title: Using operative outcome to assess technical skill.
abstract: BACKGROUND
  This study examined whether an operative product and time to completion could serve as measures of technical skill.
  
  
  METHODS
  Nine final-year (PGY5) and 11 penultimate-year (PGY4) general surgery residents participated in a 6-station bench model examination. Time to completion was recorded. Twelve faculty surgeons (2 per station) evaluated the quality of the final product using a 5-point scale.
  
  
  RESULTS
  The mean interrater reliability was 0. 59 for product quality. Interstation reliability was 0.59 for analysis of the final product and 0.72 for time to completion. There was 63% and 78% agreement between attendings' ratings and product quality and time scores respectively. PGY5s' mean product quality score was 4.14 +/- 0.26, compared with 3.82 +/- 0.33 for PGY4s (P < 0.05). PGY5s' mean time was 110 +/- 19 minutes compared with PGY4s' 132 +/- 15 (P < 0.05).
  
  
  CONCLUSIONS
  Analysis of the operative end product and time to completion offer efficient alternatives to on-line examiner scoring for bench model examinations of technical competence.
authors.affiliation: Faculty of Medicine, University of Toronto, Center for Research in Education at the University Health Network, Toronto, Ontario, Canada.
authors.forename: D
authors.initials: D
authors.lastname: Szalay
authors.forename: H
authors.initials: H
authors.lastname: MacRae
authors.forename: G
authors.initials: G
authors.lastname: Regehr
authors.forename: R
authors.initials: R
authors.lastname: Reznick
mesh_terms: D019985:Benchmarking / Q000592:standards*; D002983:Clinical Competence / Q000592:standards*; D005240:Feasibility Studies; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D009864:Ontario; D015203:Reproducibility of Results