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dc.contributor.authorGranite, G.
dc.contributor.authorPugh, K.
dc.contributor.authorChen, H.
dc.date.accessioned2019-06-21T18:46:22Z
dc.date.available2019-06-21T18:46:22Z
dc.date.issued2018
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85045431468&doi=10.1093%2fmilmed%2fusx151&partnerID=40&md5=d1dfd04e69f5238cd269a3a19be5608e
dc.identifier.urihttp://hdl.handle.net/10713/9640
dc.description.abstractObjectives Surgical residents express confidence in performing specific vascular exposures before training, but such self-reported confidence did not correlate with co-located evaluator ratings. This study reports residents' self-confidence evaluated before and after Advanced Surgical Skills for Exposure in Trauma (ASSET) cadaver-based training, and 12-18 mo later. We hypothesize that residents will better judge their own skill after ASSET than before when compared with evaluator ratings. Methods Forty PGY2-7 surgical residents performed four procedures: axillary artery (AA), brachial artery (BA), femoral artery exposure and control (FA), and lower extremity fasciotomy (FAS) at the three evaluations. Using 5-point Likert scales, surgeons self-assessed their confidence in anatomical understanding and procedure performance after each procedure and evaluators rated each surgeon accordingly. Results For all the three evaluations, residents consistently rated their anatomical understanding (p < 0.04) and surgical performance (p < 0.03) higher than evaluators for both FA and FAS. Residents rated their anatomical understanding and surgical performance higher (p < 0.005) than evaluators for BA after training and up to 18 mo later. Only for third AA evaluation were there no rating differences. Conclusions Residents overrate their anatomical understanding and performance abilities for BA, FA, and FAS even after performing the procedures and being debriefed three times in 18 mo. Copyright Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2018.en_US
dc.description.sponsorshipThis study was supported by a grant from the U.S. Army (no. W81XWH-13-2-0028).en_US
dc.description.urihttps://dx.doi.org/10.1093/milmed/usx151en_US
dc.language.isoen-USen_US
dc.publisherOxford University Pressen_US
dc.relation.ispartofMilitary Medicine
dc.subjectAdvanced Surgical Skills for Exposure in Trauma (ASSET)en_US
dc.subjectanatomical knowledgeen_US
dc.subjecthemorrhage controlen_US
dc.subjectself-reported confidenceen_US
dc.subjectsurgical performanceen_US
dc.subjectvascular exposureen_US
dc.titleAssessment of Anatomical Knowledge and Core Trauma Competency Vascular Skillsen_US
dc.typeArticleen_US
dc.identifier.doi10.1093/milmed/usx151
dc.identifier.pmid29635562


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