title: Empirical validation of the Operative Entrustability Assessment using resident performance in autologous breast reconstruction and hand surgery.
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.
authors: Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601N. Caroline St., JHOC 2114A, Baltimore, MD 21287, USA. Electronic address: rbello@jhmi.edu.
authors: Ricardo J
authors: RJ
authors: Bello
authors: Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601N. Caroline St., JHOC 2114A, Baltimore, MD 21287, USA. Electronic address: mmajor1@jhmi.edu.
authors: Melanie R
authors: MR
authors: Major
authors: Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601N. Caroline St., JHOC 2114A, Baltimore, MD 21287, USA. Electronic address: dcooney2@jhmi.edu.
authors: Damon S
authors: DS
authors: Cooney
authors: Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601N. Caroline St., JHOC 2114A, Baltimore, MD 21287, USA. Electronic address: gedge@jhmi.edu.
authors: Gedge D
authors: GD
authors: Rosson
authors: Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601N. Caroline St., JHOC 2114A, Baltimore, MD 21287, USA. Electronic address: slifche1@jhmi.edu.
authors: Scott D
authors: SD
authors: Lifchez
authors: Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601N. Caroline St., JHOC 2114A, Baltimore, MD 21287, USA. Electronic address: ccooney3@jhmi.edu.
authors: Carisa M
authors: CM
authors: Cooney
mesh_terms: D002983:Clinical Competence; D004503:Education, Medical, Graduate; D004521:Educational Measurement / Q000379:methods*; D005246:Feedback; D005260:Female; D006225:Hand / Q000601:surgery*; D006801:Humans; D007396:Internship and Residency; D008297:Male; D016462:Mammaplasty; D008396:Maryland; D008875:Middle Aged; D061646:Operative Time; D012189:Retrospective Studies; D013518:Surgery, Plastic / Q000193:education
keywords: Education technology; Graduate medical education; Operative skills; Operative time; Resident evaluation; Resident performance