University of Michigan, Department of Surgery, USA.
University of Texas Southwestern Medical Center, Department of Surgery, USA.
Am J Surg. 2018 Jul;216(1):13-18. doi: 10.1016/j.amjsurg.2017.10.036. Epub 2017 Nov 9.
Changes in the surgical training landscape have sparked an interest in developing new educational models anchored on entrustment assessment. We sought to optimize the validated OpTrust entrustment assessment tool by comparing ratings from short-course video reviews to previously validated intraoperative assessments.
Entrustment assessment scores for video-based and 1-h (short-course) observations were compared to previously validated intraoperative assessment scores. Faculty and residents were surveyed for their perceptions related to operative observation.
There was a strong association between entrustment scores when comparing in-person to video-based observations (R = 0.76-0.84, p < 0.01) as well as short-course to full-duration observations (R = 0.65-0.76, p < 0.01). The majority of faculty and residents (>97%) felt observation did not negatively impact operative experience.
Assessment of entrustment behaviors using short-course video review provides a feasible approach to intraoperative assessment. This latest application of OpTrust allows for the tool to be incorporated into surgical training programs across a variety of environments.
外科培训领域的变化引发了人们对基于委托评估开发新教育模式的兴趣。我们试图通过比较短期视频评估和先前验证的术中评估的评分来优化经过验证的 OpTrust 委托评估工具。
将基于视频的评估得分和 1 小时（短期）观察得分与先前验证的术中评估得分进行比较。调查教员和住院医师对手术观察的看法。
在比较面对面观察和基于视频的观察时（R=0.76-0.84，p<0.01）以及短期观察和全时长观察时（R=0.65-0.76，p<0.01），委托评分之间存在很强的相关性。大多数教员和住院医师（>97%）认为观察不会对手术经验产生负面影响。
使用短期视频评估评估委托行为提供了一种可行的术中评估方法。OpTrust 的最新应用使该工具能够在各种环境中纳入外科培训计划。
