What question did this study set out to answer?

To evaluate whether cumulative sum (cusum) analysis of procedure durations can provide an objective and early assessment of surgical trainees' technical performance.

November 1, 1995British journal of surgery

Cusum as an aid to early assessment of the surgical trainee

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Why the study?

Does the cusum method reliably assess surgical trainees compared to mentor evaluations?

Population

17 surgical trainees

Comparison

Cusum method to assess performance progress… vs Scores from at least four independent assessors…

Design

Cohort

Authors

ARAndré M. van RijVascular / Pulmonary Vascular JMJames R. McDonaldAuburn University RPRoss A. PettigrewDunedin Public Hospital

Discussion

Member takes

Implication

CUSUM may aid objective trainee assessment after 25 cases; hypothesis-generating and requires prospective validation before practice change.

Key Points

To evaluate whether cumulative sum (cusum) analysis of procedure durations can provide an objective and early assessment of surgical trainees' technical performance.
Assessed 17 surgical trainees performing independent operations (appendicectomy, herniorrhaphy, and cholecystectomy) based on procedure duration.
Compared cusum performance profiles with independent evaluation scores from at least four mentors using a modified Royal Australasian College of Surgeons assessment form.
Cusum profiles correctly identified all trainees categorized as satisfactory or less able by independent mentor evaluations.
Objective performance assessment achieved reliability after 25 surgical procedures, whether evaluating appendicectomy alone or combined with herniorrhaphy and cholecystectomy.

Structured PICO

Does the cusum method reliably assess surgical trainees compared to mentor evaluations?

Population

17 surgical trainees

Intervention

Cusum (cumulative sum) method to assess performance progress based on procedure duration

Comparator

Scores from at least four independent assessors using a modified Royal Australasian College of Surgeons' mentor form

Outcome

Identification of trainees considered satisfactory or less able by their mentors

The cusum method provides an objective and reliable tool for assessing surgical trainees' performance progress after 25 procedures.

Cite This Study

Rij et al. (1995) studied this question.

synapsesocial.com/papers/6a70112678a11c550e09dce4 https://doi.org/10.1002/bjs.1800821117

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Implication

CUSUM may aid objective trainee assessment after 25 cases; hypothesis-generating and requires prospective validation before practice change.

Cusum as an aid to early assessment of the surgical trainee

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Cusum as an aid to early assessment of the surgical trainee

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider