Evaluation of Clinical and Surgical Proficiency at a Residency of Child Orthopedics and Traumatology
Use of the Mini-CEX (Mini-Clinical Evaluation Exercise) and DOPS (Direct Observation of Procedural Skills)
Abstract
Purpose: To assess professional competencies in a Pediatric Orthopedic and Traumatology Residency Program by the implementation of two performance-assessment instruments: Mini-Clinical Evaluation Exercise (Mini-CEX) and Direct Observation of Procedural Skills (DOPS) for clinical and surgical skills. Both tools aim to assess the top of Miller’s pyramid, for its reliability and validity. Materials and Methods: Prospective observational cohort study of six medical trainees in the first, second and third year of their residency program (R1-R2-R3) who were randomly assessed by six examiners during their daily training at outpatient clinics, emergency room, inpatients unit, operating room, and plaster room. The statistical analysis was carried out with the Chi-Square and Wilcoxon-Rank paired test for univariate variables. The residents’ relationship cohorts were compared using the Kruskal-Wallis test. The reliability of the methodological tool was determined by the psychometric test of Crombach. Alfa was set at ≤ 0.05. Diagnostic study: level IV. Results: We performed 65 assessments. Each resident was evaluated 10 times on average by 3 to 6 examiners. The oldest residents had better performances in overall clinical competencies. However, the R1 group achieved satisfactory results whereas the R2-R3 groups had the most outstanding scores. There were no statistical differences in general surgical competencies, but the R3 group was outstanding in cases of unforeseen surgical situations. The Alfa Crombach coefficient was over 0.90. Conclusion: The Mini-CEX, DOPS, and interactive feedback were powerful tools to provide high-quality assessment and were widely accepted by residents and examiners. The statistical analysis allowed us to identify the weaknesses and strengths of the trainees. The Crombach coefficient had a high psychometric impact.Downloads
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