Download or read book The Surgical Procedure Feedback Rubric for Assessing Resident Performance in the Operating Room written by and published by . This book was released on 2015 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: Competency-based training models in surgical education challenge programs to adequately document and assess trainees' clinical decision-making, problem solving, and procedural skills in the operating room. While a variety of tools for the assessment of procedural skills exist, validated intraoperative assessment tools are scarce. Those that have been validated often employ checklists or numerical rating scales, which are prone to bias and provide limited feedback to residents. The Surgical Procedure Feedback Rubric (SPR) was developed by the Department of Surgery at Queen's University to document the quality of resident performance during a single, directly observed operative encounter and provide targeted feedback to support learning. It differs from other assessment tools because it defines performance criteria by increasing complexity through the use of behavioural anchors, thus embedding standards of performance in the tool. This study begins the process of building a validity argument for the SPR. Validity in educational assessment is an evaluation of the appropriateness of inferences made with the use of an assessment tool. Kane and Stobart's validity frameworks guided this study. The purpose of this study was to examine the inference that the SPR is able to distinguish between the intraoperative performances of different levels of learners. A 14-month observational study was conducted in the General Surgery, Orthopaedic and Obstetrics and Gynecology training programs. Document analysis of the SPR provided evidence that the SPR was being used as intended. Exploratory factor analysis identified a 3-factor structure of the SPR consisting of Operating Room Preparation, Technical Skills and Intrinsic Competencies. Three-way (PGY x Program x Role) ANOVA confirmed the results of factor analysis, showed the utility of the SPR in discriminating between residents by postgraduate training year (PGY), and provided evidence for partial transferability of the SPR between programs and different roles in surgery. These results contributed to evidence to support scoring, generalizability and extrapolations inferences in the validity argument of the SPR. In addition to supporting the validity argument for the SPR itself, results of this study provide evidence for the use of rubric-based assessment tools to support competency-based assessment systems in medical education.

Download or read book Comprehensive Healthcare Simulation Surgery and Surgical Subspecialties written by Dimitrios Stefanidis and published by Springer. This book was released on 2019-01-05 with total page 391 pages. Available in PDF, EPUB and Kindle. Book excerpt: This pragmatic book is a guide for the use of simulation in surgery and surgical subspecialties, including general surgery, urology, gynecology, cardiothoracic and vascular surgery, orthopedics, ophthalmology, and otolaryngology. It offers evidence-based recommendations for the application of simulation in surgery and addresses procedural skills training, clinical decision-making and team training, and discusses the future of surgical simulation. Readers are introduced to the different simulation modalities and technologies used in surgery with a variety of learners including students, residents, practicing surgeons, and other health-related professionals.

Download or read book The Operating Room as a Classroom written by Esther Maria Bonrath and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Development of a Workplace Based Surgical Clinic Assessment Tool written by Janelle Rekman and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Educational Principles and Practice in Veterinary Medicine written by Katherine Fogelberg and published by John Wiley & Sons. This book was released on 2024-01-04 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: Educational Principles and Practice in Veterinary Medicine An in-depth, veterinary-centered reference to the discipline of education Educational Principles and Practice in Veterinary Medicine provides a detailed, comprehensive reference to the discipline of education both broadly and as it relates to veterinary medicine. Written for veterinary faculty members, instructors, and educators in other health professions, the book offers an in-depth examination of knowledge and skills related to veterinary education. It discusses educational theory, how people learn, the structure and function of higher education, and educational technologies, among many other topics of importance. Sections cover educational leadership; professional development for faculty; research methods and study design; administration; outcomes and assessment; accreditation; and the roles of the professional program instructor. Educational Principles and Practice in Veterinary Medicine: Provides a detailed exposition to the discipline of education, encompassing both theory and practice Covers essential topics such as educational theory, the structure and function of higher education, and educational technologies, all tailored to veterinary education Acts as a reference to education-related knowledge and skills, with an emphasis on how these topics relate to veterinary medicine Supports veterinary faculty and instructors interested in taking their knowledge and skills to the next level Educational Principles and Practice in Veterinary Medicine offers veterinary faculty and instructors a complete resource for understanding the field of education and improving their skills and knowledge.

