The ACGME competencies in the operating room.

Full Abstract

BACKGROUND:
In 1999, the ACGME introduced the 6 competencies that have become the basis for resident education. Since the operating room (OR) has traditionally been the major focus for resident teaching in surgery, we performed an observational study to determine whether it is an appropriate setting for the teaching and/or assessment of the competencies.

METHODS:
A 3-person team observed 11 operations and recorded all teaching events. Observers then determined whether each event involved the teaching of a competency by faculty or demonstration of a competency by residents. Frequency counts, mean times, and ranges were calculated for each competency taught and demonstrated.

RESULTS:
The Patient Care competency was both the most commonly taught and demonstrated. Faculty spent an average of 33% of operative time instructing in patient care, and residents demonstrated it 65% of the time. The Interpersonal/Communication Skills (4%) and Practice-Based Learning/Improvement (4%) competencies were also occasionally demonstrated by residents. The remaining competencies were addressed less frequently.

CONCLUSIONS:
OR teaching was primarily devoted to the Patient Care competency. The OR was also an appropriate setting for evaluating resident performance in this area. New approaches to OR teaching or educational efforts in other settings such as the clinic are necessary for teaching and assessing the remaining competencies.

This information was obtained from the public area of Pubmed, part of the National Library of Medicine (NLM). Abstract text and other information may be subject to copyright.

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Author information

First Name	LastName	Initials
Jacob A	Greenberg	JA
Jennifer L	Irani	JL
Caprice C	Greenberg	CC
Maria A	Blanco	MA
Stuart	Lipsitz	S
Stanley W	Ashley	SW
Elizabeth M	Breen	EM
Janet P	Hafler	JP

Affiliation: Department of Surgery, Brigham and Women's Hospital, Boston, Mass, USA.

Grants:

Journal and publication information

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

Journal: Surgery (Surgery).

Reference: 2007-Aug; vol 142 (issue 2) : pp 180-4

Language: eng

PMID: 17689683 (status: MEDLINE) (last retrieval date: 12/20/2007)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Clinical Competence
Competency-Based Education
Faculty, Medical
Health Knowledge, Attitudes, Practice

Humans
Internship and Residency - methods; standards
Operating Rooms
Surgery - education

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