The Resident Report Card: A Tool for Operative Feedback and Evaluation of Technical Skills

• Published in: The Journal of surgical research 2019-07, Vol.239, p.261-268
• Main Authors: Harriman, David, Singla, Rohit, Nguan, Christopher
• Format: Article
• Language: English
• Subjects: Clinical Competence; Cohort Studies; Competency-Based Education - organization & administration; Competency-Based Education - standards; Educational Measurement - methods; Educational Measurement - standards; Feedback; Female; General Surgery - education; Humans; Internet; Internship and Residency - organization & administration; Internship and Residency - standards; Male; Operative skills; Resident training; Surgery; Surgical education; Technical assessment; Urology
• ISSN: 0022-4804; 1095-8673
• DOI: 10.1016/j.jss.2019.02.006

Competency-based medical education surgical curriculums will require frequent, recorded trainee performance evaluations. It is our hypothesis that written feedback after each operation can be used to chart surgical progress, can identify underperforming trainees, and will prove beneficial for resident learning. The resident report card (RRC) is an online, easy-to-use evaluation tool designed to facilitate the creation and distribution of resident technical assessments. RRC data were collected from urologic trainees and analyzed using ANOVA and post hoc testing to confirm our hypothesis. A standardized survey was sent to residents, gauging their views on the RRC. Over a 5-y period, 958 RRCs with the resident listed as the primary operator were collected across 29 different procedures. Resident cohort and individual performance scores stratified by postgraduate year (PGY) were shown to significantly improve when all procedures (cohort, 6.5 ± 1.9 [PGY-1] to 9.1 ± 1.0 [PGY-5]; individual [resident M], 8.8 ± 1.8 [PGY-3] to 9.4 ± 0.7 [PGY-5], P