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Titre du Document
Beta test results of a new system assessing competence in laparoscopic surgery
Auteur(s)
SWANSTROM Lee L. ; FRIED Gerald M. ; HOFFMAN Kaaren I. ; ...
Résumé
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 themselve
Editeur
Elsevier Science
Identifiant
PMID : 16377498 ISSN : 1072-7515
Source
Journal of the American College of Surgeons A. 2006, vol. 202, n° 1, pp. 62-69 [8 pages] [bibl. : 10 ref.]
Langue
Anglais
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