Perspectives on simulation-based assessment of operative skill in surgical training
Bibliographic Data
| ID | 21448819 |
|---|---|
| Authors | Conor Toale (0000-0002-4858-4813, Royal College of Surgeons in Ireland, corresponding author), Marie Morris (0000-0002-4487-5883, Royal College of Surgeons in Ireland), Dara O Kavanagh (0000-0001-9535-0844, Royal College of Surgeons in Ireland) |
| Year | 2023 |
| Volume | 45 |
| Issue | 3 |
| Pages | 313-320 |
| Publication date | 2023-03-04 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Teacher (JOURNAL) |
| Journal identifiers | ISSN: 0142-159X • E-ISSN: 1466-187X |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/0142159x.2022.2134001 |
| PMID | 36288727 |
| OpenAlex | W4307432700 |
| Language | EN |
| References cited | 40 |
INTRODUCTION: The perspectives of the wider surgical community toward simulation-based assessment (SBA) in training is a gap in the literature. This study aims to explore the factors associated with the acceptable use of SBA in surgical training, through the perceptions and experiences of a broad range of stakeholder representatives, building on findings from a review of the published literature. MATERIALS AND METHODS: Ten semi-structured interviews were conducted, using a sequential transformative qualitative methods approach, with representatives from identified key stakeholder groups; executive management, risk management, a practicing surgeon, an anaesthesiologist, a theatre-nursing representative, a representative from simulation industry, a patient, a medical student, a junior surgical trainee, and a senior surgical trainee. Interview transcripts underwent reflexive thematic analysis using an inductive and constructivist framework (NVIVO software, NVIVO 12, QSR International). RESULTS: Four themes emerged: the 'need' for SBA, the concept of a 'minimum standard', the 'optimum design' of an SBA framework, and 'fairness'. SBA is a potential solution to challenges in the current training environment. It emerged that it should not replace trainer judgement, but could ensure that trainees meet a minimum operative competency standard. SBA should be used to identify underperforming trainees early in training to provide targeted remediation. The application of SBA in high-stakes settings such as trainee selection, autonomy granting, and end-of training certification has perceived benefits over current assessment methods. CONCLUSIONS: This study builds on findings from prior research to explore factors regarding the acceptable use of simulation as an assessment method in surgical training, including perspectives from a broad range of stakeholder representatives. Findings can inform the development of simulation-based assessment curricula in surgical training
Geography · Medical education · Physical therapy · Simulation · Simulation training · Surgical simulation · Training (meteorology) · Computer Science · Innovations in Medical Education · Medicine · Psychology · Simulation-Based Education in Healthcare · Surgery · Surgical Simulation and Training
| Highly cited | No |
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