Élaboration d'une grille d'évaluation (OSATS-GRS) de la formation chirurgicale des internes de Gynécologie-Obstétrique à la césarienne

Abstract : Introduction: Surgical training of French obstetricians begins during their residency. Knowing when a resident is able to perform a surgical sequence on his own and without any risk to the patient, is a real challenge. For a few years, obstetrics and gynaecology residents have requested an improvement in the existing training assessment system. Objectives: Our principal was to develop a rating scale for evaluation of surgical skills specific to caesarean section and to assess its relevance in documenting the residents’ learning curve during their training. Secondary objectives consisted in verifying the scale’s stability to caesarean section level of difficulty and comparing self-assessment to hetero-assessment in order to propose a practical application of this rating scale during residency. Methods: We conducted a multicentre observational prospective study, from May 2018 to November 2018, in three obstetrics-gynaecology departments. All residents at that time could participate and fill in the rating scale right after caesarean section (all gestational ages, all indications). Senior surgeons had to fill in the same rating scale; the ones that were not completed by both residents and senior doctors were excluded from our analysis. Results: Our study involved 234 evaluations and demonstrated that our modified version of Objective Structured Assessment of Technical Skill (OSATS) rating scale, was a reliable, pragmatic tool that could be used to evaluate surgical skills of residents during caesarean section according to their year of residency. The scores obtained allowed us to reveal the determining criteria that define difficulty level of caesarean section: post-partum haemorrhage and preoperative composite criterion. Conclusion: Our rating scale could be used for self-assessment during first year of residency. Later, it could be used as a hetero-assessment tool for validating defined stages of the internship.
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Quentin Berl. Élaboration d'une grille d'évaluation (OSATS-GRS) de la formation chirurgicale des internes de Gynécologie-Obstétrique à la césarienne. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02118601⟩

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