Teaching and assessing surgical competency in ophthalmology training programs.

Full Abstract

BACKGROUND

AND OBJECTIVE:
The Accreditation Council for Graduate Medical Education (ACGME) has mandated implementation of six new competencies in resident training in the United States. An implementation strategy is proposed to teach and assess cataract surgical competence.

PATIENTS AND METHODS:
An intradepartmental Task Force for the ACGME competencies reviewed the literature for assessment tools to develop an implementation matrix for assessing surgical competence.

RESULTS:
"Good practices" (gleaned from the literature) were adapted for the institution's needs and tested, including (1) written and explicit goals or objectives for each stage of training; (2) substitution of a criterion-referenced (Dreyfus model) scoring rubric for a norm-referenced, peer-benchmarked global evaluation; (3) use of formative rather than summative feedback; (4) incorporation of deliberate practice (Ericsson model); and (5) portfolio-based documentation of sentinel event markers and remediation.

CONCLUSION:
An implementation matrix for teaching and assessing surgical competence might be useful for local compliance with the ACGME mandate.

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Author information

Author/s: Oetting, Thomas A (TA); Lee, Andrew G (AG); Beaver, Hilary A (HA); Johnson, A Tim (AT); Boldt, H Culver (HC); Olson, Richard (R); Carter, Keith (K);

Affiliation: Departments of Ophthalmology, University of Iowa Hospital and Clinics and University of Iowa Carver College of Medicine, Iowa 52242, USA.

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye (Ophthalmic Surg Lasers Imaging), published in United States. (Language: eng)

Reference: -2006 Sep-Oct; vol 37 (issue 5) : pp 384-93

Dates: Created 2006/10/03; Completed 2006/10/26; Revised 2006/11/15;

PMID: 17017198, status: MEDLINE (last retrieval date: 11/6/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Cataract Extraction - education; standards
Clinical Competence - standards
Competency-Based Education
Curriculum
Education, Medical, Graduate - standards

Educational Measurement - standards
Humans
Internship and Residency - standards
Ophthalmology - education; standards
Teaching - standards

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