Evidence map›Paper›PMID 32142243›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2020

Development of a certification examination for orthopedic sports medicine fellows

Tim Dwyer, Jaskarndip Chahal, Lucas Murnaghan, John Theodoropoulos, Jeffrey Cheung, Aidan McParland, Darrell Ogilvie-Harris

Abstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2020. 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
–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

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

7 authors.

Tim DwyerFrom Mount Sinai Hospital, Toronto, Ont. (Dwyer, Theodoropoulos); Toronto Western Hospital, Toronto, Ont. (Chahal, Ogilvie-Harris); and Women’s College Hospital, Toronto, Ont. (Dwyer, Chahal, Murnaghan, Theodoropoulos, Cheung, McParland, Ogilvie-Harris).
Jaskarndip ChahalFrom Mount Sinai Hospital, Toronto, Ont. (Dwyer, Theodoropoulos); Toronto Western Hospital, Toronto, Ont. (Chahal, Ogilvie-Harris); and Women’s College Hospital, Toronto, Ont. (Dwyer, Chahal, Murnaghan, Theodoropoulos, Cheung, McParland, Ogilvie-Harris).
Lucas MurnaghanFrom Mount Sinai Hospital, Toronto, Ont. (Dwyer, Theodoropoulos); Toronto Western Hospital, Toronto, Ont. (Chahal, Ogilvie-Harris); and Women’s College Hospital, Toronto, Ont. (Dwyer, Chahal, Murnaghan, Theodoropoulos, Cheung, McParland, Ogilvie-Harris).
John TheodoropoulosFrom Mount Sinai Hospital, Toronto, Ont. (Dwyer, Theodoropoulos); Toronto Western Hospital, Toronto, Ont. (Chahal, Ogilvie-Harris); and Women’s College Hospital, Toronto, Ont. (Dwyer, Chahal, Murnaghan, Theodoropoulos, Cheung, McParland, Ogilvie-Harris).
Jeffrey CheungFrom Mount Sinai Hospital, Toronto, Ont. (Dwyer, Theodoropoulos); Toronto Western Hospital, Toronto, Ont. (Chahal, Ogilvie-Harris); and Women’s College Hospital, Toronto, Ont. (Dwyer, Chahal, Murnaghan, Theodoropoulos, Cheung, McParland, Ogilvie-Harris).
Aidan McParlandFrom Mount Sinai Hospital, Toronto, Ont. (Dwyer, Theodoropoulos); Toronto Western Hospital, Toronto, Ont. (Chahal, Ogilvie-Harris); and Women’s College Hospital, Toronto, Ont. (Dwyer, Chahal, Murnaghan, Theodoropoulos, Cheung, McParland, Ogilvie-Harris).
Darrell Ogilvie-HarrisFrom Mount Sinai Hospital, Toronto, Ont. (Dwyer, Theodoropoulos); Toronto Western Hospital, Toronto, Ont. (Chahal, Ogilvie-Harris); and Women’s College Hospital, Toronto, Ont. (Dwyer, Chahal, Murnaghan, Theodoropoulos, Cheung, McParland, Ogilvie-Harris).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The purpose of this study was to develop a multifaceted examination to assess the competence of fellows following completion of a sports medicine fellowship. Methods: Orthopedic sports medicine fellows over 2 academic years were invited to participate in the study. Clinical skills were evaluated with objective structured clinical examinations, multiple-choice question examinations, an in-training evaluation report and a surgical logbook. Fellows’ performance of 3 technical procedures was assessed both intraoperatively and on cadavers: anterior cruciate ligament reconstruction (ACLR), arthroscopic rotator cuff repair (RCR) and arthroscopic shoulder Bankart repair. Technical procedural skills were assessed using previously validated task-specific checklists and the Arthroscopic Surgical Skill Evaluation Tool (ASSET) global rating scale. Results: Over 2 years, 12 fellows were assessed. The Cronbach α for the technical assessments was greater than 0.8, and the interrater reliability for the cadaveric assessments was greater than 0.78, indicating satisfactory reliability. When assessed in the operating room, all fellows were determined to have achieved a minimal level of competence in the 3 surgical procedures, with the exception of 1 fellow who was not able achieve competence in ACLR. When their performance on cadaveric specimens was assessed, 2 of 12 (17%) fellows were not able to demonstrate a minimal level of competence in ACLR, 2 of 10 (20%) were not able to demonstrate a minimal level of competence for RCR and 3 of 10 (30%) were not able to demonstrate a minimal level of competence for Bankart repair. Conclusion: There was a disparity between fellows’ performance in the operating room and their performance in the high-fidelity cadaveric setting, suggesting that technical performance in the operating room may not be the most appropriate measure for assessment of fellows’ competence.

Indexed as

CertificationClinical CompetenceFellowships and ScholarshipsCadaverEducational MeasurementHumansOntarioOrthopedic ProceduresProspective StudiesSports Medicine

Identifiers

PMID32142243
PMCPMC7828964

What OpenQuestion holds

Textmetadata
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.