Reviews the literature on observational assessment of surgical practice to analyze the evidence base for procedure-based assessments.
Evidence for procedure-based assessments remains limited; leaves open their validity for high-stakes surgical evaluation.
The Intercollegiate Surgical Curriculum Programme (ISCP) has implemented a tool for assessment of surgical technique called procedure-based assessment (PBA). It is part of a spectrum of workplace-based assessments being used for the surgical specialist training programmes. We reviewed the literature on observational assessment of surgical practice in order to analyse how PBAs relate to the evidence base for this form of assessment.
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Isles et al. (2010) studied this question.
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