Objective assessment of surgical competence in a septoplasty model

 描述(由申请者提供)：为了确保患者的安全，教育工作者必须对外科医生进行培训，以制定能力标准，公共卫生官员应该制定政策，确保外科医生仍然有能力，外科医生应该只进行他们有能力执行的手术。衡量外科医生的技能是决定他们是否有能力的关键部分。传统上，外科手术技能评估最常见的是在训练期间使用主观的、未经验证的指标。这导致了能力的定义不同。医学研究生教育认证委员会--医学研究生教育管理机构--最近制定的政策要求客观衡量技术技能。目前，很少有有效的客观衡量技术能力的方法。我们的研究将产生一套工具和方法，可以部署到整个医疗培训计划，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。具体地说，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有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对象化测量技能。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，我们将测试我们评估工具的信度和效度。我们将使用鼻中隔成形术作为原型试验台程序进行研究。鼻中隔成形术是一种常见的手术(每年超过26万例)，也是评估耳鼻咽喉科住院医生的关键指标手术。我们的项目为后续研究奠定了基础，以建立客观技能和能力的国家标准，使用从该国许多培训计划收集的数据。

 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.