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Procedure‐based assessment implementation in colorectal surgery: a scoping review

Procedure‐based assessment implementation in colorectal surgery: a scoping review IntroductionSurgical education has evolved, moving from an apprenticeship approach1,2 to competency‐based education and training (CBE/CBT). This shift emphasises achieving defined outcomes and goals rather than relying on a fixed training duration.3 Entrustable Professional Activity (EPA) is an intuitive tool for assessing competency‐based training, evaluating skills acquisition and assigning levels of graduated autonomy based on the trainee's performance.4EPAs, and procedure‐based assessments (PBAs), provide a reproducible and objective evaluation of trainees' performance in specific operating environments.5 PBA's strength lies in its use of an entrustment scale that evaluates performance in a workplace setting and maps to competencies such as teamwork, judgment, communication, leadership and management. This results in a more meaningful assessment within the clinical context, making PBA a valuable competency‐based assessment tool.In colorectal surgery, the variety of available techniques poses challenges for both trainees and trainers in terms of learning and assessment. Workplace‐based assessment is gaining popularity for colorectal procedures as well. While the feasibility of these instruments has been tested in simulations, cadaveric and live animal models,6,7 their real‐life application in operating theatres remains to be thoroughly examined. The diversity of surgical techniques and heterogeneity of procedural assessment methods necessitate a scoping review of colorectal‐specific PBAs.MethodologyEligibility criteriaA scoping review http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png ANZ Journal of Surgery Wiley

Procedure‐based assessment implementation in colorectal surgery: a scoping review

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References (21)

Publisher
Wiley
Copyright
© 2023 Royal Australasian College of Surgeons
ISSN
1445-1433
eISSN
1445-2197
DOI
10.1111/ans.18555
Publisher site
See Article on Publisher Site

Abstract

IntroductionSurgical education has evolved, moving from an apprenticeship approach1,2 to competency‐based education and training (CBE/CBT). This shift emphasises achieving defined outcomes and goals rather than relying on a fixed training duration.3 Entrustable Professional Activity (EPA) is an intuitive tool for assessing competency‐based training, evaluating skills acquisition and assigning levels of graduated autonomy based on the trainee's performance.4EPAs, and procedure‐based assessments (PBAs), provide a reproducible and objective evaluation of trainees' performance in specific operating environments.5 PBA's strength lies in its use of an entrustment scale that evaluates performance in a workplace setting and maps to competencies such as teamwork, judgment, communication, leadership and management. This results in a more meaningful assessment within the clinical context, making PBA a valuable competency‐based assessment tool.In colorectal surgery, the variety of available techniques poses challenges for both trainees and trainers in terms of learning and assessment. Workplace‐based assessment is gaining popularity for colorectal procedures as well. While the feasibility of these instruments has been tested in simulations, cadaveric and live animal models,6,7 their real‐life application in operating theatres remains to be thoroughly examined. The diversity of surgical techniques and heterogeneity of procedural assessment methods necessitate a scoping review of colorectal‐specific PBAs.MethodologyEligibility criteriaA scoping review

Journal

ANZ Journal of SurgeryWiley

Published: Oct 1, 2023

Keywords: colorectal surgery; feasibility competency‐based education; implementation; procedure‐based assessment

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