Association of intraoperative entrustment with clinical competency amongst general surgery residents.
Am J Surg
; 219(2): 245-252, 2020 02.
Article
en En
| MEDLINE
| ID: mdl-31870532
ABSTRACT
BACKGROUND:
Lack of transparency and meaningful assessment in surgical residency has led to inconsistent intraoperative entrustment and highly variable trainee competence at graduation. The relationship between faculty entrustment and resident entrustability on clinical competency remains unclear. We sought to evaluate the dynamic between entrustment/entrustability and clinical competency in general surgery residency.METHODS:
Intraoperative observations were conducted across a 22-month period at an academic tertiary center. Entrustment/entrustability were measured using OpTrust. Clinical competencies were appraised via ACGME Milestones and Objective Structured Assessment of Technical Skill (OSATS) scores. Mixed effects linear regression was used to investigate the relationship among overall ACGME Milestone scores, OSATS domain scores, and overall OpTrust scores.RESULTS:
Overall OpTrust scores significantly correlated with overall Milestone scores and multiple OSATS score domains.CONCLUSIONS:
OpTrust demonstrated a positive association between ACGME general surgery Milestones and OSATS scores. Overall, OpTrust may help optimize intraoperative faculty entrustment and resident entrustability, facilitating surgical trainee success during residency.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Cirugía General
/
Autonomía Profesional
/
Competencia Clínica
/
Educación de Postgrado en Medicina
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País como asunto:
America do norte
Idioma:
En
Año:
2020
Tipo del documento:
Article