Download or read book Objective Measures of Operating Room Wire Navigation Performance written by Leah Kristine Taylor and published by . This book was released on 2016 with total page 49 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is no widely accepted tool to assess an orthopedic surgeon's technical skill in the operating room. With changes in surgical education, simulators are being investigated for learning and assessing technical skills, but a link between the actual operating room is needed to ensure they are effective. Hip fracture surgery is a good starting point to develop these measures because hip fractures are common and fixation is a difficult task. Resident orthopedic surgeons wore a head-mounted video camera during hip fracture surgery. Data collected included: duration, number of x-ray images, the supervising surgeon intervention, and tip-apex distance (TAD, a measure of how accurate the implant is placed). To determine the reliability of these measurements, four raters performed them for two cases. Ten raters measured the tip-apex distance (TAD) on 7 cases. These performance metrics for 15 cases were compared to experience of the residents, both point in residency and number of previous cases. A composite performance score was computed using the four metrics. The metrics were also compared to two practicing surgeons' assessment of skill. The inter-rater reliability of the performance metrics was high (0.97-0.99) showing these measures are consistent between different raters and useful for assessment. There was a significant relationship between resident experience and the metrics of duration and TAD. Expert opinion was related to duration. These metrics provide objective assessment of resident technical performance in the operating room by a non-expert, an important step towards competency based education. Their validity is shown with correlation to surgical experience.

Download or read book How to Evaluate Residents written by John Sheldon Lloyd and published by . This book was released on 1986 with total page 426 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Year Book of Ophthalmology 2012 written by Christopher J. Rapuano and published by Elsevier Health Sciences. This book was released on 2012-10-07 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: From Christopher J. Rapuano, M.D.: ". . . The summary is accompanied by brief discussion of the relevance (or irrelevance) of the paper to practicing ophthalmologists. It is what you need to know!" There's no faster or easier way to stay informed! The Year Book of Ophthalmology brings you abstracts of articles carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice.

Download or read book Validity of Video based Intraoperative Self assessment by Surgical Trainees written by Saba Balvardi and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Introduction: Efforts to improve surgical safety and outcomes have traditionally placed little emphasis on intraoperative performance, partly due to difficulties in measurement. Video-based assessment (VBA) provides an opportunity for blinded and unbiased appraisal of surgeon performance. Furthermore, these recordings also offer new opportunities for trainees to extend technical learning outside of the operating room through self-assessment, in the context of well-documented reduction in intraoperative technical learning. Therefore, in this thesis we first aimed to systematically review the existing literature on the association between intraoperative technical performance, measured using VBAs, and patient outcomes. We then aimed to contribute evidence regarding the validity of intraoperative performance assessment tools for video-based self-assessment by general surgery trainees as a technical learning adjunct. Methods: For the systematic review, major databases (Medline, Embase, Cochrane Database, and Web of Science) were systematically searched for studies assessing the association of intraoperative technical performance measured by tools supported by validity evidence with short-term (d"0days) and/or long-term postoperative outcomes. Results were appraised descriptively as study heterogeneity precluded meta-analysis. For the validity assessment, general surgery trainees were recruited from McGill University and submitted recording of their performance in laparoscopic cholecystectomy. Operative performance was measured by the attending surgeon and trainees using global and hybrid (global + procedure-specific) assessment tools (GOALS and OPRS, respectively). The validity of GOALS and OPRS for trainee self-assessment was investigated by testing the hypotheses that self-assessment scores correlate with (H1) expert assessment scores, (H2) expert entrustability score, and (H3) procedure time; and that (H4) self-assessment based on these instruments differentiates junior (postgraduate year (PGY)1-3) and senior trainees (PGY4-5), as well as (H5) simple (Visual Analogue Scale [VAS]d"4) versus complex cases (VAS>4). Results: In our systematic review, a total of 11 observational studies were identified involving 8 different procedures in foregut/bariatric (n=4), colorectal (n=4), urologic (n=2) and hepatobiliary surgery (n=1). Better intraoperative performance was associated with fewer short term postoperative complications (6 of 7 studies), reoperations (3 of 4 studies) and readmissions (1 of 4 studies). Long-term outcomes were less commonly investigated with mixed results. In our validity study a total of 35 videos from 11 trainees were submitted (45% female and 45% senior trainees) and self-assessed. Our data supported 2 out of 5 hypotheses (H1 and H4) for the GOALS tool and 3 out of 5 hypotheses (H1, H4 and H5) for the OPRS. Conclusion: Our results supported an association between superior intraoperative technical performance measured using surgical videos and improved short-term postoperative outcomes. Furthermore, we demonstrated stronger evidence supporting the validity of OPRS as a trainee video-based self-assessment tool, suggesting an advantage for assessments that include procedure specific items compared to global assessments alone. Given the reduced operative exposure of surgical trainees, and the association between technical proficiency and patient outcomes, strategies such as self-assessment to expand skills training outside the operating room are becoming crucial"--

