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and nontechnical skills, and debriefing are central to effective teaching in the
operating room and need be embraced. There are several evaluation tools,
smart apps, checklists, narrative evaluations, milestones, and learning models
that can be incorporated into teaching in the operating room. The most effec-
tive method will continue to evolve. Until then, teachers and residents need to
fully commit to teaching and learning in the operating room.References
- Evans CH, Schenarts KD. Evolving educational techniques in surgical training. Surg Clin
North Am. 2016;96:71–88. https://doi.org/10.1016/j.suc.2015.09.005. - Malangoni MA, Biester TW, Jones AT, Klingensmith ME, Lewis FR. Operative experi-
ence of surgery residents: trends and challenges. J Surg Educ. 2013;70:783–8. https://doi.
org/10.1016/j.jsurg.2013.09.015. - Yeo H, Viola K, Berg D, Lin Z, Nunez-Smith M, Cammann C, et al. Attitudes, training experi-
ences, and professional expectations of US general surgery residents. JAMA. 2009;302:1301.
https://doi.org/10.1001/jama.2009.1386. - Mattar SG, Alseidi AA, Jones DB, Jeyarajah DR, Swanstrom LL, Aye RW, et al. General
surgery residency inadequately prepares trainees for fellowship. Ann Surg. 2013;258:440–9.
https://doi.org/10.1097/SLA.0b013e3182a191ca. - Ludmerer KM. The development of American medical education from the turn of the century
to the era of managed care. Clin Orthop Relat Res. 2004;(422):256–62. - Daniels M. 10 Inspirational quotes for EdTech-friendly teachers 2011. https://www.knewton.
com/resources/blog/teacher-tools/10-inspirational-quotes-for-edtech-friendly-teachers/. - Supreme Court-Jacobellis v. Ohio. Leagal Inf Institute-Cornell Univ Law Sch n.d. https://
http://www.law.cornell.edu/supremecourt/text/378/184. Accessed 1 Jan 2017. - Propublica Surgeon Scorecard. Propublica n.d. https://projects.propublica.org/surgeons/.
Accessed 1 Jan 2017. - Mellinger JD, Williams RG, Sanfey H, Fryer JP, DaRosa D, George BC, et al. Teaching and
assessing operative skills: from theory to practice. Curr Probl Surg. 2017;54:44–81. https://
doi.org/10.1067/j.cpsurg.2016.11.007. - Williams RG, Chen X, Sanfey H, Markwell SJ, Mellinger JD, Dunnington GL. The measured
effect of delay in completing operative performance ratings on clarity and detail of ratings
assigned. J Surg Educ. 2014;71:e132–8. https://doi.org/10.1016/j.jsurg.2014.06.015. - Williams RG, Verhulst S, Colliver JA, Dunnington GL. Assuring the reliability of resident
performance appraisals: more items or more observations? Surgery. 2005;137:141–7. https://
doi.org/10.1016/j.surg.2004.06.011. - Martin JA, Regehr G, Reznick R, MacRae H, Murnaghan J, Hutchison C, et al. Objective struc-
tured assessment of technical skill (OSATS) for surgical residents. Br J Surg. 1997;84:273–8. - Yule S, Flin R, Paterson-Brown S, Maran N, Rowley D. Development of a rating sys-
tem for surgeons’ non-technical skills. Med Educ. 2006;40:1098–104. https://doi.
org/10.1111/j.1365-2929.2006.02610.x. - Gofton WT, Dudek NL, Wood TJ, Balaa F, Hamstra SJ. The Ottawa surgical competency
operating room evaluation (O-SCORE). Acad Med. 2012;87:1401–7. https://doi.org/10.1097/
ACM.0b013e3182677805. - Kramp KH, van Det MJ, Hoff C, Lamme B, Veeger NJGM, Pierie J-PEN. Validity and reliabil-
ity of global operative assessment of laparoscopic skills (GOALS) in novice trainees perform-
ing a laparoscopic cholecystectomy. J Surg Educ. 2015;72:351–8. https://doi.org/10.1016/j.
jsurg.2014.08.006. - Larson JL, Williams RG, Ketchum J, Boehler ML, Dunnington GL. Feasibility, reliability and
validity of an operative performance rating system for evaluating surgery residents. Surgery.
2005;138:640–9. https://doi.org/10.1016/j.surg.2005.07.017.
M. Mirza and J.F. Koenig