Journal Article

Assessment of Anatomical Knowledge and Core Trauma Competency Vascular Skills

Guinevere Granite, Kristy Pugh, Hegang Chen, Nyaradzo Longinaker, Evan Garofalo, Stacy Shackelford, Valerie Shalin, Adam Puche, Jason Pasley, Babak Sarani, Sharon Henry, Mark Bowyer and Colin Mackenzie

in Military Medicine

Volume 183, issue suppl_1, pages 66-72
Published in print March 2018 | ISSN: 0026-4075
Published online April 2018 | e-ISSN: 1930-613X | DOI: https://dx.doi.org/10.1093/milmed/usx151
Assessment of Anatomical Knowledge and Core Trauma Competency Vascular Skills

More Like This

Show all results sharing these subjects:

  • Medicine and Health
  • Emergency Medicine
  • Trauma and Orthopaedic Surgery
  • Military Psychology
  • Warfare and Defence

GO

Show Summary Details

Preview

Abstract

Objectives

Surgical residents express confidence in performing specific vascular exposures before training, but such self-reported confidence did not correlate with co-located evaluator ratings. This study reports residents’ self-confidence evaluated before and after Advanced Surgical Skills for Exposure in Trauma (ASSET) cadaver-based training, and 12–18 mo later. We hypothesize that residents will better judge their own skill after ASSET than before when compared with evaluator ratings.

Methods

Forty PGY2–7 surgical residents performed four procedures: axillary artery (AA), brachial artery (BA), femoral artery exposure and control (FA), and lower extremity fasciotomy (FAS) at the three evaluations. Using 5-point Likert scales, surgeons self-assessed their confidence in anatomical understanding and procedure performance after each procedure and evaluators rated each surgeon accordingly.

Results

For all the three evaluations, residents consistently rated their anatomical understanding (p < 0.04) and surgical performance (p < 0.03) higher than evaluators for both FA and FAS. Residents rated their anatomical understanding and surgical performance higher (p < 0.005) than evaluators for BA after training and up to 18 mo later. Only for third AA evaluation were there no rating differences.

Conclusions

Residents overrate their anatomical understanding and performance abilities for BA, FA, and FAS even after performing the procedures and being debriefed three times in 18 mo.

Keywords: Advanced Surgical Skills for Exposure in Trauma (ASSET); anatomical knowledge; surgical performance; self-reported confidence; vascular exposure; hemorrhage control

Journal Article.  4397 words.  Illustrated.

Subjects: Medicine and Health ; Emergency Medicine ; Trauma and Orthopaedic Surgery ; Military Psychology ; Warfare and Defence

Full text: subscription required

How to subscribe Recommend to my Librarian

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content. subscribe or login to access all content.