Objective assessment of surgical performance and its impact on a national selection programme of candidates for higher surgical training in plastic surgery☆
Received 12 September 2007; accepted 9 June 2008. published online 20 October 2008.
Summary
Objective
The objective of this study was to develop and validate a transparent, fair and objective assessment programme for the selection of surgical trainees into higher surgical training (HST) in plastic surgery in the Republic of Ireland.
Methods
Thirty-four individuals applied for HST in plastic surgery at the Royal College of Surgeons in Ireland (RCSI) in the academic years 2005–2006 and 2006–2007. Eighteen were short-listed for interview and further assessment. All applicants were required to report on their undergraduate educational performance and their postgraduate professional development. Short-listed applicants completed validated objective assessment simulations of surgical skills, an interview and assessment of their suitability for a career in surgery.
Results
When applicants' short-listing scores were combined with their interview scores and assessment of their suitability for a career in surgery, individuals who were selected for HST in plastic surgery performed significantly better than those who were not (P<0.002). However, when the assessment of technical skills scores were added the significance level of this difference increased further (P<0.0001) as did the statistical power of the difference to 99.9%, thus increasing the robustness of the selection package.
Conclusion
The results from this study suggest that the assessment protocol we used to select individuals for HST in plastic surgery reliably and statistically significantly discriminated between the performances of candidates.
☆ Data from this paper was presented at the summer meeting of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) Liverpool, UK, 2008, and at the 54th annual meeting of the Plastic Surgery Research Council, Illinois, USA, 2008 (winner of the Shenaq International Research Award).
ABSTRACT
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