Empirical validation of the Operative Entrustability Assessment using resident performance in autologous breast reconstruction and hand surgery

Ricardo J. Bello, Melanie R. Major, Damon Cooney, Gedge David Rosson, Scott Lifchez, Carisa Miller Cooney

Research output: Contribution to journalArticlepeer-review

Abstract

Background: In 2013, we developed the Operative Entrustability Assessment (OEA) to facilitate evaluation and documentation of resident operative skills. This web-based tool provides real-time, transparent feedback to residents on operative performance. This study evaluated the construct validity of the OEA, assessing its association with operative time. Methods: We used simple and multiple linear regression to estimate associations between OEA scores and operative time in selected procedures performed. Results: OEAs were completed for 93 autologous breast reconstructions and 185 hand procedures. Self-assessed OEA was associated with shorter operative time in breast (p = 0.008) and hand (p = 0.036) cases. Evaluator OEA was associated with shorter operative time in breast (p = 0.018), but not hand cases (p = 0.377). Post-graduate year was not associated. Conclusions: The OEA demonstrates construct validity: increasing scores are associated with shorter operative time and are better predictors of operative time than post-graduate year, making it an option for documenting competence prior to graduation.

Original languageEnglish (US)
JournalAmerican Journal of Surgery
DOIs
StateAccepted/In press - Apr 6 2016

Keywords

  • Education technology
  • Graduate medical education
  • Operative skills
  • Operative time
  • Resident evaluation
  • Resident performance

ASJC Scopus subject areas

  • Surgery

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