Assessment of Anatomical Knowledge and Core Trauma Competency Vascular Skills

作者:Granite Guinevere*; Pugh Kristy; Chen Hegang; Longinaker Nyaradzo; Garofalo Evan; Shackelford Stacy; Shalin Valerie; Puche Adam; Pasley Jason; Sarani Babak; Henry Sharon; Bowyer Mark; Mackenzie Colin
来源:Military Medicine, 2018, 183(suppl_1): 66-72.
DOI:10.1093/milmed/usx151

摘要

Objectives: Surgical residents express confidence in performing specific vascular exposures before training, but such self-reported confidence did not correlate with co-located evaluator ratings. This study reports residents' self-confidence evaluated before and after Advanced Surgical Skills for Exposure in Trauma (ASSET) cadaver-based training, and 12-18 mo later. We hypothesize that residents will better judge their own skill after ASSET than before when compared with evaluator ratings. Methods: Forty PGY2-7 surgical residents performed four procedures: axillary artery (AA), brachial artery (BA), femoral artery exposure and control (FA), and lower extremity fasciotomy (FAS) at the three evaluations. Using 5-point Likert scales, surgeons self-assessed their confidence in anatomical understanding and procedure performance after each procedure and evaluators rated each surgeon accordingly. Results: For all the three evaluations, residents consistently rated their anatomical understanding (p < 0.04) and surgical performance (p < 0.03) higher than evaluators for both FA and FAS. Residents rated their anatomical understanding and surgical performance higher (p < 0.005) than evaluators for BA after training and up to 18 mo later. Only for third AA evaluation were there no rating differences. Conclusions: Residents overrate their anatomical understanding and performance abilities for BA, FA, and FAS even after performing the procedures and being debriefed three times in 18 mo.

  • 出版日期2018-4

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