• Sunjong Ji, Charles Hwang, Monita Karmakar, Niki Matusko, Julie Thompson-Burdine, Aaron M Williams, Lisa Leininger, Rebecca M Minter, and Gurjit Sandhu.
• University of Michigan Medical School, 7300 Medical Science Building I - A Wing, 1301 Catherine Street, Ann Arbor, MI, 48109, USA.
• Am. J. Surg. 2020 Feb 1; 219 (2): 245-252.

BackgroundLack of transparency and meaningful assessment in surgical residency has led to inconsistent intraoperative entrustment and highly variable trainee competence at graduation. The relationship between faculty entrustment and resident entrustability on clinical competency remains unclear. We sought to evaluate the dynamic between entrustment/entrustability and clinical competency in general surgery residency.MethodsIntraoperative observations were conducted across a 22-month period at an academic tertiary center. Entrustment/entrustability were measured using OpTrust. Clinical competencies were appraised via ACGME Milestones and Objective Structured Assessment of Technical Skill (OSATS) scores. Mixed effects linear regression was used to investigate the relationship among overall ACGME Milestone scores, OSATS domain scores, and overall OpTrust scores.ResultsOverall OpTrust scores significantly correlated with overall Milestone scores and multiple OSATS score domains.ConclusionsOpTrust demonstrated a positive association between ACGME general surgery Milestones and OSATS scores. Overall, OpTrust may help optimize intraoperative faculty entrustment and resident entrustability, facilitating surgical trainee success during residency.Copyright © 2019 Elsevier Inc. All rights reserved.

28 keywords...

hide…