title: Procedure-based assessments in trauma and orthopaedic training--The trainees' perspective.
abstract: BACKGROUND
  The study aimed to gain an understanding of the attitudes of trauma and orthopaedic (T&O) trainees regarding procedure-based assessments (PBAs) and identify factors that influence any perceived educational benefit.
  
  
  METHODS
  A questionnaire was emailed to all T&O trainees in the UK via an established e-mail communication tool after an initial pilot exercise. The data were analysed using the online survey software.
  
  
  RESULTS
  Of the 616 trainees included 53% found PBAs useful as a learning tool for delivery of feedback. Trainees agreed that there were barriers to the successful use of PBAs (61%). Completing the PBA at the time of the procedure (p < 0.001) and the trainer delivering quality feedback with PBAs (p < 0.001) significantly increased the number of trainees perceiving an improvement in their practice. Completing higher numbers of PBAs did not have this effect (p = 0.26). There was wide geographical variation in the use of PBAs by trainees.
  
  
  CONCLUSIONS
  This is the first nationwide study offering a deeper insight into factors influencing T&O trainees' perceptions of the educational benefit gained from using PBAs. This study informs the debate on how to improve the effective use of PBAs in T&O training, and generally, of workplace-based assessments in surgical training.
authors.affiliation: University College London Hospitals NHS Foundation Trust , UK.
authors.forename: Alistair R
authors.initials: AR
authors.lastname: Hunter
authors.forename: Emily J
authors.initials: EJ
authors.lastname: Baird
authors.forename: Mike R
authors.initials: MR
authors.lastname: Reed
mesh_terms: D002983:Clinical Competence; D004521:Educational Measurement / Q000379:methods*; D005260:Female; D000068156:Formative Feedback; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D008297:Male; D009985:Orthopedics / Q000193:education*; D010819:Physician's Role; D006113:United Kingdom