Comprehensive Model for Evaluation of Surgical EPAs

Design of a Comprehensive Model for the Evaluation of Trustable Professional Activities in the General Surgery Setting

Introduction. Competency-based medical education (CBME) frameworks have become increasingly prevalent among surgical education accreditation bodies. Medical schools, postgraduate training programs, and licensing bodies conduct assessments to certify the competence of future practitioners, and judge the adequacy of training programs.

Methods. A prospective cohort study was designed to evaluate clinical-surgical competencies in all residents of a general surgery program. All medical residents of the general surgery program of the Faculty of Medicine and Biomedical Sciences at the Autonomous University of Chihuahua, were video recorded with consent, in the field (Outpatient consultation, Surgical ward, Inpatient room, Classroom), for posterior evaluation by the professors of the program with electronic rubrics made with Google forms.

Study Overview

• Status: Recruiting
• Conditions: Entrustable Professional Activities
• Intervention / Treatment: Other: Assessment

Detailed Description

A prospective cohort study was designed to evaluate clinical-surgical competencies in residents of the general surgery program during the 2020-2021 academic year at a single, secondary care, public medical institution.

For this purpose a previously validated instrument for the comprehensive evaluation of clinical-surgical competencies was used (9), which considered five dimensions, derived from the Single Plan for Medical Specialties in terms of 1-3) Clinical-surgical care (preoperative, transoperative and postoperative management), 4) Search and transfer of knowledge, and 5) Research proficiency. Each instrument was composed of 6 to 7 items, graduated in four levels of achievement; a) responsive, b) resolutive, c) autonomous, and d) strategic.

All surgery residents were video recorded with consent, in the field (Outpatient consultation, Surgical ward, Inpatient room, Classroom) for posterior self-evaluation, co-evaluation and hetero-evaluation with electronic rubrics made with Google forms.

• Study Type: Observational
• Enrollment (Anticipated): 20

Contacts and Locations

• Study Contact: Name: Ricardo F Cárdenas-Rodríguez, MD; Phone Number: 17421 52(614)4293300; Email: ensenanzahgch@gmail.com
• Study Contact Backup: Name: Mayra N Rodríguez-Orozco, BA; Phone Number: 17421 52(614)4293300; Email: mayra_2707@hotmail.com

Study Locations

• Mexico
  • Chihuahua, Mexico, 31000
    • Recruiting
    • Chihuahua City General Hospital "Dr. Salvador Zubirán Anchondo"
    • Contact: Mayra N Rodríguez-Orozco, BA; Phone Number: 17421 52(614)4293300; Email: mayra_2707@hotmail.com
    • Contact: Carlos R Cervantes-Sánchez, MD, MSc; Phone Number: 17421 52(614)4293300; Email: ccervantes@uach.mx

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 23 years to 40 years (Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Residents of the general surgery program at a secondary care, public medical institution.

Description

Inclusion Criteria:

• Residents in an universitary general surgery program

Exclusion Criteria:

• Staff surgeons
• Residents from another universitary program

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Entrustable Professional Activities	Important work tasks that trainees need to be able to perform with supervision at a distance by the end of Basic Training	2020-2024 academic years

Collaborators and Investigators

• Sponsor: Hospital General de Chihuahua - Dr. Salvador Zubirán Anchondo
• Collaborators: Faculty of Medicine and Biomedical Sciences, Autonomous University of Chihuahua
• Investigators: Principal Investigator: Carlos R Cervantes-Sánchez, MD, MSc, Chihuahua City General Hospital "Dr. Salvador Zubirán Anchondo"

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2020
• Primary Completion (Anticipated): February 28, 2024
• Study Completion (Anticipated): March 30, 2024

Study Registration Dates

• First Submitted: December 17, 2021
• First Submitted That Met QC Criteria: December 17, 2021
• First Posted (Actual): January 6, 2022

Study Record Updates

• Last Update Posted (Actual): January 6, 2022
• Last Update Submitted That Met QC Criteria: December 17, 2021
• Last Verified: December 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: 00189

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No