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Miniseminar: Implementing Operative Competency Assessment in Residency
P62
Otolaryngology-Head and Neck Surgery, Vol 137, No 2S, August 2007
9:30 AM to 10:30 AM WCC Ballroom C Miniseminar: Endoscopic Thyroid Surgery: Help or Hype? David J Terris, MD (moderator); David L Steward, MD; Alfred A Simental, Jr, MD; Gary L Clayman, MD, DDS The practice of thyroid surgery has undergone substantial changes in the past three to five years, partially as a result of the incorporation of technology such as high-resolution endoscopy. Early adopters of endoscopic thyroid surgery will share the perspectives of their experience
with this new approach to the management of a defined segment of thyroid diseases. Where possible, evidencebased discussions will be presented. Specific issues that will be considered will include (1) lessons learned during the early application of endoscopic techniques in this country, (2) the value of the enhanced visualization associated with endoscopes, (3) the cosmetic advantages conferred by minimal access surgery that is facilitated by endoscopic technology, and (4) an algorithm for the rational implementation of endoscopic thyroid techniques in a modern thyroid surgical practice.
9:30 AM to 10:30 AM WCC 147AB Miniseminar: Implementing Operative Competency Assessment in Residency Nasir I Bhatti, MD (moderator); Robert A Weatherly, MD; Douglas A Girod, MD; Ian J Witterick, MD; Nicole Woods, MD The environment for surgical training in otolaryngology has been undergoing significant change due to the recent regulatory, ethical, and technological challenges and advances. These include an elevated awareness of patient safety, work hour limitations, shortened duration of residency programs, and the high and rising cost of training in the operating room. The assessment of surgical skills in almost all otolaryngology training programs is based on subjective evaluations by the faculty based mostly on recollection of the procedures performed by the resident over the course of the rotation. The movement for objective assessment and certification of procedural/technical competency in residents and practicing surgeons is rapidly gaining momentum. Assessment of technical skills using procedural simulation has been shown to translate to actual surgical performance within the operating room. The index procedures to be evaluated and the instruments used to do so are still subjects of great controversy. A completely ob-
jective, reproducible, and universally accepted evaluation tool does not exist at present. Large-scale testing in OB/GYN residency programs has confirmed that OSATS is an objective, reliable, and valid method to assess surgical skills, and can easily be administered in most residency programs. A laboratory-based surgical curriculum has also been shown to improve test results and reduced time to complete tasks. The speakers bring a vast experience of designing and implementing instruments and programs for procedural competency assessment in otolaryngology head and neck surgery residency programs in the U.S. and Canada. The expert on education will bring in the methodological perspective from the standpoint of day-to-day functioning of one such program: ● definition of operative competency in residency, selection of index procedures for assessment, and review of OSATS instruments; ● feasibility of testing in otolaryngology residency programs; ● current and proposed systems for assessment and experience in the U.S. and Canada; ● historical problems in implementing the assessment programs and proposed solutions; and ● identification of problem residents and mechanisms for corrective actions. All topics will be presented with Powerpoint slides and each presentation will last six miunutes leaving the last 20 minutes for interactive discussion.
Otolaryngology-Head and Neck Surgery, Vol 137, No 2S, August 2007
9:30 AM to 10:30 AM WCC Ballroom C Miniseminar: Endoscopic Thyroid Surgery: Help or Hype? David J Terris, MD (moderator); David L Steward, MD; Alfred A Simental, Jr, MD; Gary L Clayman, MD, DDS The practice of thyroid surgery has undergone substantial changes in the past three to five years, partially as a result of the incorporation of technology such as high-resolution endoscopy. Early adopters of endoscopic thyroid surgery will share the perspectives of their experience
with this new approach to the management of a defined segment of thyroid diseases. Where possible, evidencebased discussions will be presented. Specific issues that will be considered will include (1) lessons learned during the early application of endoscopic techniques in this country, (2) the value of the enhanced visualization associated with endoscopes, (3) the cosmetic advantages conferred by minimal access surgery that is facilitated by endoscopic technology, and (4) an algorithm for the rational implementation of endoscopic thyroid techniques in a modern thyroid surgical practice.
9:30 AM to 10:30 AM WCC 147AB Miniseminar: Implementing Operative Competency Assessment in Residency Nasir I Bhatti, MD (moderator); Robert A Weatherly, MD; Douglas A Girod, MD; Ian J Witterick, MD; Nicole Woods, MD The environment for surgical training in otolaryngology has been undergoing significant change due to the recent regulatory, ethical, and technological challenges and advances. These include an elevated awareness of patient safety, work hour limitations, shortened duration of residency programs, and the high and rising cost of training in the operating room. The assessment of surgical skills in almost all otolaryngology training programs is based on subjective evaluations by the faculty based mostly on recollection of the procedures performed by the resident over the course of the rotation. The movement for objective assessment and certification of procedural/technical competency in residents and practicing surgeons is rapidly gaining momentum. Assessment of technical skills using procedural simulation has been shown to translate to actual surgical performance within the operating room. The index procedures to be evaluated and the instruments used to do so are still subjects of great controversy. A completely ob-
jective, reproducible, and universally accepted evaluation tool does not exist at present. Large-scale testing in OB/GYN residency programs has confirmed that OSATS is an objective, reliable, and valid method to assess surgical skills, and can easily be administered in most residency programs. A laboratory-based surgical curriculum has also been shown to improve test results and reduced time to complete tasks. The speakers bring a vast experience of designing and implementing instruments and programs for procedural competency assessment in otolaryngology head and neck surgery residency programs in the U.S. and Canada. The expert on education will bring in the methodological perspective from the standpoint of day-to-day functioning of one such program: ● definition of operative competency in residency, selection of index procedures for assessment, and review of OSATS instruments; ● feasibility of testing in otolaryngology residency programs; ● current and proposed systems for assessment and experience in the U.S. and Canada; ● historical problems in implementing the assessment programs and proposed solutions; and ● identification of problem residents and mechanisms for corrective actions. All topics will be presented with Powerpoint slides and each presentation will last six miunutes leaving the last 20 minutes for interactive discussion.