Why the study?
Acquiring surgical competencies requires assessment tools for quantification and comparison, prompting a review to identify methods and tools best applicable in each training context and situation.
There is significant heterogeneity in the tools and methodologies used to assess technical and cognitive skills in general surgery, highlighting the need for standardization and rational use based on specific training contexts.
Assessment tools can be tailored to surgical training contexts; leaves open prospective validation before routine adoption.
The acquisition of competencies in surgery is still the main objective of the professional who seeks independence in a safe and optimized way.However, this task requires the development of assessment tools so that there is quantification and comparison, necessary for the acquisition of competencies.The objective is to review the methods of assessing technical and cognitive skills in general surgery and identify tools and methodologies best applicable in each training context and situation.A scope review was conducted, given the heterogeneous nature of the evidence.A systematic search was performed in the databases MEDLINE, EMBASE, LILACS, Web of Science and Scopus and studies related to the evaluation of technical and cognitive skills in surgery were included after careful selection of the reviewers.With the 21 selected studies it was possible to create a table with information whose observation revealed a great heterogeneity in the evaluation methodology regarding the tool used and comparative method.In addition, most of the time the number of individuals evaluated is low, reflecting the difficulty of conducting this type of clinical research dependent on the commitment of the resident with his teaching and of the preceptor and institution, divided between the care and educational activity organized from the local policy.The limitations that make it difficult to standardize the variables and the comparisons between the different assessment tools are still the subject of study.The review of the current state of the main assessment instruments and their characteristics can provide input for rational and practical use in the face of each reality and need.
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Cezillo et al. (2023) studied this question.
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