Peer- and Self-rating of Open Surgery Skills

Study Overview
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Brief Summary
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The study group want to investigate whether doctors, who are in the beginning of their training to become surgeons, can rate themself and their peers using Objective Structured Assessment of Technical Skills. Participants have participated in a 6 weeks course in basic open surgical skills. At the end of the course the participants will be examined at at videotaped test. The participants will be asked to rate their own video and two videos of other trainees' performances. Ratings will be compared to expert ratings.

Detailed Description
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The study is a prospective, descriptive study investigating whether doctors are able to rate their own and their peers' performance in a basic open surgery skill course. At the end of the course in basic open surgery, participants will be examined at the post-test as described in the protocol The effect of group dynamics in surgical skill training. After the participants complete the post-test, participants will be asked to participate in this additional study. The participants will receive no instructions on this additional study, before they complete the study The effect of group dynamics in surgical skill training.

Official Title
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Peer- and Self-rating of Open Surgery Skills Using Objective Structured Assessment of Technical Skills

Conditions
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Surgery

Intervention / Treatment
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* Other: Peer- and self-rating


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants are medical doctors and medical students who completed the study The effect of group dynamics in surgical skill training as part of the control group. The participants must be willing and able to give informed consent for participation in the study. Exclusion Criteria: Participants who do not finish the basic open surgery course Medical doctors and medical students enrolled in the study The effect of group dynamics in surgical skill training that are randomized to dyad training
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Peer- and self-rating|Participants will be given a print and a e-mail of the modified OSATS global rating scale and will be introduced to how the rating scale is used to rate technical performance. The participant will receive a USB stick each allowing the participant to see a video of his/her own performance and two videos from previous post-test performances from participants enrolled in the course. One video is a video of a participant who performed poorly,the other is from a participant who performed well. The participants will be asked to watch and rate the videos of their peers' performance first and afterwards watch and rate the participants own video performance. The investigators choose to let the participants rate their peers' performances before their own, so the participants will have the best opportunities to self-rate. Participants will be asked to email the results of their ratings to the principal investigator within 3 days. And expert in surgery will also rate the videos using OSATS.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Differences between the participants' rating score of his/her own performance and the experts' rating score of the participants' performance | To investigate whether medical doctors are able to rate their own performance in a basic open surgery skill course using a modified OSATS rating scale | six months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Differences between the participants' rating score of his/her peers performances and experts' rating score of the peers' performances | To investigate whether medical doctors are able to rate their peers' performance in a basic open surgery skill course using a modified OSATS rating scale | six months | 
| Differences in the correlation of self-rating score and expert rating score between participants who are rated in the upper quartile by experts compared to participants who are rated in the lower quartile by experts | To investigate the correlation between level of competency and the ability to self-rate in a basic open surgery skill course using a modified OSATS rating scale | Six months | 
| Differences in the correlation of participants' rating scores and experts' rating scores between participants first and second rating of their peers performance. | To investigate whether there is progression in the participants ability to rate their peers performances using OSATS | six months |