A taxonomy of perioperative surgical learning: Trending resident skill acquisition.
Publication/Presentation Date
2-1-2017
Abstract
BACKGROUND: Resident and curriculum evaluation require tracking surgical resident operative performance, yet what and when to measure remains unclear.
METHODS: From a multi-institutional database, we reviewed 611 resident/surgeon-paired assessments of ACGME Milestones and modified OPRS ratings for different cases and postgraduate years.
RESULTS: Faculty Milestone ratings increased with each PGY (p=< 0.001) and correlated with resident self-ratings (ICC = 0.83). Mean OPRS scores increased in small increments with substantial intra-year variability. Progression among individual OPRS subcategories was not apparent from more global analyses. Interestingly, male faculty offered lower ratings than female faculty.
CONCLUSIONS: Milestones and modified mean OPRS ratings suggest residents are learning, yet lack sufficient discrimination for promotion or curricular analysis. Differential progression through OPRS subcategories suggests a taxonomy of surgical learning that can be tailored to focus on different skills at each point in the training continuum. The effect of faculty gender on resident ratings awaits further study.
Volume
213
Issue
2
First Page
260
Last Page
267
ISSN
1879-1883
Published In/Presented At
Hardaway, J. C., Basson, M. D., Ali, M., Davis, A. T., Haan, P. S., Gupta, R. N., Peshkepija, A. N., Nebeker, C. A., McLeod, M. K., Osmer, R. L., Anderson, C. I., & MSU GOAL Consortium (2017). A taxonomy of perioperative surgical learning: Trending resident skill acquisition. American journal of surgery, 213(2), 260–267. https://doi.org/10.1016/j.amjsurg.2016.09.045
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
28062076
Department(s)
Administration and Leadership
Document Type
Article