The Ohio State University Wexner Medical Center, Department of Orthopaedics, Columbus, Ohio.
The Ohio State University Wexner Medical Center, Department of Orthopaedics, Columbus, Ohio.
J Surg Educ. 2019 Jul-Aug;76(4):1094-1100. doi: 10.1016/j.jsurg.2019.01.011. Epub 2019 Apr 5.
The objective of this study was to develop an assessment module for orthopaedic spine surgery residents which is cost-effective and can reliably test knowledge and surgical skills.
A ten-question multiple choice question and hands-on spine sawbones combination assessment was prospectively administered to consenting PGY-3 and PGY-4 residents before and after their 8-week spine rotation. Pre- and postrotation scores were compared using the paired t-test.
The Department of Orthopaedics, The Ohio State University Wexner Medical Center, a large academic medical centre providing primary and tertiary care.
Orthopaedic resident physicians.
A total of 21 residents (15 PGY-3, 6 PGY-4) participated in the study. The mean pre- and postrotation written test score was 7.38 ± 1.53 and 9.24 ± 0.83, respectively (p < 0.001). Corresponding surgical skills assessment scores were 95.4% ± 4.7 and 97.1% ± 2.6, respectively (p = 0.10). Overall, the postrotation written and surgical scores improved and showed less variation about the mean.
This combination assessment measured improvement in below-average scoring residents and maintenance or improvement in residents with average and above average prerotation scores.
本研究旨在为骨科脊柱外科住院医师开发一种具有成本效益的评估模块，该模块能够可靠地测试知识和手术技能。
在 8 周脊柱轮转前后，对同意参加的 PGY-3 和 PGY-4 住院医师进行了十道选择题和实际脊柱锯骨相结合的评估。使用配对 t 检验比较前后旋转的得分。
俄亥俄州立大学韦克斯纳医学中心骨科，这是一个大型学术医疗中心，提供初级和三级护理。
骨科住院医师。
共有 21 名住院医师（15 名 PGY-3，6 名 PGY-4）参加了这项研究。书面测试的平均前后旋转分数分别为 7.38 ± 1.53 和 9.24 ± 0.83（p < 0.001）。相应的手术技能评估分数分别为 95.4% ± 4.7 和 97.1% ± 2.6（p = 0.10）。总的来说，旋转后的书面和手术分数提高了，平均值的变化较小。
这种组合评估衡量了得分较低的住院医师的进步，以及平均和高于平均术前得分的住院医师的保持或提高。
