Sehli Deema N, Esene Ignatius N, Baeesa Saleh S
Division of Neurosurgery, Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Neurosurgery, Ain Shams University, Cairo, Egypt.
World Neurosurg. 2016 Mar;87:548-56. doi: 10.1016/j.wneu.2015.10.022. Epub 2015 Oct 26.
Neurosurgery program trainers are continuously searching for new methods to evaluate trainees' competency besides number of cases and training duration. Recently, efforts are made on the development of reliable methods to teach competency and valid methods to measure teaching efficacy. Herein, we propose the "Resident's Operative Case Tracking and Evaluation System" (ROCTES) for the assessment and monitoring of the resident's performance quality during each procedure.
We developed a data-based website and smartphone application for neurosurgical attending physicians, residents, and resident review committees in our accredited neurosurgical institutions. ROCTES runs through five steps: Login (Resident), Case Entry, Login (Attending Physician), Case Approval and Evaluation, and Report. The Resident enters each case record under "Case Entry" field and can "save," "edit," or "submit" the case data to the Attending Physician. The latter from the attending physician login profile will be able to "approve and evaluate" the resident's "knowledge," "skills," and "attitude" ranking from 1 to 15 for that particular case; add his comments and then "save," "edit," or "submit" the data, which can be viewed by users as a "report." Program Directors can also "login" to monitor the resident's progress.
The implementation of this communication tool should enable the filtering and retrieval of information needed for the better assessment and monitoring of residents' exposure to variety of cases in each training center.
This proposed evaluation system will provide a transparent assessment for residency training programs and should convert trainees into competent neurosurgeons.
神经外科培训项目的培训者一直在寻找除病例数量和培训时长之外评估学员能力的新方法。最近，人们致力于开发可靠的能力教学方法和有效的教学效果评估方法。在此，我们提出“住院医师手术病例跟踪与评估系统”（ROCTES），用于评估和监测住院医师在每个手术过程中的表现质量。
我们为经认可的神经外科机构中的神经外科主治医师、住院医师和住院医师评审委员会开发了一个基于数据的网站和智能手机应用程序。ROCTES 分为五个步骤：登录（住院医师）、病例录入、登录（主治医师）、病例批准与评估以及报告。住院医师在“病例录入”字段中输入每个病例记录，并可以将病例数据“保存”、“编辑”或“提交”给主治医师。主治医师从其登录界面能够针对该特定病例对住院医师的“知识”、“技能”和“态度”从 1 到 15 进行“批准和评估”；添加他的评论，然后“保存”、“编辑”或“提交”数据，用户可以将其作为“报告”查看。项目主任也可以“登录”以监测住院医师的进展。
这种沟通工具的实施应能实现信息的筛选和检索，以更好地评估和监测每个培训中心住院医师接触各种病例的情况。
这个提议的评估系统将为住院医师培训项目提供透明的评估，并应能将学员培养成为合格的神经外科医生。
