Objective evaluation of surgical competency for minimally invasive surgery with a collection of simple tests

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Abstract

Objective: This study aims at determining if a collection of 16 motor tests on a physical simulator can objectively discriminate and evaluate practitioners' competency level, i.e. novice, resident, and expert. Methods: An experimental design with three study groups (novice, resident, and expert) was developed to test the evaluation power of each of the 16 simple tests. An ANOVA and a Student Newman-Keuls (SNK) test were used to analyze results of each test to determine which of them can discriminate participants' competency level. Results: Four of the 16 tests used discriminated all of the three competency levels and 15 discriminated at least two of the three groups (α= 0.05). Moreover, other two tests differentiate beginners' level from intermediate, and other seven tests differentiate intermediate level from expert. Conclusion: The competency level of a practitioner of minimally invasive surgery can be evaluated by a specific collection of basic tests in a physical surgical simulator. Reduction of the number of tests needed to discriminate the competency level of surgeons can be the aim of future research.

Translated title of the contributionEvaluación objetiva de competencias quirúrgicas en cirugía mínimamente invasiva con una colección de pruebas simples
Original languageEnglish
Pages (from-to)45-50
Number of pages6
JournalColombia Medica
Volume47
Issue number1
DOIs
StatePublished - Mar 2016

Keywords

  • Assessment
  • Laparoscopic skill
  • Proficiency-based
  • Simulation
  • Training

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