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Am J Surg. 2016 Nov;212(5):1011-1019. doi: 10.1016/j.amjsurg.2016.03.005. Epub 2016 Jun 1.

Assessment of technical and nontechnical skills in surgical residents.

Author information

1
Department of Surgery, University of Calgary, Calgary, Alberta, Canada.
2
Department of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, Alberta T2N 4N1, Canada; W21C, University of Calgary, Calgary, Alberta, Canada. Electronic address: ima@ucalgary.ca.

Abstract

BACKGROUND:

Surgical competence encompasses both technical and nontechnical skills. This study seeks to evaluate the validity evidence for a comprehensive surgical skills examination and to examine the relationship between technical and nontechnical skills.

METHODS:

Six examination stations assessing both technical and nontechnical skills, conducted yearly for surgical trainees (n = 120) between 2010 and 2014 are included.

RESULTS:

The assessment tools demonstrated acceptable internal consistency. Interstation reliability for technical skills was low (alpha = .39). Interstation reliability for the nontechnical skills was lower (alpha range -.05 to .31). Nontechnical skills domains were strongly correlated, ranging from r = .65, P < .001 to .86, P < .001. The associations between nontechnical and technical skills were inconsistent, ranging from poor (r = -.06; P = .54) to moderate (r = .45; P < .001).

CONCLUSIONS:

Multiple samplings of integrated technical and nontechnical skills are necessary to assess overall surgical competency.

KEYWORDS:

Assessment; Collaboration; Communication; Graduate medical education; Professional; Surgical skills

PMID:
27371379
DOI:
10.1016/j.amjsurg.2016.03.005
[Indexed for MEDLINE]

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