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Toolbox of assessment tools of technical skills in otolaryngology–head and neck surgery: A systematic review
Author(s) -
Labbé Mathilde,
Young Meredith,
Nguyen Lily H. P.
Publication year - 2018
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.26943
Subject(s) - medicine , otorhinolaryngology , rhinology , otology , checklist , medical physics , medline , critical appraisal , cochrane library , systematic review , laryngology , medical education , toolbox , surgery , randomized controlled trial , pathology , alternative medicine , computer science , political science , psychology , programming language , law , cognitive psychology
Objective To support the development of programs of assessment of technical skills in the operating room (OR), we systematically reviewed the literature to identify assessment tools specific to otolaryngology–head and neck surgery (OTL‐HNS) core procedures and summarized their characteristics. Methods We systematically searched Embase, MEDLINE, PubMed, and Cochrane to identify and report on assessment tools that can be used to assess residents' technical surgical skills in the operating room for OTL‐HNS core procedures. Results Of the 736 unique titles retrieved, 16 articles met inclusion criteria, covering 11 different procedures (in otology, rhinology, laryngology, head and neck, and general otolaryngology). The tools were composed of a task‐specific checklist and/or global rating scale and were developed in the OR, on human cadavers, or in a simulation setting. Conclusions Our study reports on published tools for assessing technical skills for OTL‐HNS residents during core procedures conducted in the OR. These assessment tools could facilitate the provision of timely feedback to trainees including specific goals for improvement. However, the paucity of publications suggests little agreement on how to best perform work‐based direct‐observation assessment for core surgical procedures in OTL‐HNS. The sparsity of tools specific to OTL‐HNS may become a barrier to a fluid transition to competency‐based medical education. Laryngoscope , 128:1571–1575, 2018