A New Procedure-Based Assessment of Operative Skills in Gastric Bypass Surgery, Evaluated by Video Fragment Rating
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Le résumé fourni par la source
PURPOSE: Feedback on technical and procedural skills is essential during the training of residents and fellows. The aim of this study was to assess the performance of a newly created instrument for the assessment of operative skills using laparoscopic Roux-en-Y gastric bypass (LRYGB) video fragments. MATERIALS AND METHODS: A new procedure-based assessment (PBA) was created by combining LRYGB key steps with a 5-point independence scale. LRYGB performed by residents and surgeons with different levels of expertise were video recorded. Fragments of the pouch creation, gastro-jejunostomy and jejunojejunostomy, were review by 12 expert bariatric surgeons and the operative skills assessed with the PBA, Objective Structured Assessment of Technical Skill (OSATS), and the Bariatric OSATS (BOSATS). The PBA was compared to the OSATS and BOSATS. Mean scores for all items of the different assessments were summarized and compared using a T-test. RESULTS: The scores of the procedural steps were combined and compared for all levels. The mean scores for beginner, intermediate, and expert level were 2.71, 3.70, and 3.90 for the PBA; for the OSATS 1.84, 2.86, and 3.44; and for the BOSATS 2.78, 3.56, and 4.19. Each of these assessments differentiated between the three skill levels (all p < 0.05). CONCLUSION: The PBA discriminates well between different levels of operative skills. Similar patterns were found for the OSATS and BOSATS, showing that the randomly selected video fragments are representative samples for assessing skill level. Future research will demonstrate whether these results can be extrapolated to clinical training, and which scores allow for procedure certification.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A New Procedure-Based Assessment of Operative Skills in Gastric Bypass Surgery, Evaluated by Video Fragment Rating
- Date Crossref
- 24/02/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University Medical Center Groningen pays non établi dans la noticeÉtablissement de santé
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University of Groningen Department of Epidemiology pays non établi dans la noticeUniversité ou école supérieure
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Medisch Centrum Leeuwarden pays non établi dans la noticeÉtablissement de santé
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Ghent University Hospital Department of Gastrointestinal Surgery pays non établi dans la noticeÉtablissement de santé
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Ghent University pays non établi dans la noticeUniversité ou école supérieure
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Shaikh Khalifa Medical City pays non établi dans la noticeÉtablissement de santé
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Medical Center Leeuwarden Center for Obesity Northern Netherlands pays non établi dans la noticeÉtablissement de santé
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Department of Surgery pays non établi dans la noticeInstitution
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School of Medicine pays non établi dans la noticeUniversité ou école supérieure
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NMC Royal Hospital Department of Surgery pays non établi dans la noticeÉtablissement de santé
University Medical Center Groningen, Department of Epidemiology — University of Groningen et Medisch Centrum Leeuwarden, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.