McGill University Health Centre, Montreal General Hospital, 1650 Cedar Avenue, L9-518, Montreal, QC, H3G 1A4 Canada.
Surg Oncol. 2011 Sep;20(3):140-5. doi: 10.1016/j.suronc.2010.09.004. Epub 2010 Nov 11.
Historically, surgical competence has been evaluated subjectively. Fundamental changes in surgical technology and training have focused attention on the use of objective measurement of performance to improve patient safety and reduce errors. Surgical performance can be measured using a variety of tools, both in the clinical and simulated environments. Objective assessments can play a role in training by improving the evaluation and feedback. At the end of training or when a new skill is acquired, objective assessments may be used to ensure that a proficiency level has been reached and potentially as a condition for independent practice. When assessments are used for high-stakes evaluations like certification, they must be demonstrably reliable and valid. The definition of assessment, and the necessary components of a valid instrument, will be summarized. An overview of practical applications of objective assessment as it applies to training, selection, and certification of surgeons will be presented.
从历史上看，手术能力一直是主观评估的。手术技术和培训的根本变化使人们关注使用绩效的客观测量来提高患者安全性和减少错误。可以使用各种工具在临床和模拟环境中测量手术表现。客观评估可以通过改进评估和反馈在培训中发挥作用。在培训结束时或获得新技能时，可以使用客观评估来确保达到熟练水平，并可能作为独立实践的条件。当评估用于像认证这样的高风险评估时，它们必须具有明显的可靠性和有效性。本文将总结评估的定义以及有效工具的必要组成部分。将介绍客观评估在培训、选拔和认证外科医生方面的实际应用。
