Clinical trial NCT05179980: Comprehensive Model for Evaluation of Surgical EPAs
Official title: Design of a Comprehensive Model for the Evaluation of Trustable Professional Activities in the General Surgery Setting
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Entrustable Professional Activities
Lead sponsor: Hospital General de Chihuahua - Dr. Salvador Zubirán Anchondo
Sponsor class: OTHER_GOV
First posted: 2022-01-06
Enrollment: 20
Sex: ALL
Minimum age (years): 23
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Residents of the general surgery program at a secondary care, public medical institution.

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.

Eligibility criteria: Inclusion Criteria:

* Residents in an universitary general surgery program

Exclusion Criteria:

* Staff surgeons
* Residents from another universitary program

Primary outcomes:
measure: Entrustable Professional Activities
timeFrame: 2020-2024 academic years
Secondary outcomes:
Other outcomes:
Locations:
city: Chihuahua
country: Mexico
facility: Chihuahua City General Hospital "Dr. Salvador Zubirán Anchondo"
Study officials:
affiliation: Chihuahua City General Hospital "Dr. Salvador Zubirán Anchondo"
name: Carlos R Cervantes-Sánchez, MD, MSc
role: PRINCIPAL_INVESTIGATOR
References: