Assessing the competencies in general surgery residency training

Accreditation Council for Graduate Medical Education (ACGME) competencies have increased the focus on education. A 1-year study of observational assessments was conducted. “Point of Observation” evaluations were completed by faculty for postgraduate year (PGY) I and II surgery residents. Resident pr...

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Bibliographic Details
Published in:The American journal of surgery 2005-03, Vol.189 (3), p.288-292
Main Authors: Anderson, Cheryl I., Jentz, Amy B., Harkema, James M., Kareti, L. Rao, Apelgren, Keith N., Slomski, Carol A.
Format: Article
Language:English
Subjects:
Appendicitis
Biological and medical sciences
Clinical Competence
Competency
Decision making
Education
General aspects
General Surgery - education
Humans
Internship and Residency
Likert scale
Medical sciences
Methods
Observations
Resident
Skills
Surgery
Surgical Procedures, Operative - education
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Summary:Accreditation Council for Graduate Medical Education (ACGME) competencies have increased the focus on education. A 1-year study of observational assessments was conducted. “Point of Observation” evaluations were completed by faculty for postgraduate year (PGY) I and II surgery residents. Resident procedures and patient office visits were rated in 9 categories, using a Likert scale. Interns were expected to perform at a novice level (0–30%) and PGY II residents at an advanced level, with improvements expected. PGY I and II residents showed overall improved scores (12% and 6%, respectively) over 1 year. Intern improvements in 9 categories were linear, ranging from 0% to 48%. PGY II resident scores were more variable, with improvements noted in 6 categories ranging from 10% to 30%. Three categories declined in scores, ranging from 2% to 18%. Competencies bring emphasis to education and measurable outcomes. Early efforts have proven valuable in identifying curriculum and learning needs.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2005.01.001