Objective assessment of surgical competence in a septoplasty model

 描述（由申请人提供）：为了确保患者安全，教育工作者必须培训外科医生制定能力标准，公共卫生官员应制定政策，以确保外科医生保持能力，外科医生只应执行他们有能力执行的手术。衡量外科医生的技术技能是确定他们是否称职的关键部分。传统上，手术技能最常在培训期间使用主观未经验证的指标进行评估。这导致了能力定义的变化。研究生医学教育认证理事会（研究生医学教育的管理机构）最近制定的政策要求客观地衡量技术技能。目前，衡量技术能力的有效客观措施很少。我们的研究将产生一套工具和方法，可以部署到跨医疗培训计划，以客观地衡量手术技能和能力。该平台还能够开发新的技能和能力的客观衡量标准。具体而言，首先，我们将开发一个客观的技能评估平台，并建立标准的数据收集和质量保证协议，以便在多个机构之间系统地部署我们的平台。其次，我们的工作将产生自动化算法和分析工具，以使用我们平台捕获的数据客观地衡量技能。第三，我们将建立客观的方法来确定外科医生是否有能力进行手术。第四，我们将测试我们的评估工具的可靠性和有效性。我们将使用鼻中隔成形术作为原型试验台手术进行研究。鼻中隔成形术是一种常见的手术（每年超过260，000例），也是耳鼻喉科住院医师评估的关键指标手术。我们的项目为后续研究奠定了基础，以使用该国众多培训项目汇总的数据建立客观技能和能力的国家标准。

 DESCRIPTION (provided by applicant): To ensure patient safety, educators must train surgeons to set standards of competency, public health officials should put in place policies to ensure surgeons remain competent and surgeons should only perform surgeries that they are competent to perform. Measuring surgeon's technical skill is crucial part of determining if they are competent. Traditionally surgical skill is assessed most commonly during training using subjective non-validated metrics. This leads to variation in the definition of competency. Recent policies set forth by the Accreditation Council of Graduate Medical Education- the governing body for graduate medical education, mandate that technical skill be measured objectively. Currently, there are few valid objective measures available to measure technical competence. Our research will yield a set of tools and methodologies that can be deployed to across medical training programs to objectively measure surgical skill and competence. This platform is also capable of developing new objective measure of skill and competence. Specifically, first, we will develop an objective skills assessment platform, and establish standard data collection and quality assurance protocols for systematic deployment of our platform across multiple institutions. Second, our work will result in automated algorithms and analytic tools to objectivel measure skill using data captured with our platform. Third, we will establish objective methods to determine whether a surgeon is competent to perform surgery. Fourth, we will test the reliability and validity of our assessment tools. We will conduct our study using septoplasty as the prototype test-bed procedure. Septoplasty is a commonly performed procedure (more than 260,000 cases per year) and is a key index surgery by which residents in otolaryngology are evaluated. Our project lays the groundwork for subsequent research to establish national standards for objective skill and competency using data aggregated from numerous training programs in the country.