Sánchez-Fernández J, Bachiller-Burgos J, Serrano-Pascual Á, Cózar-Olmo J M, Díaz-Güemes Martín-Portugués I, Pérez-Duarte F J, Hernández-Hurtado L, Álvarez-Ossorio J L, Sánchez-Margallo F M
Centro de Cirugía de Mínima Invasión Jesús Usón, Cáceres, España.
Servicio de Urología, Hospital San Juan de Dios del Aljarafe, Sevilla, España.
Actas Urol Esp. 2016 Jan-Feb;40(1):55-63. doi: 10.1016/j.acuro.2015.07.003. Epub 2015 Aug 28.
The acquisition and improvement of surgical skills constitute a fundamental element in the training of any practitioner. At present, however, the assessment of these skills is a scarcely developed area of research. The aim of this study was to analyse the peculiarities of the various assessment systems and establish the minimum criteria that a skills and knowledge assessment system should meet as a method for assessing surgical skills in urological surgery.
Scientific literature review aimed at the various currently available assessment systems for skills and competencies (technical and nontechnical), with a special focus on the systematic reviews and prospective studies.
After conducting the review, we found that the various assessment systems for surgical competence have, in our opinion, a number of shortcomings. There is a certain degree of subjectivity in the assessment of surgeons by the evaluators. The assessment of nontechnical competencies is not formally recorded. There is no description of a follow-up assessment or any basic parameters associated with healthcare quality. There is no registration of associated competencies associated with the various surgical techniques. There is also no ranking of these competencies and the specific peculiarities for their application.
We believe that the development of a new assessment system for surgical competencies (technical and nontechnical) aimed at assessing urologists in the various surgical techniques is necessary. To this end, our team has worked on developing the Evaluation System for Surgical Competencies on Laparoscopy, which is based on the definition, ranking and assessment of competencies demonstrated by surgeons.
手术技能的掌握与提升是任何从业者培训的基本要素。然而目前，这些技能的评估是一个研究较少的领域。本研究旨在分析各种评估系统的特点，并确立作为泌尿外科手术技能评估方法的技能与知识评估系统应满足的最低标准。
针对目前各种可用的技能和能力（技术和非技术）评估系统进行科学文献综述，特别关注系统评价和前瞻性研究。
在进行综述后，我们发现，我们认为，各种手术能力评估系统存在一些缺点。评估者对外科医生的评估存在一定程度的主观性。非技术能力的评估未正式记录。没有对随访评估或与医疗质量相关的任何基本参数进行描述。没有对与各种手术技术相关的能力进行登记。也没有对这些能力及其应用的具体特点进行排名。
我们认为，有必要开发一种新的手术能力（技术和非技术）评估系统，以评估泌尿外科医生的各种手术技术。为此，我们团队致力于开发腹腔镜手术能力评估系统，该系统基于对外科医生所展示能力的定义、排名和评估。