Download or read book Enhancing Surgical Performance written by Rhona Flin and published by CRC Press. This book was released on 2015-07-13 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: Enhancing Surgical Performance: A Primer in Non-Technical Skills explains why non-technical skills are vital for safe and effective performance in the operating theatre. The book provides a full account, with supporting empirical evidence, of the Non-Technical Skills for Surgeons (NOTSS) system and behavioural rating framework, which helps identify

Download or read book Simulation in Healthcare Education written by Ivette Motola and published by . This book was released on 2014 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Assessment in Health Professions Education written by Rachel Yudkowsky and published by Routledge. This book was released on 2019-07-26 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt: Assessment in Health Professions Education, second edition, provides a comprehensive guide for educators in the health professions—medicine, dentistry, nursing, pharmacy, and allied health fields. This second edition has been extensively revised and updated by leaders in the field. Part I of the book presents an introduction to assessment fundamentals and their theoretical underpinnings from the perspective of the health professions. Part II covers specific assessment methods, with a focus on validity, best practices, challenges, and practical guidelines for the effective implementation of successful assessment programs. Part III addresses special topics and recent innovative approaches, including narrative assessment, situational judgment tests, programmatic assessment, mastery learning settings, and the key features approach. This accessible text addresses the essential concepts for the health professions educator and provides the background needed to understand, interpret, develop, and effectively implement assessment methods.

Download or read book Comprehensive Healthcare Simulation Mastery Learning in Health Professions Education written by William C. McGaghie and published by Springer Nature. This book was released on 2020-03-10 with total page 409 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents the parameters of Mastery Learning (ML), an especially stringent variety of competency-based education that guides students to acquire essential knowledge and skill, measured rigorously against a minimum passing standard (MPS). As both a scholarly resource and a teaching tool, this is a “how to” book that serves as a resource for a wide variety of health professions educators. A seminal source of information and practical advice about ML, this book divided into five parts: Clinical Education in the Health Professions, The Mastery Learning Model, Mastery Learning in Action, Transfer of Training from Mastery Learning and The Road Ahead. Complete with high-quality images and tables, chapters take an in-depth look into ML principles and practices across the health professions. Specific educational content instructs readers on how to build and present ML curricula, evaluate short and long-run results, conduct learner debriefing and give powerful feedback, set learner achievement standards, and prepare faculty for new educational roles. An invaluable addition to the Comprehensive Healthcare Simulation Series, Mastery Learning in Health Professions Education is written and edited by leaders in the field for practicing clinicians in a variety of health professions.

