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Defining milestones toward competency in mastoidectomy using a skills assessment paradigm.

Publication ,  Journal Article
Francis, HW; Masood, H; Laeeq, K; Bhatti, NI
Published in: Laryngoscope
July 2010

OBJECTIVES/HYPOTHESIS: To establish milestones toward achievement of surgical competency by using an objective assessment tool designed to measure the development of mastoidectomy skills in the operating room (OR). STUDY DESIGN: Prospective longitudinal validation study. METHODS: Fifty-six evaluations were conducted in the OR on nine otolaryngology residents from PGY (postgraduate year) 2 to PGY 5 over a period of 3 years. Technical performance was measured over time using a task-based checklist developed for assessment of mastoidectomy skills. RESULTS: Three sets of technical milestones represented achievement of competency for progressively more complicated procedural steps: the first set was achieved after a mean of 6 +/- 4.3 cases, the second set after 9 +/- 6.7 cases (range of mean = 8-10 cases), and the third set after 13 +/- 6.4 cases (range of mean = 12-14 cases). CONCLUSIONS: The acquisition of mastoidectomy skills can be integrated into surgical teaching in the OR, and this approach yields information that can aid individual skill development and program improvement. The identification of milestones in particular can help establish training benchmarks toward achievement of competency and in identifying trainees in need of remediation.

Duke Scholars

Published In

Laryngoscope

DOI

EISSN

1531-4995

Publication Date

July 2010

Volume

120

Issue

7

Start / End Page

1417 / 1421

Location

United States

Related Subject Headings

  • United States
  • Prospective Studies
  • Patient Simulation
  • Otorhinolaryngology
  • Otolaryngology
  • Mastoid
  • Longitudinal Studies
  • Internship and Residency
  • Humans
  • Data Collection
 

Citation

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Francis, H. W., Masood, H., Laeeq, K., & Bhatti, N. I. (2010). Defining milestones toward competency in mastoidectomy using a skills assessment paradigm. Laryngoscope, 120(7), 1417–1421. https://doi.org/10.1002/lary.20953
Francis, Howard W., Hamid Masood, Kulsoom Laeeq, and Nasir I. Bhatti. “Defining milestones toward competency in mastoidectomy using a skills assessment paradigm.Laryngoscope 120, no. 7 (July 2010): 1417–21. https://doi.org/10.1002/lary.20953.
Francis HW, Masood H, Laeeq K, Bhatti NI. Defining milestones toward competency in mastoidectomy using a skills assessment paradigm. Laryngoscope. 2010 Jul;120(7):1417–21.
Francis, Howard W., et al. “Defining milestones toward competency in mastoidectomy using a skills assessment paradigm.Laryngoscope, vol. 120, no. 7, July 2010, pp. 1417–21. Pubmed, doi:10.1002/lary.20953.
Francis HW, Masood H, Laeeq K, Bhatti NI. Defining milestones toward competency in mastoidectomy using a skills assessment paradigm. Laryngoscope. 2010 Jul;120(7):1417–1421.
Journal cover image

Published In

Laryngoscope

DOI

EISSN

1531-4995

Publication Date

July 2010

Volume

120

Issue

7

Start / End Page

1417 / 1421

Location

United States

Related Subject Headings

  • United States
  • Prospective Studies
  • Patient Simulation
  • Otorhinolaryngology
  • Otolaryngology
  • Mastoid
  • Longitudinal Studies
  • Internship and Residency
  • Humans
  • Data Collection