Assessment of surgical competence in the LAS and biomedical fields
Posted by: admin | July 07, 2009 | 0 Comments
We recently mentioned that Dr. Baran will be presenting during the 2009 Laboratory Animal Welfare Training Exchange (LAWTE) Conference. During this conference he will be presenting several lectures, and we have already provided information regarding his first two lectures. The last lecture entitled Assessment of surgical competence in the LAS and biomedical fields will be presented on Thursday (August 6th, 2009) during the afternoon Break Out Sessions. Please find an abstract of this presentation below. We are looking forward to seeing you there.
The ability to objectively assess the technical competence of personnel utilizing animals in the laboratory animal science (LAS) and biomedical fields has always been challenging. In the human and veterinary surgical fields clinicians evaluate the surgical proficiency of trainees over months or years with independent review provided by national board examinations. In contrast, instructors in the LAS and biomedical fields may only have hours or days to perform technical skill assessments. Furthermore, many LAS programs currently employ subjective and unreliable testing methods, such as depending upon the opinion of an examiner after direct observation and/or review of operation log-books. Often the same LAS personnel are charged with both instructing and testing participants. This creates an inherent conflict of interest, as the institutional review of the efficacy of courses and instructors may rely upon the percentage of trainees receiving passing scores. To address these deficiencies, novel objective methods of technical skill assessment are currently being developed and are undergoing rigorous validation within the human surgical and veterinary fields. They include methods such as direct observation with defined testing criteria, final product analysis, and hand-motion analysis. Instructors in the LAS or biomedical field must also face the challenge of how to integrate objective assessments into training programs and how to detect resultant improvements in surgical outcome. This presentation will provide a review of current and experimental methods of assessing technical skill in the human, veterinary, and LAS fields. This talk will include both published studies, as well as ongoing assessments performed by the authors and their national and international colleagues to determine the surgical competency of LAS trainees, In addition to assessing technical skills, methods for testing animal users’ grasp of foundational components of surgical theory will be addressed. The presentation will conclude by reviewing the challenges and solutions to implementing new assessment technologies in LAS training programs. As these new methods are undergoing further validation, it is imperative that the LAS field adopt consistent and objective criteria for assessing improvement in surgical training outcomes.