ArticleWorld journal for pediatric & congenital heart surgery2019
The Congenital Heart Technical Skill Study: Rationale and Design.
Article in World journal for pediatric & congenital heart surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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.
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.
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Who cites it
4 citing papers in PubMed.
- The application of the tracer method with peer observation and formative feedback for professional development in clinical practice: a scoping review.Perspectives on medical education · 2022Article
- 3D Modeling and Printing in Congenital Heart Surgery: Entering the Stage of Maturation.Frontiers in pediatrics · 2021Review
- Registry-based trials: a potential model for cost savings?Cardiology in the young · 2020Article
- The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2019 Update on Research.The Annals of thoracic surgery · 2019Review
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundWe report the rationale and design for a peer-evaluation protocol of attending congenital heart surgeon technical skill using direct video observation.
methodsAll surgeons contributing data to The Society of Thoracic Surgeons-Congenital Heart Surgery Database (STS-CHSD) are invited to submit videos of themselves operating, to rate peers, or both. Surgeons may submit Norwood procedures, complete atrioventricular canal repairs, and/or arterial switch operations. A HIPPA-compliant website allows secure transmission/evaluation. Videos are anonymously rated using a modified Objective Structured Assessment of Technical Skills score. Ratings are linked to five years of contemporaneous outcome data from the STS-CHSD and surgeon questionnaires. The primary outcome is a composite for major morbidity/mortality.
resultsTwo hundred seventy-six surgeons from 113 centers are eligible for participation: 83 (30%) surgeons from 53 (45%) centers have agreed to participate, with recruitment ongoing. These surgeons vary considerably in years of experience and outcomes. Participants, both early and late in their careers, describe the process as "very rewarding" and "less time consuming than anticipated." An initial subset of 10 videos demonstrated excellent interrater reliability (interclass correlation = 0.85).
conclusionsThis study proposes to evaluate the technical skills of attending pediatric cardiothoracic surgeons by video observation and peer-review. It is notable that over a quarter of congenital heart surgeons, across a range of experiences, from almost half of United States centers have already agreed to participate. This study also creates a mechanism for peer feedback; we hypothesize that feedback could yield broad and meaningful quality improvement.
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