Determinants of resident competence in mastoidectomy: Role of interest and deliberate practice

Mohammad U. Malik, David A. Diaz Voss Varela, Eunmi Park, Hamid Masood, Kulsoom Laeeq, Nasir Islam Bhatti, Howard W. Francis

Research output: Contribution to journalArticle

Abstract

Objectives/Hypothesis: This study explores the influence of selected factors on achievement of competency in mastoid surgery. Study Design: A prospective study of surgical performance and a retrospective survey of learner and training factors. Methods: The longitudinal performance of 15 residents was evaluated using the mastoidectomy task-based checklist (TBC). The influence of surgical experience, resident interest, and training factors (course attendance, voluntary use of simulation laboratory) was also examined and compared for the acquisition of distinct levels of technical skill difficulty (cortical mastoidectomy vs. facial recess). Results: Ninety-six observations made during the first otology rotation were analyzed. Cortical mastoidectomy tasks showed positive associations with cumulated case numbers (OR 1.13, CI 1.04-1.23, P =.003) and interest in otology (OR 3.86, CI 1.21-12.27, P =.022). Facial recess tasks showed a larger positive association with interest in otology (OR 10.38, CI 2.25-47.94, P =.003), and negative association with extra time spent in laboratory practice (OR.05, CI 0.011-0.23, P =.000). Conclusions: Learning trajectory for cortical mastoidectomy and facial recess may be influenced by different factors. Interest in otology, in particular, may have a moderating effect on the acquisition of more complex skills in mastoid surgery. A negative association between self-directed laboratory simulation and performance may reflect the impact of assessment-guided feedback in promoting deliberate practice. Further investigations are suggested to explore the interactions between individual trainee differences, educational models, and learning outcomes.

Original languageEnglish (US)
Pages (from-to)3162-3167
Number of pages6
JournalLaryngoscope
Volume123
Issue number12
DOIs
StatePublished - Dec 2013

Fingerprint

Otolaryngology
Mental Competency
Mastoid
Learning
Educational Models
Checklist
Individuality
Prospective Studies

Keywords

  • Learning curve
  • mastoidectomy
  • OSATS
  • otolaryngology
  • skill acquisition
  • surgical competency
  • surgical learning

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Malik, M. U., Diaz Voss Varela, D. A., Park, E., Masood, H., Laeeq, K., Bhatti, N. I., & Francis, H. W. (2013). Determinants of resident competence in mastoidectomy: Role of interest and deliberate practice. Laryngoscope, 123(12), 3162-3167. https://doi.org/10.1002/lary.24179

Determinants of resident competence in mastoidectomy : Role of interest and deliberate practice. / Malik, Mohammad U.; Diaz Voss Varela, David A.; Park, Eunmi; Masood, Hamid; Laeeq, Kulsoom; Bhatti, Nasir Islam; Francis, Howard W.

In: Laryngoscope, Vol. 123, No. 12, 12.2013, p. 3162-3167.

Research output: Contribution to journalArticle

Malik, MU, Diaz Voss Varela, DA, Park, E, Masood, H, Laeeq, K, Bhatti, NI & Francis, HW 2013, 'Determinants of resident competence in mastoidectomy: Role of interest and deliberate practice', Laryngoscope, vol. 123, no. 12, pp. 3162-3167. https://doi.org/10.1002/lary.24179
Malik, Mohammad U. ; Diaz Voss Varela, David A. ; Park, Eunmi ; Masood, Hamid ; Laeeq, Kulsoom ; Bhatti, Nasir Islam ; Francis, Howard W. / Determinants of resident competence in mastoidectomy : Role of interest and deliberate practice. In: Laryngoscope. 2013 ; Vol. 123, No. 12. pp. 3162-3167.
@article{49ebd0f4d8c447cca3705145bb3721fe,
title = "Determinants of resident competence in mastoidectomy: Role of interest and deliberate practice",
abstract = "Objectives/Hypothesis: This study explores the influence of selected factors on achievement of competency in mastoid surgery. Study Design: A prospective study of surgical performance and a retrospective survey of learner and training factors. Methods: The longitudinal performance of 15 residents was evaluated using the mastoidectomy task-based checklist (TBC). The influence of surgical experience, resident interest, and training factors (course attendance, voluntary use of simulation laboratory) was also examined and compared for the acquisition of distinct levels of technical skill difficulty (cortical mastoidectomy vs. facial recess). Results: Ninety-six observations made during the first otology rotation were analyzed. Cortical mastoidectomy tasks showed positive associations with cumulated case numbers (OR 1.13, CI 1.04-1.23, P =.003) and interest in otology (OR 3.86, CI 1.21-12.27, P =.022). Facial recess tasks showed a larger positive association with interest in otology (OR 10.38, CI 2.25-47.94, P =.003), and negative association with extra time spent in laboratory practice (OR.05, CI 0.011-0.23, P =.000). Conclusions: Learning trajectory for cortical mastoidectomy and facial recess may be influenced by different factors. Interest in otology, in particular, may have a moderating effect on the acquisition of more complex skills in mastoid surgery. A negative association between self-directed laboratory simulation and performance may reflect the impact of assessment-guided feedback in promoting deliberate practice. Further investigations are suggested to explore the interactions between individual trainee differences, educational models, and learning outcomes.",
keywords = "Learning curve, mastoidectomy, OSATS, otolaryngology, skill acquisition, surgical competency, surgical learning",
author = "Malik, {Mohammad U.} and {Diaz Voss Varela}, {David A.} and Eunmi Park and Hamid Masood and Kulsoom Laeeq and Bhatti, {Nasir Islam} and Francis, {Howard W.}",
year = "2013",
month = "12",
doi = "10.1002/lary.24179",
language = "English (US)",
volume = "123",
pages = "3162--3167",
journal = "Laryngoscope",
issn = "0023-852X",
publisher = "John Wiley and Sons Inc.",
number = "12",

