ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Efforts Under Way to Improve Assessment of Operative Competency

by Mary Beth Nierengarten • March 1, 2009

  • Tweet
  • Email
Print-Friendly Version

At the 2007 annual meeting of the American Academy of Otolaryngology Head and Neck Surgery (AAO-HNS), investigators from Johns Hopkins University and the University of Kansas reported on a needs assessment that identified a number of issues related to improving the formal assessment of operative competency among otolaryngologists-head and neck surgeons. These issues included (1) the difficulty of defining surgical competency, (2) recognition that the number of surgical cases performed may not determine surgical competency in all residents, (3) the potential problem that residents who require remediation are often identified only late in their residency, and (4) the dilemma that program directors and department chairs want to certify surgical competency in their residents, but they fear legal and other ramifications if they do not sign off on those residents who are surgically challenged.

You Might Also Like

No related posts.

Explore This Issue
March 2009

This needs assessment was in response to the mandate by the Accreditation Council for Graduate Medical Education (ACGME) that now requires all graduate medical education specialties to incorporate into training programs demonstrated competency in six major core areas. One of these core competencies is patient care, which includes surgical competency. The mandate was generated, in part, by the need to show demonstrated surgical competency to the public, health care payers, and accrediting bodies such as medical licensure boards.

Robert Weatherly, MDUltimately, a number of centers will need to gain experience with the use of tools to test their reliability and validity, and the American Academy of Otolaryngology-Head and Neck Surgery as well as the American Board of Otolaryngology will have to indicate their agreement with this idea before otolaryngology programs will want to implement them widely.

-Robert Weatherly, MD

At the 2008 annual AAO-HNS meeting, investigators reported on what has been done over the past year to develop and implement assessment tools for operative competency in otolaryngology trainees.

Development of Assessment Tools

According to Nasir I. Bhatti, MD, of the Department of Otolaryngology-Head and Neck Surgery at Johns Hopkins University School of Medicine in Baltimore, the main task for improving assessment of operative competency is to develop assessment tools that are practical and feasible.

Although he said that attempts in the past have been made at developing more objective measurements of competency, such as examining electromagnetic waves from surgeons’ hands or assessing surgeons’ eye movements, these types of measurements are not very applicable to resident programs or to the everyday life of a surgeon.

Figure 1. These 12 core procedures are necessary for attaining competence as a primary surgeon. Assessment tools have been developed for each core procedure.

click for large version
Figure 1. These 12 core procedures are necessary for attaining competence as a primary surgeon. Assessment tools have been developed for each core procedure.

Therefore, Dr. Bhatti and his colleagues at Johns Hopkins are collaborating with investigators from Canada and the United Kingdom to come up with objective measurements that are both feasible and can be generalized to residency programs worldwide.

Pages: 1 2 3 | Single Page

Filed Under: Health Policy, Practice Management Issue: March 2009

You Might Also Like:

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Some Studies Predict a Shortage of Otolaryngologists. Do the Numbers Support Them?
    • Neurogenic Cough Is Often a Diagnosis of Exclusion
    • Complications for When Physicians Change a Maiden Name
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • Tympanoplasty Tips: Otology Experts Give Advice on the Procedure
    • How Treatment for Obstructive Sleep Apnea (OSA) Is Evolving to Give Patients a Better Night’s Sleep
    • Vestibular Schwannoma Position Relative to Internal Auditory Canal Helps Predict Postoperative Facial Function
    • Vocal Fold Lipoaugmentation Provides Long-Term Voice Improvements for Glottal Insufficiency
    • Upper Lateral Cartilage Mucosal Flap Enables the Successful Closure of Larger Septal Perforations

Polls

Do you think there will be a shortage of otolaryngologists in the next five to 10 years?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2022 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.