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Resident Self-Assessment of Laparoscopic Surgical Skills after Video Review

This study explores the difference between resident self-assessment and attending assessment of laparoscopic skills using an objective evaluation tool. Findings show that residents scored themselves lower in all domains compared to attending evaluation, with video review altering attending evaluation in some domains. Future studies will examine the role of debriefing in resident self-assessment after video review.

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Resident Self-Assessment of Laparoscopic Surgical Skills after Video Review

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  1. Resident Self-Assessment of Laparoscopic Surgical Skills after Video Review Gabriel Herrera-Almario, MD Katherine Kirk, BA Julio Clavijo-Alvarez, MD Giselle G. Hamad, MD, FACS University of Pittsburgh Medical Center Department of Surgery

  2. Disclosure • We have no financial interest to disclose

  3. Introduction • There is a growing need for more structured evaluation of technical skills in surgical training • New requirements by the American Board of Surgery for 2013 • Tools for assessment include • OSATS • GOALS • Self assessment is an essential skill in surgical training.

  4. Hypothesis • Resident self assessment and attending assessment of laparoscopic skills are different when using an objective evaluation tool • Video review of self-performance alters these assessments

  5. Methods GOALS GOALS

  6. Assessment Tool • GOALS • Domains • Depth perception • Bimanual dexterity • Tissue handling • Efficiency • Autonomy • Level of difficulty • Suturing

  7. Example of Assessment Tool

  8. Results • 8 PGY-3 General Surgery residents were included • Performed 262 procedures • 220 Cases included in data analysis

  9. Attending scores immediately after procedure and after video review * * * * * =P<0.05

  10. Resident scores immediately after procedure and after video review * =P<0.05

  11. Attending and resident scores immediately after procedure * * * * * * * * =P<0.05

  12. Attending and Resident Scores after Video Review * * * * * * * =P<0.05

  13. Conclusion • When compared to attending evaluation, residents scored themselves lower in all domains • This difference persists after video review. • In some domains, video review changed attending evaluation • Resident scores did not change after video review

  14. Conclusion • Future studies will evaluate the role of debriefing in resident self-assessment after video-review

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