Teaching and assessing surgical competency in ophthalmology training programs

Thomas A Oetting; Andrew G Lee; Hilary A Beaver; A Tim Johnson; H Culver Boldt; Richard Olson; Keith Carter

doi:10.3928/15428877-20060901-05

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Journal article

Teaching and assessing surgical competency in ophthalmology training programs

Thomas A Oetting, Andrew G Lee, Hilary A Beaver, A Tim Johnson, H Culver Boldt, Richard Olson and Keith Carter

Ophthalmic surgery, lasers & imaging, Vol.37(5), pp.384-393

09/2006

DOI: 10.3928/15428877-20060901-05

PMID: 17017198

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Abstract

The Accreditation Council for Graduate Medical Education (ACGME) has mandated implementation of six new competencies in resident training in the United States. An implementation strategy is proposed to teach and assess cataract surgical competence. An intradepartmental Task Force for the ACGME competencies reviewed the literature for assessment tools to develop an implementation matrix for assessing surgical competence. "Good practices" (gleaned from the literature) were adapted for the institution's needs and tested, including (1) written and explicit goals or objectives for each stage of training; (2) substitution of a criterion-referenced (Dreyfus model) scoring rubric for a norm-referenced, peer-benchmarked global evaluation; (3) use of formative rather than summative feedback; (4) incorporation of deliberate practice (Ericsson model); and (5) portfolio-based documentation of sentinel event markers and remediation. An implementation matrix for teaching and assessing surgical competence might be useful for local compliance with the ACGME mandate.

Cataract Extraction - standards

Educational Measurement - standards

Cataract Extraction - education

Education, Medical, Graduate - standards

Ophthalmology - standards

Humans

Curriculum

Internship and Residency - standards

Clinical Competence - standards

Ophthalmology - education

Competency-Based Education

Teaching - standards

Details

Title: Subtitle: Teaching and assessing surgical competency in ophthalmology training programs
Creators: Thomas A Oetting - Departments of Ophthalmology, University of Iowa Hospital and Clinics and University of Iowa Carver College of Medicine, Iowa 52242, USA
Andrew G Lee
Hilary A Beaver
A Tim Johnson
H Culver Boldt
Richard Olson
Keith Carter
Resource Type: Journal article
Publication Details: Ophthalmic surgery, lasers & imaging, Vol.37(5), pp.384-393
Publisher: United States
DOI: 10.3928/15428877-20060901-05
PMID: 17017198
ISSN: 1542-8877
eISSN: 1938-2375
Language: English
Date published: 09/2006
Academic Unit: Stead Family Department of Pediatrics; Otolaryngology; Ophthalmology and Visual Sciences
Record Identifier: 9983980005802771

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