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10.1097/ACM.0000000000001364 http://scihub22266oqcxt.onion/10.1097/ACM.0000000000001364 27779508!5578755!27779508     free     free     free       Acad+Med 2016 ; 91 (11 Association of American Medical Colleges Learn Serve Lead: Proceedings of the 55th Annual Research in Medical Education Sessions): S37-S43 Nephropedia Template TP {{tp|p=27779508|t=2016. "Staying in the Game": How Procedural Variation Shapes Competence Judgments in Surgical Education |pdf=|usr=}}{{27779508}} gab.com Text "Staying in the Game": How Procedural Variation Shapes Competence Judgments in Surgical Education JO: Acad Med http://www.kidney.de/pget.php?&tw=1&pmid=27779508 #FOAvip PURPOSE: Emerging research explores the educational implications of practice and procedural variation between faculty members. The potential effect of these variations on how surgeons make competence judgments about residents has not yet been thoroughly theorized. The authors explored how thresholds of principle and preference shaped surgeons' intraoperative judgments of resident competence. METHOD: This grounded theory study included reanalysis of data on the educational role of procedural variations and additional sampling to attend to their impact on assessment. Reanalyzed data included 245 hours of observation across 101 surgical cases performed by 29 participants (17 surgeons, 12 residents), 39 semistructured interviews (33 with surgeons, 6 with residents), and 33 field interviews with residents. The new data collected to explore emerging findings related to assessment included two semistructured interviews and nine focused field interviews with residents. Data analysis used constant comparison to refine the framework and data collection process until theoretical saturation was reached. RESULTS: The core category of the study, called staying in the game, describes how surgeons make moment-to-moment judgments to allow residents to retain their role as operators. Surgeons emphasized the role of principles in making these decisions, while residents suggested that working with surgeons' preferences also played an important role in such intraoperative assessment. CONCLUSIONS: These findings suggest that surgeons' and residents' work with thresholds of principle and preference have significant implications for competence judgments. Making use of these judgments by turning to situated assessment may help account for the subjectivity in assessment fostered by faculty variations. Twit Text FOAVip "Staying in the Game": How Procedural Variation Shapes Competence Judgments in Surgical Education ????Acad Med http://www.kidney.de/pget.php?&tw=1&pmid=27779508 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27779508 #FOAvip English Wikipedia <ref>{{Cite pmid|27779508}}</ref> "Staying in the Game": How Procedural Variation Shapes Competence Judgments in Surgical Education #MMPMID27779508 Apramian T; Cristancho S; Watling C; Ott M; Lingard L Acad Med 2016[Nov]; 91 (11 Association of American Medical Colleges Learn Serve Lead: Proceedings of the 55th Annual Research in Medical Education Sessions): S37-S43 PMID27779508show ga PURPOSE: Emerging research explores the educational implications of practice and procedural variation between faculty members. The potential effect of these variations on how surgeons make competence judgments about residents has not yet been thoroughly theorized. The authors explored how thresholds of principle and preference shaped surgeons' intraoperative judgments of resident competence. METHOD: This grounded theory study included reanalysis of data on the educational role of procedural variations and additional sampling to attend to their impact on assessment. Reanalyzed data included 245 hours of observation across 101 surgical cases performed by 29 participants (17 surgeons, 12 residents), 39 semistructured interviews (33 with surgeons, 6 with residents), and 33 field interviews with residents. The new data collected to explore emerging findings related to assessment included two semistructured interviews and nine focused field interviews with residents. Data analysis used constant comparison to refine the framework and data collection process until theoretical saturation was reached. RESULTS: The core category of the study, called staying in the game, describes how surgeons make moment-to-moment judgments to allow residents to retain their role as operators. Surgeons emphasized the role of principles in making these decisions, while residents suggested that working with surgeons' preferences also played an important role in such intraoperative assessment. CONCLUSIONS: These findings suggest that surgeons' and residents' work with thresholds of principle and preference have significant implications for competence judgments. Making use of these judgments by turning to situated assessment may help account for the subjectivity in assessment fostered by faculty variations. |Attitude of Health Personnel[MESH] |Clinical Competence/*standards[MESH] |Education, Medical, Graduate/*standards[MESH] |Educational Measurement/*methods[MESH] |General Surgery/*education/*standards[MESH] |Grounded Theory[MESH] |Humans[MESH] |Internship and Residency/*standards[MESH] |Problem-Based Learning/*standards[MESH]"Staying in the Game": How Procedural Variation Shapes Competence Judg(epmc).pdf DeepDyve Pubget Overpricing