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Assessment of operative competency for thyroidectomy: Comparison of resident self‐assessment vs attending surgeon assessment
Author(s) -
Kim Alexandrea H.,
Vaughn Cory A.,
King Deanne L.,
Maizels Max,
Meade Patrick,
Stack Brendan C.
Publication year - 2020
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.26420
Subject(s) - otorhinolaryngology , medicine , competence (human resources) , competency assessment , self assessment , documentation , head and neck surgery , rhinology , medical physics , physical therapy , medical education , general surgery , surgery , psychology , social psychology , pedagogy , computer science , programming language
Background Self‐awareness of skill, essential for progression as a surgeon, has direct bearing on postresidency practice; however, studies have supported that residents achieve self‐perceived competence later than believed by program directors. This study compares residents' self‐perception of operative competency to attending surgeon's evaluation using Computer Enhanced Visual Learning, a validated online hemithyroidectomy‐specific assessment tool. Methods Eleven otolaryngology‐Head and Neck Surgery (HNS) residents completed a preoperative module and postoperative survey, later reviewed by an attending surgeon. Eighty‐three performances were assessed for inter‐rater reliabilities of key surgical steps. Results Almost perfect agreement (Kappa = 0.81‐1.00) was shown in 11 of 18 parameters. Substantial agreement (Kappa = 0.61‐0.80) was demonstrated in the remaining seven parameters. Conclusions Otolaryngology‐HNS trainees have high self‐awareness of their performance at each step in a hemithyroidectomy. Standardized assessment tools can allow for documentation of procedural performance and serve as guides for improvement. This is the only study to examine otolaryngology‐HNS trainees' self‐perceived skill compared to an attending surgeon's assessment for hemithyroidectomy.