부산대학교 도서관

Edinburgh Basic Surgical Trainee Assessment Form (EBSTAF) assessments of a new BST cohort were used to provide structured and anonymous feedback of trainee performance. The highly-detailed nature of the feedback proved popular with the trainees who reported it to be very helpful in directing their efforts during their training. Despite initial reservations concerning their assessment by the nursing staff, they found their comments to be particularly insightful. Comparison of EBSTAF scores was also made between the original validation cohort and the feedback group. However, no statistically significant differences were demonstrated between the two groups. This study in combination with the BSTs’ agreement on the importance of the fields within EBSTAF suggests that they will value future multidisciplinary assessment and the detailed feedback on performance it provides. High-fidelity human patient simulation offers the opportunity to practice high-stress critical care scenarios in complete safety for both trainees and patients. This modality was applied to trainee assessment using purpose-written scenarios with performances rates using EBSTAF. This study was the first to demonstrate construct validity for closely-related levels of surgical trainee and highlighted the influence of non-technical skills on clinical practice. Finally, the validity of assessment of BST tissue-handling skills using edited video was examined. Hernia repairs were judged using a modified Technical Skills domain from EBSTAF in conjunction with the well-validated global Ratings Scale of Operative Performance. This demonstrated highly-sensitive validity by allowing consultant assessors to discriminate between trainees separated by only 6 months training Trainees were also able to identify good operative skills when provided with such a structured framework on which to base their assessments, suggesting that such assessment methods may improve BSTs self-assessment skills.