The authors have no funding, financial relationships, or conflicts of interest to disclose.
Defining milestones toward competency in mastoidectomy using a skills assessment paradigm†
Article first published online: 26 APR 2010
Copyright © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 120, Issue 7, pages 1417–1421, July 2010
How to Cite
Francis, H. W., Masood, H., Laeeq, K. and Bhatti, N. I. (2010), Defining milestones toward competency in mastoidectomy using a skills assessment paradigm. The Laryngoscope, 120: 1417–1421. doi: 10.1002/lary.20953
- Issue published online: 25 JUN 2010
- Article first published online: 26 APR 2010
- Manuscript Accepted: 15 MAR 2010
- Manuscript Revised: 10 MAR 2010
- Manuscript Received: 20 JAN 2010
- case numbers;
- objective structured assessment of technical skills;
- surgical education;
- Level of Evidence: 2b.
To establish milestones toward achievement of surgical competency by using an objective assessment tool designed to measure the development of mastoidectomy skills in the operating room (OR).
Prospective longitudinal validation study.
Fifty-six evaluations were conducted in the OR on nine otolaryngology residents from PGY (postgraduate year) 2 to PGY 5 over a period of 3 years. Technical performance was measured over time using a task-based checklist developed for assessment of mastoidectomy skills.
Three sets of technical milestones represented achievement of competency for progressively more complicated procedural steps: the first set was achieved after a mean of 6 ± 4.3 cases, the second set after 9 ± 6.7 cases (range of mean = 8–10 cases), and the third set after 13 ± 6.4 cases (range of mean = 12–14 cases).
The acquisition of mastoidectomy skills can be integrated into surgical teaching in the OR, and this approach yields information that can aid individual skill development and program improvement. The identification of milestones in particular can help establish training benchmarks toward achievement of competency and in identifying trainees in need of remediation.