Evidence map›Paper›PMID 30775204›Full record

ArticleGlobal spine journal2019

The Importance of Determining Trainee Perspectives on Procedural Competencies During Spine Surgery Clinical Fellowship.

Antony H Bateman, Jeremie Larouche, Christina L Goldstein, Daniel M Sciubba, Theodore J Choma, Brandon Lawrence, Joseph Cheng, Michael G Fehlings, Scott J Paquette, Albert J M Yee

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 3 countries.

Antony H BatemanSunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Jeremie LaroucheSunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Christina L GoldsteinUniversity of Missouri, Columbia, MO, USA.
Daniel M SciubbaJohns Hopkins Hospital, Baltimore, MD, USA.
Theodore J ChomaUniversity of Missouri, Columbia, MO, USA.ORCID 0000-0002-9194-8563
Brandon LawrenceUniversity of Utah, Salt Lake City, UT, USA.
Joseph ChengYale University, New Haven, CT, USA.ORCID 0000-0002-1881-012X
Michael G FehlingsUniversity of Toronto, Toronto, Ontario, Canada.
Scott J PaquetteThe University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0002-4762-6460
Albert J M YeeSunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Sunnybrook Health Science Centre · CAUniversity of Missouri · USJohns Hopkins Hospital · USUniversity of British Columbia · CAUniversity of Toronto · CAUniversity of Utah · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designLongitudinal survey.

objectiveIt remains important to align competence-based objectives for training as deemed important by clinical fellows to those of their fellowship supervisors and program educators. The primary aim of this study was to determine trainee views on the relative importance of specific procedural training competencies. Secondarily, we aimed to evaluate self-perceived confidence in procedural performance at the commencement and completion of fellowship.

methodsQuestionnaires were administered to 68 clinical fellows enrolled in the AOSNA fellowship program during the 2015-2016 academic year. A Likert-type scale was used to quantify trainee perspectives on the relative importance of specific procedural competencies to their training base on an established curriculum including 53 general and 22 focused/advanced procedural competencies. We measured trainee self-perceived confidence in performing procedures at the commencement and completion of their program. Statistical analysis was performed on fellow demographic data and procedural responses.

resultsOur initial survey response rate was 82% (56/68) and 69% (47/68) for the follow-up survey. Although most procedural competencies were regarded of high importance, we did identify several procedures of high importance yet low confidence among fellows (ie, upper cervical, thoracic discectomy surgery), which highlights an educational opportunity. Overall procedural confidence increased from an average Likert score of 4.2 (SD = 1.3) on the initial survey to 5.4 (SD = 0.8) by follow-up survey (

conclusionsUnderstanding trainee goals for clinical fellowship remains important. Identification of areas of low procedural confidence and high importance to training experience will better guide fellowship programs and supervisors in the strategic delivery of the educational experience.

Indexed as

clinical fellowshipcompetenciescurriculumeducationspine surgerysyllabustrainee

Identifiers

PMID30775204
PMCPMC6362552
OpenAlexW2799854685

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.