Department of Surgery, Hofstra University/Northwell Health, Long Island, NY.
Department of Urology, University of Washington, Seattle, WA.
Ann Surg. 2023 Apr 1;277(4):591-595. doi: 10.1097/SLA.0000000000005804. Epub 2023 Jan 16.
The American Board of Surgery (ABS) sought to investigate the suitability of video-based assessment (VBA) as an adjunct to certification for assessing technical skills.
Board certification is based on the successful completion of a residency program coupled with knowledge and reasoning assessments. VBA is a new modality for evaluating operative skills that have been shown to correlate with patient outcomes after surgery.
Diplomates of the ABS were initially assessed for background knowledge and interest in VBA. Surgeons were then solicited to participate in the pilot. Three commercially available VBA platforms were identified and used for the pilot assessment. All participants served as reviewers and reviewees for videos. After the interaction, participants were surveyed regarding their experiences and recommendations to the ABS.
To the initial survey, 4853/25,715 diplomates responded. The majority were neither familiar with VBA, nor the tools used for operative assessments. Two hundred seventy-four surgeons actively engaged in the subsequent pilot. One hundred sixty-nine surgeons completed the postpilot survey. Most participants found the process straightforward. Of the participants, 74% felt that the feedback would help their surgical practice. The majority (81%) remain interested in VBA for continuing medical education credits. Using VBA in continuous certification could improve surgeon skills felt by 70%. Two-thirds of participants felt VBA could help identify and remediate underperforming surgeons. Identified barriers to VBA included limitations for open surgery, privacy issues, and technical concerns.
VBA is promising as an adjunct to the current board certification process and should be further considered by the ABS.
美国外科学委员会（ABS）旨在研究视频评估（VBA）作为认证辅助手段评估技术技能的适宜性。
委员会认证基于成功完成住院医师培训计划以及知识和推理评估。VBA 是一种新的评估手术技能的模式，已被证明与手术后患者结局相关。
ABS 会员首先评估背景知识和对 VBA 的兴趣。然后征求外科医生参加试点研究。确定了三个商业上可用的 VBA 平台，并用于试点评估。所有参与者均担任视频的评审员和被评审员。互动后，参与者就其经验和向 ABS 的建议进行了调查。
最初的调查中，25715 名会员中有 4853 名做出了回应。大多数人既不熟悉 VBA，也不熟悉手术评估的工具。274 名外科医生积极参与了随后的试点研究。169 名外科医生完成了试点后调查。大多数参与者发现该过程简单明了。其中 74%的参与者认为反馈将有助于他们的手术实践。大多数（81%）仍对 VBA 感兴趣，以获得继续医学教育学分。在持续认证中使用 VBA 可以提高 70%的外科医生技能。三分之二的参与者认为 VBA 可以帮助识别和纠正表现不佳的外科医生。VBA 的障碍包括开放手术的局限性、隐私问题和技术问题。
VBA 作为当前委员会认证过程的辅助手段具有广阔前景，ABS 应进一步考虑。