}

TY - JOUR

T1 - Determinants of resident competence in mastoidectomy

T2 - Role of interest and deliberate practice

AU - Malik, Mohammad U.

AU - Diaz Voss Varela, David A.

AU - Park, Eunmi

AU - Masood, Hamid

AU - Laeeq, Kulsoom

AU - Bhatti, Nasir Islam

AU - Francis, Howard W.

PY - 2013/12

Y1 - 2013/12

N2 - Objectives/Hypothesis: This study explores the influence of selected factors on achievement of competency in mastoid surgery. Study Design: A prospective study of surgical performance and a retrospective survey of learner and training factors. Methods: The longitudinal performance of 15 residents was evaluated using the mastoidectomy task-based checklist (TBC). The influence of surgical experience, resident interest, and training factors (course attendance, voluntary use of simulation laboratory) was also examined and compared for the acquisition of distinct levels of technical skill difficulty (cortical mastoidectomy vs. facial recess). Results: Ninety-six observations made during the first otology rotation were analyzed. Cortical mastoidectomy tasks showed positive associations with cumulated case numbers (OR 1.13, CI 1.04-1.23, P =.003) and interest in otology (OR 3.86, CI 1.21-12.27, P =.022). Facial recess tasks showed a larger positive association with interest in otology (OR 10.38, CI 2.25-47.94, P =.003), and negative association with extra time spent in laboratory practice (OR.05, CI 0.011-0.23, P =.000). Conclusions: Learning trajectory for cortical mastoidectomy and facial recess may be influenced by different factors. Interest in otology, in particular, may have a moderating effect on the acquisition of more complex skills in mastoid surgery. A negative association between self-directed laboratory simulation and performance may reflect the impact of assessment-guided feedback in promoting deliberate practice. Further investigations are suggested to explore the interactions between individual trainee differences, educational models, and learning outcomes.

AB - Objectives/Hypothesis: This study explores the influence of selected factors on achievement of competency in mastoid surgery. Study Design: A prospective study of surgical performance and a retrospective survey of learner and training factors. Methods: The longitudinal performance of 15 residents was evaluated using the mastoidectomy task-based checklist (TBC). The influence of surgical experience, resident interest, and training factors (course attendance, voluntary use of simulation laboratory) was also examined and compared for the acquisition of distinct levels of technical skill difficulty (cortical mastoidectomy vs. facial recess). Results: Ninety-six observations made during the first otology rotation were analyzed. Cortical mastoidectomy tasks showed positive associations with cumulated case numbers (OR 1.13, CI 1.04-1.23, P =.003) and interest in otology (OR 3.86, CI 1.21-12.27, P =.022). Facial recess tasks showed a larger positive association with interest in otology (OR 10.38, CI 2.25-47.94, P =.003), and negative association with extra time spent in laboratory practice (OR.05, CI 0.011-0.23, P =.000). Conclusions: Learning trajectory for cortical mastoidectomy and facial recess may be influenced by different factors. Interest in otology, in particular, may have a moderating effect on the acquisition of more complex skills in mastoid surgery. A negative association between self-directed laboratory simulation and performance may reflect the impact of assessment-guided feedback in promoting deliberate practice. Further investigations are suggested to explore the interactions between individual trainee differences, educational models, and learning outcomes.

KW - Learning curve

KW - mastoidectomy

KW - OSATS

KW - otolaryngology

KW - skill acquisition

KW - surgical competency

KW - surgical learning

UR - http://www.scopus.com/inward/record.url?scp=84888435916&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84888435916&partnerID=8YFLogxK

U2 - 10.1002/lary.24179

DO - 10.1002/lary.24179

M3 - Article

C2 - 23878112

AN - SCOPUS:84888435916

VL - 123

SP - 3162

EP - 3167

JO - Laryngoscope

JF - Laryngoscope

SN - 0023-852X

IS - 12

ER -