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Assessment of operative competency for thyroidectomy: Comparison of resident self-assessment vs attending surgeon assessment.

Authors :
Kim AH
Vaughn CA
King DL
Maizels M
Meade P
Stack BC Jr
Source :
Head & neck [Head Neck] 2020 Dec; Vol. 42 (12), pp. 3551-3557. Date of Electronic Publication: 2020 Aug 19.
Publication Year :
2020

Abstract

Background: Self-awareness of skill, essential for progression as a surgeon, has direct bearing on postresidency practice; however, studies have supported that residents achieve self-perceived competence later than believed by program directors. This study compares residents' self-perception of operative competency to attending surgeon's evaluation using Computer Enhanced Visual Learning, a validated online hemithyroidectomy-specific assessment tool.<br />Methods: Eleven otolaryngology-Head and Neck Surgery (HNS) residents completed a preoperative module and postoperative survey, later reviewed by an attending surgeon. Eighty-three performances were assessed for inter-rater reliabilities of key surgical steps.<br />Results: Almost perfect agreement (Kappa = 0.81-1.00) was shown in 11 of 18 parameters. Substantial agreement (Kappa = 0.61-0.80) was demonstrated in the remaining seven parameters.<br />Conclusions: Otolaryngology-HNS trainees have high self-awareness of their performance at each step in a hemithyroidectomy. Standardized assessment tools can allow for documentation of procedural performance and serve as guides for improvement. This is the only study to examine otolaryngology-HNS trainees' self-perceived skill compared to an attending surgeon's assessment for hemithyroidectomy.<br /> (© 2020 Wiley Periodicals LLC.)

Details

Language :
English
ISSN :
1097-0347
Volume :
42
Issue :
12
Database :
MEDLINE
Journal :
Head & neck
Publication Type :
Academic Journal
Accession number :
32812689
Full Text :
https://doi.org/10.1002/hed.26420