This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Clinical validity of consultant technical skills assessment in the English National Training Programme for Laparoscopic Colorectal Surgery. BJS 2015; 102: 991-997.
Published: 21st May 2015
Authors: H. Mackenzie, M. Ni, D. Miskovic, R. W. Motson, M. Gudgeon, Z. Khan et al.
Background
The English National Training Programme for Laparoscopic Colorectal Surgery introduced a validated objective competency assessment tool to accredit surgeons before independent practice. The aim of this study was to determine whether this technical skills assessment predicted clinical outcomes.
Method
Established consultants, training in laparoscopic colorectal surgery, were asked to submit two operative videos for evaluation by two blinded assessors using the competency assessment tool. A mark of 2·7 or above was considered a pass. Clinical and oncological outcomes were compared above and below this mark, including regression analysis.
Results
Eighty‐five consultant surgeons submitted 171 videos. Of these, 44 (25·7 per cent) were in the fail group (score less than 2·7). This low scoring group had more postoperative morbidity (25
Conclusion
An objective technical skills assessment provided a discriminatory tool with which to accredit laparoscopic colorectal surgeons.
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