Download or read book The Cambridge Handbook of Instructional Feedback written by Anastasiya A. Lipnevich and published by Cambridge University Press. This book was released on 2018-11-15 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This book brings together leading scholars from around the world to provide their most influential thinking on instructional feedback. The chapters range from academic, in-depth reviews of the research on instructional feedback to a case study on how feedback altered the life-course of one author. Furthermore, it features critical subject areas - including mathematics, science, music, and even animal training - and focuses on working at various developmental levels of learners. The affective, non-cognitive aspects of feedback are also targeted; such as how learners react emotionally to receiving feedback. The exploration of the theoretical underpinnings of how feedback changes the course of instruction leads to practical advice on how to give such feedback effectively in a variety of diverse contexts. Anyone interested in researching instructional feedback, or providing it in their class or course, will discover why, when, and where instructional feedback is effective and how best to provide it.

Download or read book Team Performance in Health Care written by Gloria D. Heinemann and published by Springer Science & Business Media. This book was released on 2002-01-31 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume presents the work of clinical health care teams and natural work groups, quality improvement teams, committees, and task forces made up of employees in health care settings. It discusses proven multidimensional instruments that measure team performance along with future needs for measuring team performance. It will be a resource for medical instructors and students, public health workers, and health administrators interested in team management.

Download or read book Health Professionals for a New Century written by and published by Harvard School of Public Health, Frangois-Xavier Bagnoud Cen. This book was released on 2011 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: One hundred years ago a series of seminal documents, starting with the Flexner Report of 1910, sparked an enormous burst of energy to harness the power of science to transform higher education in health. Professional education, however, has not been able to keep pace with the challenges of the 21st century. A new generation of reforms is needed to meet the demands of health systems in an interdependent world. The report of the Commission on the Education of Health Professionals for the 21st Century, a global independent initiative consisting of 20 leaders from diverse disciplinary backgrounds and institutional affiliations, articulates a fresh vision and recommends renewed actions. Building on a rich legacy of educational reforms during the past century, the Commission's findings and recommendations adopt a global and multi-professional perspective using a systems approach to analyze education and health, with a focus on institutional and instructional reforms.

Download or read book The Art of Communication in Nursing and Health Care written by Theresa Raphael-Grimm, PhD, CNS and published by Springer Publishing Company. This book was released on 2014-10-10 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: A handy guide to tackling difficult patient and professional interactions with confidence and compassion In this age of increasing reliance on technology, it is essential that the fundamentals of compassion and good communication—the art of patient care—remain at the heart of health care. This clear, concise guide to professional communication strategies helps nurses and other health care clinicians to build effective patient relationships and navigate a wide variety of difficult patient and professional interactions. Written by a practicing psychotherapist who has devoted nearly 30 years of study to clinician—patient relationships, the book tackles such complex issues as dealing with demanding patients, maintaining professional boundaries, overcoming biases and stereotypes, managing clinician emotions, communicating bad news, challenging a colleague’s clinical opinion, and other common scenarios. The book guides the reader through a conceptual framework for building effective relationships that is based on the principles of mindfulness. These principles are embedded in discussions of the fundamental elements of interpersonal effectiveness, such as hope, empathy, and listening. Chapters apply mindfulness principles to specific challenging situations with concrete examples that describe effective clinical behaviors as well as situations depicting pitfalls that may impede compassionate care. From a focus on everyday manners in difficult situations to beneficial approaches with challenging populations, the guide helps health care professionals confidently resolve common problems. Brief, to-the-point chapters help clinicians channel their clinical knowledge and good intentions into caring behaviors that allow the patient to more fully experience empathy and compassion. With the guiding theme of “using words as precision instruments,” this is a resource that will be referred to again and again. Key Features: • Helps health care professionals and nurses communicate effectively in challenging clinical and professional situations • Uses the principles of mindfulness to build satisfying relationships and resolve problems • Addresses such difficult issues as demanding patients, maintaining boundaries, overcoming biases, managing clinician emotions, and much more • Provides special tips for communicating with family members and caregivers • Authored by a practicing psychotherapist specializing in clinician—patient relationships for nearly 30 years