Abstract
Background
The objective of this study was to examine the acquisition of advanced laparoscopic
technical and cognitive skills during a fellowship.
Methods
During a yearlong fellowship, consecutive assessments were completed by a fellow and
1 attending for 3 advanced procedures. The Global Operative Assessment of Laparoscopic
Skills, Objective Structured Assessment of Technical Skills, and procedure-specific
rating tools and free-text feedback were used. Descriptive statistics, the t test, linear mixed-effects regression, and qualitative analysis of feedback were
performed.
Results
Seventy-six cases were included. Average ratings increased for each assessment area
every month (P < .001). There were significant differences between ratings by assessors with more
stringent ratings by the fellow. While the attending focused on efficiency and safety,
the fellow focused on technical issues, with later expanded attention to advanced
cognitive aspects.
Conclusions
These assessment tools can be used as a quantitative index to monitor fellows' learning
curve. In combination with narrative feedback, such data can provide measures to direct
improvement during self-directed learning.
Keywords
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References
Fellowship Council website. Retrieved May 6, 2014 from: http://fellowshipcouncil.org.
ACGME website. Retrieved May 6, 2014 from http://goo.gl/RCVEwm.
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Article info
Publication history
Published online: October 20, 2014
Received in revised form:
August 13,
2014
Received:
May 10,
2014
Footnotes
Timothy M. Farrell receives consultancy fees from NuWave ($500 to $1000 per year for 2 years) and grant support from the Fellowship Council ($35,000 to $50,000 per year). The other authors declare no conflicts of interest.
Identification
Copyright
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
