Assessing the surgeon's technical skills: Analysis of the available tools

Memon, Muhammed Ashraf, Brigden, David, Subramanya, Manjunath S. and Memon, Breda (2010) Assessing the surgeon's technical skills: Analysis of the available tools. Academic Medicine, 85 5: 869-880. doi:10.1097/ACM.0b013e3181d74bad

Author Memon, Muhammed Ashraf
Brigden, David
Subramanya, Manjunath S.
Memon, Breda
Title Assessing the surgeon's technical skills: Analysis of the available tools
Journal name Academic Medicine   Check publisher's open access policy
ISSN 1040-2446
Publication date 2010-05
Sub-type Article (original research)
DOI 10.1097/ACM.0b013e3181d74bad
Volume 85
Issue 5
Start page 869
End page 880
Total pages 12
Place of publication Philadelphia, United States
Publisher Lippincott Williams & Wilkins
Collection year 2011
Language eng
Abstract The concept of assessing competency in surgical practice is not new and has taken on an added urgency in view of the recent high-profile inquiries into "botched cases" involving surgeons of various levels in different parts of the world. Until very recently, surgeons in the United Kingdom and other parts of the world, although required to undergo formal and compulsory examinations to test their factual knowledge and decision making, were not required to demonstrate technical ability. Therefore, there existed (and still exist) no objective assessment criteria to test trainees surgical skill, especially during the exit examination, which, if passed, provides unrestricted license to surgeons to practice their specialties. However, with the introduction of a new curriculum by various surgical societies and a demand from the lay community for better standards, new assessment tools are emerging that focus on technical competency and that could objectively and reliably measure surgical skills. Furthermore, training authorities and hospitals are keen to embrace these changes for satisfactory accreditation and reaccreditation processes and to assure the public of the safety of the public and private health care systems. In the United Kingdom, two new surgical tools (Surgical Direct Observation of Procedural Skill, and Procedure Based Assessments) have been simultaneously introduced to assess surgical trainees. The authors describe these two assessment methods, provide an overview of other assessment tools currently or previously used to assess surgical skills, critically analyze the two new assessment tools, and reflect on the merit of simultaneously introducing them. Copyright © by the Association of American Medical Colleges.
Keyword Laparoscopic skills
Objective assessment
Clinical competence
Surgical skills
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Medicine Publications
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Created: Sun, 18 Jul 2010, 00:10:36 EST