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Comparison of resident self-assessments with trained faculty and standardized patient assessments of clinical and technical skills in a structured educational module.
Brewster, Luke P; Risucci, Donald A; Joehl, Raymond J; Littooy, Fred N; Temeck, Barbara K; Blair, Patrice Gabler; Sachdeva, Ajit K.
Afiliación
  • Brewster LP; Loyola University Medical Center, Department of Surgery, Maywood, IL, USA.
Am J Surg ; 195(1): 1-4, 2008 Jan.
Article en En | MEDLINE | ID: mdl-18082534
BACKGROUND: This study assessed the reliability of surgical resident self-assessment in comparison with faculty and standardized patient (SP) assessments during a structured educational module focused on perioperative management of a simulated adverse event. METHODS: Seven general surgery residents participated in this module. Residents were assessed during videotaped preoperative and postoperative SP encounters and when dissecting a tumor off of a standardized inanimate vena cava model in a simulated operating room. RESULTS: Preoperative and postoperative assessments by SPs correlated significantly (P < .05) with faculty assessments (r = .75 and r = .79, respectively), but not resident self-assessments. Coefficient alpha was greater than .70 for all assessments except resident preoperative self-assessments. CONCLUSIONS: Faculty and SP assessments can provide reliable data useful for formative feedback. Although resident self-assessment may be useful for the formative assessment of technical skills, results suggest that in the absence of training, residents are not reliable self-assessors of preoperative and postoperative interactions with SPs.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Cirugía General / Competencia Clínica / Atención Perioperativa / Evaluación Educacional Tipo de estudio: Prognostic_studies Límite: Humans / Male Idioma: En Revista: Am J Surg Año: 2008 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Cirugía General / Competencia Clínica / Atención Perioperativa / Evaluación Educacional Tipo de estudio: Prognostic_studies Límite: Humans / Male Idioma: En Revista: Am J Surg Año: 2008 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos