Assessment of Operative Autonomy and Readiness for Independent Practice Among Pediatric Surgery Fellows
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In brief
In brief
Study evaluates SIMPL, a mobile workplace-based assessment tool for tracking operative autonomy in pediatric surgery fellows. Analysis of 565 case assessments shows second-year fellows achieved significantly higher autonomy and practice-readiness ratings than first-year fellows, demonstrating the platform's utility for competency-based surgical training.
Written by the GCMD Library team from the article.
Purpose
The purpose of this study was to evaluate the implementation of the System for Improving and Measuring Procedural Learning (SIMPL) "app" in a pediatric surgery training program. SIMPL is a novel workplace-based operative performance assessment platform which allows case by case assessment of trainees using three scales (autonomy, performance, and case complexity) and takes seconds to complete.
Methods
A pediatric surgery-specific procedural taxonomy for SIMPL was developed from the ACGME procedural library. SIMPL was piloted and implemented in a single pediatric surgery training program. A descriptive analysis of the operative assessments was undertaken.
Results
In the year following SIMPL implementation, 565 (39% of cases) assessments were completed by 21 faculty for 3 fellows for 148 unique procedures within a median of 8.5 h. Recorded feedback accompanied 61% of assessments. 2nd year fellows were more likely to be deemed autonomous (81% ratings) and practice ready (84%) vs. 1st year fellows (50%; p