Central Surgical AssociationUtilization of standardized patients to evaluate clinical and interpersonal skills of surgical residents
Section snippets
Methods
All categorical residents of a general surgery training program participated in an exercise using a standardized patient assessment tool during their orientation (T1). The assessment tool was based on a 12-item modified version of the 5-point Likert Interpersonal Scale (IP) used on the National Board of Medical Examiners (NBME) prototype Clinical Skills Examination (CSE) (Table I) and a 24-item, done-or-not-done, history-taking checklist (Abd) (Table II). The standardized patient scenario was
Results
Thirty-eight residents were evaluated at T1 and T2. The scores for the standardized patients and residents are listed in Table III. Statistical evaluation is summarized in Table IVa, Table IVb, Table IVc.
There were 24 items in the done-or-not-done Abd. At T1 (Table III), the standardized patients (Spabd) noted a mean performance of 13.7 ± 3.5 (57%) items. The residents (Mdabd) claimed a mean performance of 14.3 ± 2.8 (60%) items (Table III).
There was no significant difference between the
Discussion
This was an observational study in which residents were studied twice. The study was designed to identify activity status at the entry point and determine the normal growth of the activity between 2 points during which clinical encounters were the only intervention.
The study was based on the concept that clinical experiences create a significant curriculum for skill acquisition. Intervention or modification of the naturally occurring curriculum should be based on an adequate study to determine
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Diversity and Inclusion—Why Does It Matter
2020, Otolaryngologic Clinics of North AmericaCitation Excerpt :When raters were all male, men were rated significantly more favorably than women. When evaluators were a mixed group of men and women, this gender bias was eliminated or women were rated more highly.46–55 Ideally, efforts at increasing representation in decision making are paired with systematic efforts to increase awareness of the negative impact of unconscious bias on the advancement of women and other underrepresented groups.44,45
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