Edwards Simon, Rajaratnam V
University Hospitals, Birmingham, UK.
J Vis Commun Med. 2009;32(3-4):78-85. doi: 10.3109/17453050903367119.
Video recordings have become requirements for the assessment and recording of the consulting skills module of the MRCGP examination and surgical skill modules for the post FRCS hand diploma examination. Previous research has shown that the knowledge and judgement skills needed by trainees to achieve operative competence can be reliably assessed using structured checklists. However evaluation of surgical competency should also include technical skills, which have been difficult to document adequately and transparently. There is now evidence demonstrating that surgeons can discriminate between the video recordings of a competent and non-competent trainee. Like those of previous researchers our findings indicate that intra-operative video monitoring enables an objective and permanent recordable assessment of the a trainees skill level whilst completing the checklist after a particular procedure. Video evidence can also be distributed widely to assessors outside the trainee's locale.
视频记录已成为MRCGP考试咨询技能模块以及FRCS手部文凭考试后外科技能模块评估和记录的要求。先前的研究表明，使用结构化检查表可以可靠地评估学员达到手术能力所需的知识和判断技能。然而，对外科手术能力的评估还应包括技术技能，而技术技能一直难以充分且透明地记录下来。现在有证据表明，外科医生能够区分合格与不合格学员的视频记录。与之前的研究人员一样，我们的研究结果表明，术中视频监测能够在学员完成特定手术后填写检查表时，对其技能水平进行客观且可永久记录的评估。视频证据还可以广泛分发给学员所在地以外的评估人员。
