114
Additional research is warranted to more directly define the relationship
between crowdsourced evaluation and surgical development among trainees.
Particularly in the areas of live operative feedback, individualized formative
feedback, and assessment of nontechnical competencies, the role of large-scale
evaluation platforms is yet to be explored. The efficacy of this technology as part
of a formalized surgical skills curriculum remains to be fully assessed. However,
given the initial promise of crowdsourcing as an emerging technology in surgical
education, this has already begun to be introduced into surgical training curricula
across a few institutions. As the value of large-scale feedback becomes further
established, this platform is poised to become more widely adopted across surgi-
cal training programs and practices and has the potential to become an integral
component of our model of surgical skills development in the future.
References
- Reznick RK, MacRae H. Teaching surgical skills – changes in the wind. N Engl J Med.
2006;355(25):2664–9. - Polavarapu HV, Kulaylat AN, Sun SHO. 100 years of surgical education: the past, present, and
future. Bull Am Coll Surg. 2013;98(7):22–7. - Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system.
Washington, D.C.: National Academy Press; 2000. 360 p. - Altman DE, Clancy C, Blendon RJ. Improving patient safety — five years after the IOM
report. N Engl J Med. 2004;351(20):2041–3. - Leape LL, Berwick DM. Five years after to err is human what have we learned? JAMA.
2005;293(19):2384–90. - Rogers SO Jr, Gawande AA, Kwaan M, Puopolo AL, Yoon C, Brennan TA, et al. Analysis
of surgical errors in closed malpractice claims at 4 liability insurers. Surgery. 2006;140(1):
25–33. - Birkmeyer JD, Finks JF, O’Reilly A, Oerline M, Carlin AM, Nunn AR, et al. Surgical skill and
complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434–42. - Bridges M, Diamond DL. The financial impact of teaching surgical residents in the operating
room. Am J Surg. 1999;177(1):28–32. - Babineau TJ, Becker J, Gibbons G, Sentovich S, Hess D, Robertson S, et al. The “cost” of
operative training for surgical residents. Arch Surg. 2004;139(4):366–70. - Papandria D, Rhee D, Ortega G, Zhang Y, Gorgy A, Makary MA, et al. Assessing trainee
impact on operative time for common general surgical procedures in ACS-NSQIP. J Surg
Educ. 2012;69(2):149–55. - Macario A. What does one minute of operating room time cost? J Clin Anesth. 2010;22(4):
233–6. - Fitts PM, Posner MI. Human performance. Belmont: Brooks/Cole; 1967. p. 469–98.
- Ericsson KAK, Krampe RRT, Tesch-Romer C, Ashworth C, Carey G, Grassia J, et al.
The role of deliberate practice in the Acquisition of Expert Performance. Psychol Rev.
1993;100(3):363–406. - Boyle E, Al-Akash M, Gallagher AG, Traynor O, Hill ADNP. Optimising surgical train-
ing: use of feedback to reduce errors during a simulated surgical procedure. Postgr Med J.
2011;87(1030):524–8. - Bosse HM, Mohr J, Buss B, Krautter M, Weyrich P, Herzog W, et al. The benefit of repetitive
skills training and frequency of expert feedback in the early acquisition of procedural skills.
BMC Med Educ [Internet]. 2015;15(1):22. Available from: http://www.pubmedcentral.nih.
gov/articlerender.fcgi?artid=4339240&tool=pmcentrez&rendertype=abstract.
J.C. Dai and M.D. Sorensen