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The examination assessment of technical competence in vascular surgery
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences. (Vascular Surgery)
2006 (English)In: British Journal of Surgery, ISSN 0007-1323, E-ISSN 1365-2168, Vol. 93, no 9, 1132-1138 p.Article in journal (Refereed) Published
Abstract [en]

Background: The European Board of Surgery Qualification in Vascular Surgery is a pan-European examination for vascular surgeons who have attained a national certificate of completion of specialist training. A 2-year study was conducted before the introduction of a technical skills assessment in the examination.

Methods: The study included 30 surgeons: 22 candidates and eight examiners. They were tested on dissection (on a synthetic saphenofemoral junction model), anastomosis (on to anterior tibial artery of a synthetic leg model) and dexterity (a knot-tying simulator with electromagnetic motion analysis). Validated rating scales were used by two independent examiners. Composite knot-tying scores were calculated for the computerized station. The stations were weighted 35, 45 and 20 per cent, respectively.

Results: Examiners performed better than candidates in the dissection (P < 0.001), anastomosis (P = 0.002) and dexterity (P = 0.005) stations. Participants performed consistently in the examination (dissection versus anastomosis: r = 0.79, P < 0.001; dexterity versus total operative score: r = -0.73, P < 0.001). Interobserver reliability was high (alpha = 0.91). No correlation was seen between a candidate's technical skill and oral examination performance or logbook-accredited scores.

Conclusion: Current surgical examinations do not address technical competence. This model appears to be a valid assessment of technical skills in an examination setting. The standards are set at a level appropriate for a specialist vascular surgeon.

Place, publisher, year, edition, pages
2006. Vol. 93, no 9, 1132-1138 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-21383DOI: 10.1002/bjs.5302ISI: 000240394200015PubMedID: 16862608OAI: oai:DiVA.org:uu-21383DiVA: diva2:49156
Available from: 2006-12-27 Created: 2006-12-27 Last updated: 2011-06-17Bibliographically approved

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