Comprehensive Model for Evaluation of Surgical EPAs

Study Overview
=================
Brief Summary
-----------------
Introduction. Competency-based medical education (CBME) frameworks have become increasingly prevalent among surgical education accreditation bodies. Medical schools, postgraduate training programs, and licensing bodies conduct assessments to certify the competence of future practitioners, and judge the adequacy of training programs. Methods. A prospective cohort study was designed to evaluate clinical-surgical competencies in all residents of a general surgery program. All medical residents of the general surgery program of the Faculty of Medicine and Biomedical Sciences at the Autonomous University of Chihuahua, were video recorded with consent, in the field (Outpatient consultation, Surgical ward, Inpatient room, Classroom), for posterior evaluation by the professors of the program with electronic rubrics made with Google forms.

Detailed Description
-----------------
A prospective cohort study was designed to evaluate clinical-surgical competencies in residents of the general surgery program during the 2020-2021 academic year at a single, secondary care, public medical institution. For this purpose a previously validated instrument for the comprehensive evaluation of clinical-surgical competencies was used (9), which considered five dimensions, derived from the Single Plan for Medical Specialties in terms of 1-3) Clinical-surgical care (preoperative, transoperative and postoperative management), 4) Search and transfer of knowledge, and 5) Research proficiency. Each instrument was composed of 6 to 7 items, graduated in four levels of achievement; a) responsive, b) resolutive, c) autonomous, and d) strategic. All surgery residents were video recorded with consent, in the field (Outpatient consultation, Surgical ward, Inpatient room, Classroom) for posterior self-evaluation, co-evaluation and hetero-evaluation with electronic rubrics made with Google forms.

Official Title
-----------------
Design of a Comprehensive Model for the Evaluation of Trustable Professional Activities in the General Surgery Setting

Conditions
-----------------
Entrustable Professional Activities

Intervention / Treatment
-----------------
* Other: Assessment


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Residents in an universitary general surgery program Exclusion Criteria: Staff surgeons Residents from another universitary program

Ages Eligible for Study
-----------------
Minimum Age: 23 Years
Maximum Age: 40 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Assessment|Evaluation of clinical-surgical competencies with a previously validated instrument.|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Entrustable Professional Activities | Important work tasks that trainees need to be able to perform with supervision at a distance by the end of Basic Training | 2020-2024 academic years |