Research article summary:

Self-assessment in simulation-based surgical skills training.

Abstract Extract:
BACKGROUND: Simulation-based training provides minimal feedback and relies heavily on self-assessment. Research has shown medical trainees are poor self-assessors. The purpose of this study was to examine trainees ability to self-assess technical skills ... (Full abstract text below)

Published 2003Apr in Journal: Am J Surg (Language : eng)

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1. Am J Surg. 2003 Apr;185(4):319-22

Self-assessment in simulation-based surgical skills training.

MacDonald J, Williams RG, Rogers DA

Department of Surgery, Southern Illinois University School of Medicine, PO Box 19638, Springfield, IL 62794-9638, USA. macdp@hotmail.com

BACKGROUND: Simulation-based training provides minimal feedback and relies heavily on self-assessment. Research has shown medical trainees are poor self-assessors. The purpose of this study was to examine trainees' ability to self-assess technical skills using a simulation-trainer.METHODS: Twenty-one medical students performed 10 repetitions of a simulated task. After each repetition they estimated their time and errors made. These were compared with the simulator data. RESULTS: Task time (P < 0.0001) and errors made (P < 0.0001) improved with repetition. Both self-assessment curves reflected their actual performance curves (P < 0.0001). Self-assessment of time did not improve in accuracy (P = 0.26) but error estimation did (P = 0.01) when compared with actual performance. CONCLUSIONS: Novices demonstrated improved skill acquisition using simulation. Their estimates of performance and accuracy of error estimation improved with repetition. Clearly, practice enhances technical skill self-assessment. These results support the notion of self-directed skills training and could have significant implications for residency training programs.

PMID : 12657382 [PubMed - Indexed for MEDLINE]

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Full Author Information

First Name	LastName	Initials
Jeannie	MacDonald	J
Reed G	Williams	RG
David A	Rogers	DA

Affiliation: Department of Surgery, Southern Illinois University School of Medicine, PO Box 19638, Springfield, IL 62794-9638, USA. macdp@hotmail.com

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