You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment I (MP34)1 Apr 2020MP34-05 INTRODUCING OPERATIVE SKILLS TESTING IN UROLOGY BOARD EXAMINATIONS: RESULTS OF FIVE YEARS EXPERIENCE Ashraf Mosharafa*, Mohamed Abdelrassoul, Hany Elfayoumy, Mohamed Elsheikh, Ismail Saad, and Ahmed Morsy Ashraf Mosharafa*Ashraf Mosharafa* More articles by this author , Mohamed AbdelrassoulMohamed Abdelrassoul More articles by this author , Hany ElfayoumyHany Elfayoumy More articles by this author , Mohamed ElsheikhMohamed Elsheikh More articles by this author , Ismail SaadIsmail Saad More articles by this author , and Ahmed MorsyAhmed Morsy More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000878.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Operative surgical skills are among the most crucial competencies required for the independent practice in surgical specialties, yet they are rarely assessed as part of specialty-training exit / board examinations. Although there are tools to evaluate surgical training (e.g. logbooks and work-place based assessments), these tools have their shortcomings and may not be sufficient to guarantee adequate operative competency at exit level. The current report describes the introduction of operative skills testing as part of national Urology board final examinations, with an evaluation of the performance of “operative skills stations” in comparison to other standardized elements. METHODS: Starting in 2013, an “operative skills” station was introduced as part of the Objective Structured Practical / Clinical Examination (OSP/CE) of the Egyptian Board of Urology’s final examinations. Feedback was collected from candidates and assessors, and the performance of the “operative skills” station (discriminating ability and reliability) was compared to the remaining stations of the examination. RESULTS: Candidates were asked to perform a surgical task in a wet lab setting (e.g. suturing a urinary bladder laceration or an intestinal anastomosis) while being assessed (using a checklist) for various technical aspects. Over five examinations (2013-2018), the OSP/CE stations had high internal reliability (average Cronbach’s alpha 0.853), with the “operative skills” station having relatively high item-total correlation (above 0.75), and very high correlation with other practical stations focusing on use of instruments, interpretation and reporting of operative findings. Assessors and candidates’ feedback was consistent with high validity (most responding “agree” or “strongly agree” to questions on “able to assess surgical competency” and “simulates real-life situation”). CONCLUSIONS: Testing surgical operative skills as part of Urology specialty exit examination is feasible and can add an important dimension to candidates’ assessment. Well-designed operative OSPE stations have high reliability and discriminating ability, complementing the evaluation of other clinical skills and domains. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e504-e505 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ashraf Mosharafa* More articles by this author Mohamed Abdelrassoul More articles by this author Hany Elfayoumy More articles by this author Mohamed Elsheikh More articles by this author Ismail Saad More articles by this author Ahmed Morsy More articles by this author Expand All Advertisement PDF downloadLoading ...
Read full abstract