Are residents accurate in their assessments of their own surgical skills?

American Journal of Surgery

Volumn 204, Issue 5, 2012, Pages 724-731

  De Blacam, Catherine ^a   O'Keeffe, Dara A ^a   Nugent, Emmeline ^a   Doherty, Eva ^a   Traynor, Oscar ^a  

^a ROYAL COLLEGE OF SURGEONS IN IRELAND   (Ireland)

Author keywords

Self assessment; Self awareness; Surgical skills; Surgical training

Indexed keywords

ACCURACY; ADULT; ARTICLE; DEMOGRAPHY; EXAMINATION; FEMALE; GENDER; HUMAN; MALE; MEDICAL EDUCATION; PREDICTIVE VALUE; PRIORITY JOURNAL; RESIDENT; SCORING SYSTEM; SELF CONCEPT; SKILL;

ADULT; CLINICAL COMPETENCE; FEMALE; GENERAL SURGERY; HUMANS; INTERNSHIP AND RESIDENCY; IRELAND; MALE; QUESTIONNAIRES; SELF-ASSESSMENT; STUDENTS, MEDICAL;

EID: 84868568137     PISSN: 00029610     EISSN: 18791883     Source Type: Journal    
DOI: 10.1016/j.amjsurg.2012.03.003     Document Type: Article

References (38)

1. L.T. Kohn, J.M. Corrigan, M.S. Donaldson To Err Is Human 2000 National Academies Press Washington, DC
2. Working Group on Specialist Medical Training Hospital Doctors: Training for the Future 1993 Department of Health London
3. R.S. Chung How much time do surgical residents need to learn operative surgery? Am J Surg 190 2005 351 353
4. M.A. Feanny, B.G. Scott, K.L. Mattox Impact of the 80-hour work week on resident emergency operative experience Am J Surg 190 2005 947 949
5. A.M. Carlin, E. Gasevic, A.D. Shepard Effect of the 80-hour work week on resident operative experience in general surgery Am J Surg 193 2007 326 329 discussion, 329-30
6. J. Chikwe, A.C. de Souza, J.R. Pepper No time to train the surgeons BMJ 328 2004 418 419
7. A.B. Blum, F. Raiszadeh, S. Shea US public opinion regarding proposed limits on resident physician work hours BMC Med 8 2010 33
8. S. Johna Limitations in resident work hours: are we preaching to the choir? That is the question! Arch Surg 146 2011 11
9. T.P. Grantcharov, R.K. Reznick Teaching procedural skills BMJ 336 2008 1129 1131
10. J. MacDonald, R.G. Williams, D.A. Rogers Self-assessment in simulation-based surgical skills training Am J Surg 185 2003 319 322
11. Accreditation Council for Graduate Medical Education ACGME program requirements for graduate medical education in surgery http://www.acgme.org/ acWebsite/downloads/RRC-progReq/440-general-surgery-01012008-u08102008.pdf Accessed: February 3, 2011
12. M.A. Cahan, A.C. Larkin, S. Starr A human factors curriculum for surgical clerkship students Arch Surg 145 2010 1151 1157
13. O. Traynor SE11 development of a personal Skills Programme for Surgical Trainees Aust N Z Surg 77 2007 A79
14. R.K. Reznick Teaching and testing technical skills Am J Surg 165 1993 358 361
15. J.M. Bland, D.G. Altman Statistical methods for assessing agreement between two methods of clinical measurement Lancet 1 1986 307 310
16. V.A. Pandey, J.H. Wolfe, S.A. Black Self-assessment of technical skill in surgery: the need for expert feedback Ann R Coll Surg Engl 90 2008 286 290
17. A.W. Evans, R.M. Leeson, A. Petrie Reliability of peer and self-assessment scores compared with trainers' scores following third molar surgery Med Educ 41 2007 866 872
18. J. Kruger, D. Dunning Unskilled and unaware of it: how difficulties in recognizing one's own incompetence lead to inflated self-assessments J Pers Soc Psychol 77 1999 1121 1134
19. J. Krueger, R.A. Mueller Unskilled, unaware, or both? The better-than-average heuristic and statistical regression predict errors in estimates of own performance J Pers Soc Psychol 82 2002 180 188
20. D. Dunning, D.W. Griffin, J.D. Milojkovic The overconfidence effect in social prediction J Pers Soc Psychol 58 1990 568 581
21. R.P. Vallone, D.W. Griffin, S. Lin Overconfident prediction of future actions and outcomes by self and others J Pers Soc Psychol 58 1990 582 592
22. B. Hodges, G. Regehr, D. Martin Difficulties in recognizing one's own incompetence: novice physicians who are unskilled and unaware of it Acad Med 76 Suppl 2001 S87 S89
23. K.W. Eva, J.P. Cunnington, H.I. Reiter How can I know what I don't know? Poor self assessment in a well-defined domain Adv Health Sci Educ Theory Pract 9 2004 211 224
24. D.A. Davis, P.E. Mazmanian, M. Fordis Accuracy of physician self-assessment compared with observed measures of competence: a systematic review JAMA 296 2006 1094 1102
25. M. Ward, H. MacRae, C. Schlachta Resident self-assessment of operative performance Am J Surg 185 2003 521 524
26. L.S. Mandel, B.A. Goff, G.M. Lentz Self-assessment of resident surgical skills: is it feasible? Am J Obstet Gynecol 193 2005 1817 1822
27. K. Moorthy, Y. Munz, S. Adams Self-assessment of performance among surgical trainees during simulated procedures in a simulated operating theater Am J Surg 192 2006 114 118
28. R.S. Sidhu, E. Vikis, R. Cheifetz Self-assessment during a 2-day laparoscopic colectomy course: can surgeons judge how well they are learning new skills? Am J Surg 191 2006 677 681
29. D.J. Lynn, C. Holzer, P. O'Neill Relationships between self-assessment skills, test performance, and demographic variables in psychiatry residents Adv Health Sci Educ Theory Pract 11 2006 51 60
30. S.S. Leopold, H.D. Morgan, N.J. Kadel Impact of educational intervention on confidence and competence in the performance of a simple surgical task J Bone Joint Surg Am 87 2005 1031 1037
31. World Health Organization Male to female ratio of physicians density per 1000 population, latest available year http://www.who.int/gho/health-workforce/ physicians-density-gender/en/index.html Accessed: February 12, 2012
32. R.M. Minter, L.D. Gruppen, K.S. Napolitano Gender differences in the self-assessment of surgical residents Am J Surg 189 2005 647 650
33. D.S. Lind, S. Rekkas, V. Bui Competency-based student self-assessment on a surgery rotation J Surg Res 105 2002 31 34
34. S. Beyer Gender differences in the accuracy of self-evaluations of performance J Pers Soc Psychol 59 1990 960 970
35. S. Beyer, E. Bowden Gender differences in self-perceptions: convergent evidence from three measures of accuracy and bias Pers Soc Psychol Bull 23 1997 157 172
36. J. Leadley Women in US Medicine Statistics and Benchmarking Report 2009 Association of American Medical Colleges Washington, DC
37. E. Boyle, A.M. Kennedy, O. Traynor Training surgical skills using nonsurgical tasks - can Nintendo Wii™ improve surgical performance? J Surg Educ 68 2011 148 154
38. J.A. Martin, G. Regehr, R. Reznick Objective structured assessment of technical skill (OSATS) for surgical residents Br J Surg 84 1997 273 278