Assessment in Simulation Training

Demonstrated surgical competence greatly decreases errors, increases patient safety, and leads to more favorable patient outcomes. Currently, surgical technical skill assessment measures primarily consist of general global rating scales, procedure- and task-specific checkhsts (first derived from the aviation industry), and the validated and frequently utilized Objective Structured Assessment of Technical Skills (OSATS), developed 

In the era of mandated reduced resident work hours, the shift toward competency-based education, the development of competency frameworks, and stringent proficiency evaluations for postgraduate surgical 

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