RefDoc
Haut

Faire une nouvelle recherche
Make a new search
Lancer la recherche


Titre du document / Document title

Beta test results of a new system assessing competence in laparoscopic surgery

Auteur(s) / Author(s)

SWANSTROM Lee L. (1) ; FRIED Gerald M. (2) ; HOFFMAN Kaaren I. (3) ; SOPER Nathaniel J. (4) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Department of Minimally Invasive Surgery, Legacy Health System, Portland, OR, ETATS-UNIS
(2) Department of Surgery, McGill University, Montreal, CANADA
(3) Division of Medical Education, Keck School of Medicine, University of Southern California, Los Angeles, CA, ETATS-UNIS
(4) Department of Surgery, Northwestern University, Chicago, IL, ETATS-UNIS

Résumé / Abstract

BACKGROUND: There is currently a need for objective measures of surgical competence. Such measures should assess knowledge, judgment, and manual skills. The Fundamentals of Laparoscopic Surgery (FLS) program was developed by the Society of American Gastrointestinal and Endoscopic Surgeons to meet these criteria. The FLS assessment includes a multiple-choice cognitive test and a manual skills test. We present the results of validation studies of this novel assessment tool. STUDY DESIGN: Beta testing of the FLS examination was undertaken at 7 sites by 70 surgeons representing 4 levels of experience and training. Surgeons provided information about their prior experience and indicated a self-assessment of their laparoscopic competence. Results were assessed by ANOVA followed by orthogonal contrasts. RESULTS: Cognitive performance by training level: There was no difference between fellows and staff in percentage of questions answered correctly, but there was a discrepancy between junior and senior residents and between residents and senior surgeons (p < 0.01). Cognitive performance by laparoscopic experience quartiles: There were notable contrasts between the first and second quartiles of experience (p < 0.02) and between the third and fourth quartiles (p < 0.01). No marked difference was found between the second and third quartiles. Cognitive performance compared with self-assessment: Test results were substantially different (p < 0.01) between test-takers who assessed themselves as better than average and those who assessed themselves as average or below average. Manual skills performance by training level: The major difference was found between junior residents versus senior residents, fellows or staff (p < 0.01). Manual skills performance by laparoscopic experience level: Differences were primarily seen between the first two quartiles and the last two quartiles of laparoscopic experience (p < 0.001). Manual skills performance compared with self-assessment: Those who assessed themselves as above average in laparoscopic skill performed markedly better than those indicating they had average or below average skill (p < 0.01). CONCLUSIONS: Beta test results for the FLS examination demonstrate satisfactory reliability, appropriate psychometric properties, and substantial initial validity. The FLS project is one of the first validated surgical education efforts to assess the competence of surgeons in a specific field.

Revue / Journal Title

Journal of the American College of Surgeons    ISSN  1072-7515 

Source / Source

2006, vol. 202, no1, pp. 62-69 [8 page(s) (article)] (10 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, New York, NY, ETATS-UNIS  (1994) (Revue)

Mots-clés anglais / English Keywords

Treatment

;

Surgery

;

Medicine

;

Laparoscopic surgery

;

Evaluation

;

Result

;

Mots-clés français / French Keywords

Traitement

;

Chirurgie

;

Médecine

;

Coeliochirurgie

;

Evaluation

;

Résultat

;

Mots-clés espagnols / Spanish Keywords

Tratamiento

;

Cirugía

;

Medicina

;

Cirugía laparoscopica

;

Evaluación

;

Resultado

;

Localisation / Location

INIST-CNRS, Cote INIST : 6004, 35400013492898.0080

Nº notice refdoc (ud4) : 17426738



Faire une nouvelle recherche
Make a new search
Lancer la recherche
Bas