Wales Deanery PGMDE School of Surgery, Health Education and Improvement Wales, Nantgarw, Cardiff, United Kingdom.
Department of Surgery, Morriston Hospital, Swansea, Wales, United Kingdom.
J Surg Educ. 2019 Jul-Aug;76(4):1068-1075. doi: 10.1016/j.jsurg.2019.01.013. Epub 2019 Feb 10.
Performance assessment is challenging to administer and validate, yet remains central to patient safety and quality of care. The aim of this study was to evaluate Consultant Surgeon trainer performance with respect to Workplace Based Assessment (WBA) completion.
All WBAs for 60 Core Surgical Trainees (n = 2932) recorded in one academic year were analyzed using the Intercollegiate Surgical Curriculum Progamme. Primary outcome measures were numbers of WBAs performed related to trainer role (Assigned Educational Supervisor vs. Clinical Supervisor vs. No Training Role), gender, surgical subspecialty, hospital status (teaching vs. district general), and trainer RCSEng. TrACE course accreditation.
A core surgical training program serving a single UK (Wales) deanery.
Sixty consecutively appointed core surgical trainees.
Median WBA number performed irrespective of trainer role was 6 (range 0-51), consisting of CBD 2 (0-18), mini-CEX 2 (0-22), DOPS 2 (0-32), and PBA 0 (0-10). Assigned Educational Supervisor trainers were more likely to complete the full range of WBAs compared with Clinical Supervisor and No Training Role assessors; WBA 17 vs. 6 vs. 3; CBD 5 vs. 2 vs. 1; mini-CEX 5 vs. 2 vs. 1; DOPS 4 vs. 2 vs. 1; and PBA 0 vs. 0 vs. 0 (p < 0.001). WBAs completed varied by subspecialty; first quartile performance: ENT, Plastic Surgery, (median 12, interquartile range 13), compared with fourth quartile: OMFS, Urology, T&O, and Cardiothoracic Surgery (median 5, interquartile range 11, p = 0.016). Hospital status, gender, and TrACE accreditation were not associated with WBA performance.
Important variations in trainer WBA completion were apparent; training programme directors and trainees alike should be aware of this when agreeing educational contracts.
绩效评估的实施和验证具有挑战性，但仍然是患者安全和护理质量的核心。本研究旨在评估顾问外科培训师在基于工作场所的评估（WBA）完成方面的表现。
使用大学间外科课程计划分析了一个学术年内为 60 名核心外科受训者（n=2932）记录的所有 WBA。主要观察指标是与培训师角色（指定教育主管与临床主管与无培训角色）、性别、外科专业、医院地位（教学与地区综合）以及培训师 RCSEng. TrACE 课程认证相关的 WBA 数量。
为单一英国（威尔士）教务区服务的核心外科培训计划。
连续任命的 60 名核心外科受训者。
无论培训师角色如何，中位数 WBA 数量均为 6（范围 0-51），包括 CBD 2（0-18）、迷你 CEX 2（0-22）、DOPS 2（0-32）和 PBA 0（0-10）。与临床主管和无培训角色评估者相比，指定教育主管培训师更有可能完成全部 WBA；WBA 17 比 6 比 3；CBD 5 比 2 比 1；迷你 CEX 5 比 2 比 1；DOPS 4 比 2 比 1；PBA 0 比 0 比 0（p<0.001）。完成的 WBA 因专业而异；第一四分位数表现：耳鼻喉科、整形外科学（中位数 12，四分位距 13），与第四四分位数：口腔颌面外科、泌尿科、T&O 和心胸外科（中位数 5，四分位距 11，p=0.016）相比。医院地位、性别和 TrACE 认证与 WBA 表现无关。
培训师 WBA 完成情况存在明显差异；在达成教育合同方面，培训计划主任和受训者都应该意识到这一点。
