The researchers implemented the Objective Structured Assessment of Technical Skills checklist, and tailored it for specific shoulder procedures. Twenty-three residents used the checklist while practicing three approaches to shoulder surgery on cadavers. Researchers rated the residents with a “zero” for every incomplete checklist step, and a “one” for every complete checklist step. The study also rated the residents with the Global Rating Scale.
Researchers compared the combination of theses ratings with the current “pass/fail” system, in which residents fail if a horrible error occurs.
Journal of Surgical Education published the study.
Here are five takeaways:
1. The researchers found the pass/fail system did not offer residents any substantial feedback.
2. Residents farther along in their education received higher OSATS and Global Rating Scales scores.
3. Of the 11 errors in which residents hurt nerves or veins, first- and second-year residents committed nine.
4. The researchers proposed adding protection of crucial structures to the checklist.
5. The researchers concluded procedural step checklists help with the assessment of residents’ surgical skills.
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