Evidence map›Paper›PMID 31617148›Full record

ArticleGeneral thoracic and cardiovascular surgery2020

Novel quantitative and objective structured assessment of technical skill for slip knotting.

Shun Watanabe, Tetsuya Kitagawa, Kazutoshi Tachibana, Hiroyuki Kurosawa, Kiyoshi Chiba, Joji Ito, Makoto Hibino, Masaki Taira, Takahiro Taguchi, Masanori Nishimura

Erratum issuedAbstract readValidation Study
PubMed Publisher
In one paragraph

Article in General thoracic and cardiovascular surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Shun WatanabeThe committee of The Japanese Society for Cardiovascular Surgery Under-Forty, 2-26-9, Hongou, Bunkyo-ku, Tokyo, 113-0033, Japan. shunchan828@me.com.
Tetsuya KitagawaThe committee of The Japanese Society for Cardiovascular Surgery Under-Forty, 2-26-9, Hongou, Bunkyo-ku, Tokyo, 113-0033, Japan.
Kazutoshi TachibanaThe committee of The Japanese Society for Cardiovascular Surgery Under-Forty, 2-26-9, Hongou, Bunkyo-ku, Tokyo, 113-0033, Japan.
Hiroyuki KurosawaThe committee of The Japanese Society for Cardiovascular Surgery Under-Forty, 2-26-9, Hongou, Bunkyo-ku, Tokyo, 113-0033, Japan.
Kiyoshi ChibaThe committee of The Japanese Society for Cardiovascular Surgery Under-Forty, 2-26-9, Hongou, Bunkyo-ku, Tokyo, 113-0033, Japan.
Joji ItoThe committee of The Japanese Society for Cardiovascular Surgery Under-Forty, 2-26-9, Hongou, Bunkyo-ku, Tokyo, 113-0033, Japan.
Makoto HibinoThe committee of The Japanese Society for Cardiovascular Surgery Under-Forty, 2-26-9, Hongou, Bunkyo-ku, Tokyo, 113-0033, Japan.
Masaki TairaThe committee of The Japanese Society for Cardiovascular Surgery Under-Forty, 2-26-9, Hongou, Bunkyo-ku, Tokyo, 113-0033, Japan.
Takahiro TaguchiThe committee of The Japanese Society for Cardiovascular Surgery Under-Forty, 2-26-9, Hongou, Bunkyo-ku, Tokyo, 113-0033, Japan.
Masanori NishimuraThe committee of The Japanese Society for Cardiovascular Surgery Under-Forty, 2-26-9, Hongou, Bunkyo-ku, Tokyo, 113-0033, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCurrently, no quantitative and objective method has been established for evaluating competencies in basic surgical techniques. The aim of this study was to develop a structured assessment tool for slip knotting and verify how well current board certification system discriminates the level of basic surgical skill.

methodsWe examined 171 cardiovascular surgical fellows using a novel assessment method for slip knotting that was developed by the committee of the Under-Forty of the Japanese Society of Cardiovascular Surgery. We compared the scores and examinees' surgical experience for validation. We analyzed the relationship between board certification and the scores.

resultsThe scores differentiated the general surgical board-certified surgeons from those without certification. Surgical experiences such as training years and number of operated cases and scores were correlated. Among the board-certified surgeons, the group with daily off-the-job training, or simulator-based skill training had a significantly higher mean score (67.4 ± 3.0 vs 55.4 ± 3.1, p = 0.008) and lower rate of poor scorers (7.1% vs 38.5%, p = 0.004). A multivariate analysis revealed that board certification did not predict high scores. Daily off-the-job training was the only independent predictor of high scores (odds ratio: 2.41, 95% confidence interval: 0.01-1.20, p = 0.014).

conclusionsThis novel quantitative and objective assessment tool for technical skill in slip knotting was found to be valid to examine the skill for slip knotting. In this study, current board certification discriminated the level of basic surgical skill. However, it could not distinguish extremely low scorers perfectly. Some board-certified surgeons showed poor technical competency, especially those without off-the-job training.

Indexed as

Clinical CompetenceAdultAttitude of Health PersonnelCardiovascular Surgical ProceduresCertificationEducational MeasurementFellowships and ScholarshipsFemaleGeneral SurgeryHumansMaleSurveys and QuestionnairesSuture TechniquesYoung AdultBoard certificationCompetencyOff-the-job trainingSlip knottingTechnical skill

Identifiers

PMID31617148

What OpenQuestion holds

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Registered trials

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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.