- 作者：Sonal ; Arora Ph.D. ; ; ; sonal.arora06@imperial.ac.uk ; Danilo ; Miskovic M.D. ; Louise ; Hull M.Sc. ; Krishna ; Moorthy M.D. ; Rajesh ; Aggarwal Ph.D. ; Helgi ; Johannsson F.R.C.A. ; Sanjay ; Gautama F.R.C.A. ; Roger ; Kneebone Ph.D. ; Nick ; Sevdalis Ph.D.
- 关键词：Assessment ; Simulation ; Nontechnical skills ; Self-assessment ; Virtual reality ; Clinical competence
- 刊名：The American Journal of Surgery
- 出版年：2011
- 出版时间：October 2011
- 年：2011
- 卷：202
- 期：4
- 页码：500-506
- 全文大小：727 K
Background
Accurate assessment is imperative for learning, feedback and progression. The aim of this study was to examine whether surgeons can accurately self-assess their technical and nontechnical skills compared with expert faculty members' assessments.Methods
Twenty-five surgeons performed a laparoscopic cholecystectomy (LC) in a simulated operating room. Technical and nontechnical performance was assessed by participants and faculty members using the validated Objective Structured Assessment of Technical Skills (OSATS) and the Non-Technical Skills for Surgeons scale (NOTSS).
Results
Assessment of technical performance correlated between self and faculty members' ratings for experienced (median score, 30.0 vs 31.0; ¦Ñ = .831; P = .001) and inexperienced (median score, 22.0 vs 28.0; ¦Ñ = .761; P = .003) surgeons. Assessment of nontechnical skills between self and faculty members did not correlate for experienced surgeons (median score, 8.0 vs 10.5; ¦Ñ = ?375; P = .229) or their more inexperienced counterparts (median score, 9.0 vs 7.0; ¦Ñ = ?018; P = .953).
Conclusions
Surgeons can accurately self-assess their technical skills in virtual reality LC. Conversely, formal assessment with faculty members' input is required for nontechnical skills, for which surgeons lack insight into their behaviours.