Performance of Residents During Laparoscopic Cholecystectomy: Is Self-assessment Reliable?
Yazarlar (6)
Doç. Dr. Murat YILDIRIM Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Ali İhsan Sağlam Türkiye
Doç. Dr. Celil UĞURLU Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Dr. Öğr. Üyesi Yavuz Selim Angın Türkiye
Doç. Dr. Mehmet Fatih DAŞIRAN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
İsmail Okan
İstanbul Medeniyet Üniversitesi, Türkiye
İstanbul Medeniyet Üniversitesi, Türkiye
| Makale Türü | Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale) | ||
| Dergi Adı | SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES (Q3) | ||
| Dergi ISSN | 1530-4515 Dergi Bilgileri (2021) | ||
| Dergi Tarandığı Indeksler | SCI-Expanded | ||
| Makale Dili | İngilizce | Basım Tarihi | 08-2021 |
| Cilt / Sayı / Sayfa | 31 / 4 / 414–420 | DOI | 10.1097/SLE.0000000000000959 |
| Makale Linki | http://dx.doi.org/10.1097/sle.0000000000000959 | ||
| UAK Araştırma Alanları |
Genel Cerrahi
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| Özet |
| To compare the self-assessment of surgical residents and observers (faculty members and nurses) during laparoscopic cholecystectomy (LC). A prospective observational study was conducted between February 2020 and July 2020 at a medical school hospital. Seventy-four LC surgeries were performed by surgical residents in the presence of faculty members. A self-assessment of the technical and nontechnical performance of the residents was requested. The self-assessment of residents was compared with observer evaluations using the Kruskal-Wallis test. Gwet AC2 fit coefficient was used to determine the consistency between the observers' and residents' assessments. Bland-Altman plots were generated with 95% limits of agreement to describe the agreement between the total scores of the observers. The self-assessment of residents had a statistically significant higher score when compared with observers (faculty and nurses) (P<0.001). However, no significant difference was observed between the total scores given by the observers (faculty members and nurses) (P>0.05). There was a moderate agreement between the resident versus faculty members [0.503; 95% confidence interval (CI), 0.430-0.576] and resident versus nurse (0.518; 95% CI, 0.432-0.605) when evaluating technical skills. However, there was substantial agreement between faculty members and nurses (0.736; 95% CI, 0.684-0.789). Postoperative pain was significantly correlated with resident self-assessment (P=0.022). The self-assessment scores of surgical residents in LC operations were overestimated compared with observer assessments. |
| Anahtar Kelimeler |
| self-assessment | surgical resident | laparoscopic cholecystectomy | Dunning-Kruger phenomenon |
BM Sürdürülebilir Kalkınma Amaçları
| Atıf Sayıları | |
| Yöksis | 7 |
| Web of Science | 4 |