was found between experts and peer assessment (r = 0.317, p = 0.006). When comparing the self-assessment scores with peer assessment, a moderate correlation was found for the overall performance score (r = 0.495, p < 0.001). Additionally, the participants who were first to perform the procedure scored significantly better than those who trained second on the overall performance (mean 27.2 vs. 24.4, p < 0.001). CONCLUSION: Participants, peers, and experts seemed to have a unique view on the performance during training because there was little correlation between outcomes of the trainees and the experts. Self-assessment may be useful for reflection during training; however, expert assessment seems to be essential for assessment of surgical skills. Thieme. All rights reserved.
INTRODUCTION: Self-assessment aids "reflection-before-practice," which is expected to result in a better understanding of one's strengths and weaknesses and consequently a better overall performance. This is, however, rarely used in surgical training. This study aims to evaluate the correlation between self-, peer-, and expert assessment on surgical skills of pediatric surgical trainees. MATERIALS AND METHODS: A competency assessment tool for the posterior sagittal anorectoplasty (CAT-PSARP) was previously developed and validated. During international hands-on pediatric colorectal workshops in 2019 and 2020, participants practiced the PSARP on an inanimate anorectal malformation model. They were assisted by a peer and assessed by two independent expert observers, using the CAT-PSARP. After the training session, both self- and peer assessment were completed, using the same CAT-PSARP. RESULTS: A total of 79 participants were included. No correlation was found between the overall CAT-PSARP scores of the expert observers and the self-assessment (r = 0.179, p = 0.116), while a weak correlation was found between experts and peer assessment (r = 0.317, p = 0.006). When comparing the self-assessment scores with peer assessment, a moderate correlation was found for the overall performance score (r = 0.495, p < 0.001). Additionally, the participants who were first to perform the procedure scored significantly better than those who trained second on the overall performance (mean 27.2 vs. 24.4, p < 0.001). CONCLUSION:Participants, peers, and experts seemed to have a unique view on the performance during training because there was little correlation between outcomes of the trainees and the experts. Self-assessment may be useful for reflection during training; however, expert assessment seems to be essential for assessment of surgical skills. Thieme. All rights reserved.
Authors: Saba Balvardi; Anitha Kammili; Melissa Hanson; Carmen Mueller; Melina Vassiliou; Lawrence Lee; Kevin Schwartzman; Julio F Fiore; Liane S Feldman Journal: Surg Endosc Date: 2022-05-12 Impact factor: 4.584
Authors: Maja Joosten; Vera Hillemans; Guus M J Bökkerink; Ivo de Blaauw; Bas H Verhoeven; Sanne M B I Botden Journal: Surg Endosc Date: 2022-07-28 Impact factor: 3.453
Authors: Francesca Palmisani; Patrick Sezen; Elisabeth Haag; Martin L Metzelder; Wilfried Krois Journal: Front Pediatr Date: 2022-08-30 Impact factor: 3.569