Accession Number : ADA624326


Title :   Use of Performance Measures to Evaluate, Document Competence and Deterioration of Advanced Surgical Skills Exposure for Trauma (ASSET) Surgical Skills


Descriptive Note : Annual rept. 15 Feb 2014-14 Feb 2015


Corporate Author : MARYLAND UNIV BALTIMORE SCHOOL OF MEDICINE


Personal Author(s) : Mackenzie, Colin ; Garofalo, Evan ; Shackelford, Stacy ; Bowyer, Mark ; Henry, Sharon ; Chen, Hegang ; Holmes, Megan ; Pugh, Kristy ; Shalin, Valerie ; Sarani, Babak


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a624326.pdf


Report Date : Mar 2015


Pagination or Media Count : 218


Abstract : To address the decline in training programs and practice in exposing major vascular structure to control traumatic hemorrhage, the American College of Surgeons introduced a cadaver-based course to review the necessary surgical anatomy, procedure, skills, and techniques for rapid vascular exposure. Preliminary analyses comparing surgical resident performance before and after training, surgeons trained 2-5 years ago, and expert surgeons indicates that the objective assessment tool and Trauma Readiness Index metric distinguish between skill level groups, identify improvement and degradation. Using the objective assessment too l, anatomical knowledge and surface landmarks significantly impacts the correct and successful procedural performance. This mobile task-based assessment tool has high inter-rater reliability and may also be used to evaluate skill remotely.


Descriptors :   *HEMORRHAGE , *PERFORMANCE TESTS , *SURGEONS , ANATOMY , CARDIOVASCULAR SYSTEM , CLINICAL MEDICINE , DEGRADATION , EDUCATION , EXPOSURE(PHYSIOLOGY) , JOB TRAINING , MEDICAL PERSONNEL , ORTHOPEDICS , PERFORMANCE(HUMAN) , RELIABILITY , SKILLS , TRAINING , TRAUMA


Subject Categories : Anatomy and Physiology
      Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE