Center for Minimally Invasive Surgery, The Ohio State University, 395 W 12th Ave Suite 670, Columbus, OH, 43210, USA.
J Gastrointest Surg. 2023 Dec;27(12):2893-2898. doi: 10.1007/s11605-023-05727-4. Epub 2023 Oct 26.
Fundamentals of endoscopic surgery (FES) completion is mandatory for certification by the American Board of Surgery (ABS). As early simulation and competency assessment can bolster development of trainee proficiency, we sought to determine the optimal timing for FES examination by evaluating pass rates based on training level and previous endoscopic experience.
PGY2-5 residents at a university-based medical center who were novice to FES were assigned to complete FES training and testing. Training year, prior endoscopic experience, and FES exam scores were recorded with pre- and post-test surveys.
Most residents in the program (88%) were able to complete FES training and testing within a single academic year. Most required only a single faculty-led session (88%) to feel confident to take the exam, augmented by varying numbers of independent practice sessions (50% 1-2, 19% 3-5, 27% > 5). After training, most (84%) felt confident that they would pass the exam, and 93% did so on their first attempt. While higher written exam scores were noted in the PGY5 group, there were no other statistically significant differences in overall pass rates or technical exam scores based on PGY level (p = 0.24). A number of previously completed endoscopic cases did not correlate with exam scores (p = 0.24 written, p = 0.91 technical).
Fundamentals of endoscopic surgery (FES) certification can be successfully completed by junior level general surgery residents regardless of previous endoscopic experience. Moving this exam to earlier training years can benefit resident development and preparedness in the clinical setting without negatively impacting pass rates.
美国外科学会 (ABS) 的认证要求完成内镜外科基础 (FES)。由于早期模拟和能力评估可以促进学员熟练度的发展，我们试图通过评估基于培训水平和之前内镜经验的通过率来确定 FES 考试的最佳时间。
在一所大学医学中心，PGY2-5 的住院医师首次接触 FES，被安排完成 FES 培训和测试。记录培训年限、之前的内镜经验和 FES 考试成绩，并进行预测试和后测试调查。
该计划中的大多数住院医师（88%）能够在一个学年内完成 FES 培训和测试。大多数人只需要一次由教员主导的课程（88%）就有信心参加考试，同时还参加了不同数量的独立实践课程（50% 1-2 次，19% 3-5 次，27% > 5 次）。经过培训，大多数人（84%）有信心通过考试，93%的人在第一次尝试时通过。虽然 PGY5 组的书面考试分数较高，但基于 PGY 水平，整体通过率或技术考试分数没有其他统计学差异（p = 0.24）。之前完成的内镜手术数量与考试成绩无关（书面考试 p = 0.24，技术考试 p = 0.91）。
初级普通外科住院医师无论之前的内镜经验如何，都可以成功完成内镜外科基础 (FES) 认证。将该考试提前到培训早期可以使住院医师在临床环境中受益于发展和准备，而不会降低通过率。
