부산대학교 도서관

Purpose: Establishing normative data for operative skills during residency training can help identify residents whose performance lags behind or exceeds that of their peers. We performed the current study using Operative Entrustability Assessment (OEA) data to map operative progress of plastic surgery residents by post-graduate year (PGY).Methods: OEA data were abstracted from MileMarker®, a web-based program that captures resident self-assessments and associated attending assessments of CPT-coded procedures. Ratings are based on a 5-point scale (1 = “observed case,” 5 = “can take junior resident through case”). Data were collected from 7 academic plastic surgery programs.Results: We identified 14,272 completed OEAs assessing 916 unique CPT codes; of these, 28 procedures (comprising 7,157 OEAs) contained > 100 assessments (range: 101–599). Examples of procedures in which resident skills are mastered at different training levels include split-thickness skin grafts (early, junior residents), ulnar nerve release (late, senior residents), and breast reduction (linearly).Conclusions: Establishing normative data for high-volume cases can facilitate recognition of residents whose operative skills are outside the expected range, thereby enabling more individualized learning in surgical education. Using these data, we have identified 28 sentinel procedures that may be used to identify excelling, competent, and struggling residents in the early, middle, and late stages of training. Further studies will be performed to determine if competency maps can be used to predict future performance.