背景:美国外科委员会(ABS)自2018年以来一直要求普外科申请人进行内窥镜手术(FES)基础认证。建议在参加FES考试之前完成灵活的内窥镜检查课程(FEC)。研究的目的是确定完成FEC是否使个人能够通过FES手动技能测试。
方法:参与者包括2014年6月至2019年2月的首次尝试FES考生。对去识别的数据进行了审查,自我报告的数据包括性别,PGY,手套尺寸,上部(UE)和下部(LE)内窥镜检查经验,模拟训练时间,并参与内窥镜检查旋转(ER)。FES技能考试成绩由FES工作人员报告。那些完成所有的vs.没有比较FEC。
结果:在确定的2023名参与者中,809(40.0%)报告完成了所有FEC组件,1053(52.1%)完成了一些,161名(8.0%)未完成。男性和在居住后期服用FES的候选人更有可能完成所有FEC要求(p=0.002,p<0.001)。完成所有FEC组件的FES通过率高于未完成的人(88.4%vs72.7%,p<0.001)。在逻辑回归分析中,完成所有组件(OR2.3,95%CI1.5-3.7,p<0.001)和男性(OR3.1,95%CI1.7-5.7,p<0.001)是通过的预测因子,而手套尺寸(OR1.5,95%CI1.0-2.5,p=0.08),模拟器时间(OR1.1,95%CI0.9-1.4,p=0.37)和PGY未(OR1.1,95%CI0.9-1.4,p=0.38)。在控制手套尺寸和性别的多变量分析中,完成所有FEC组件仍与通过FES技能考试的可能性较高相关(OR1.6,95%CI1.2-2.1,p<0.001).
结论:完成FEC与通过FES技能测试密切相关。这项研究支持ABS建议在参加FES技能测试之前完成FEC。
The American Board of Surgery (ABS) has required
Fundamentals of Endoscopic Surgery (FES) certification for general surgery applicants since 2018. Flexible Endoscopy Curriculum (FEC) completion is recommended prior to taking the FES exam. The objective of the study was to determine if FEC completion prepares individuals to pass the FES manual skills test.
Participants included first-attempt FES examinees from June 2014 to February 2019. De-identified data were reviewed, Self-reported data included gender, PGY, glove size, upper (UE) and lower (LE) endoscopy experience, simulation training time, and participation in an endoscopy rotation (ER). FES skills exam performance was reported by FES staff. Those completing all vs. none of the FEC were compared.
Of 2023 participants identified, 809 (40.0%) reported completion of all FEC components, 1053 (52.1%) completed of some, and 161 (8.0%) completed none. Men and candidates taking FES later in residency were more likely to complete all FEC requirements (p = 0.002, p < 0.001). FES pass rates were higher for those who completed all FEC components compared to those who completed none (88.4% vs 72.7%, p < 0.001). On logistic regression analysis, completion of all components (OR 2.3, 95% CI 1.5-3.7, p < 0.001) and male gender (OR 3.1, 95% CI 1.7-5.7, p < 0.001) were predictors of passing, while glove size (OR 1.5, 95% CI 1.0-2.5, p = 0.08), simulator time (OR 1.1, 95% CI 0.9-1.4, p = 0.37) and PGY were not (OR 1.1, 95% CI 0.9-1.4, p = 0.38). On multivariate analysis controlling for glove size and gender, completion of all FEC components was still associated with a higher likelihood of passing the FES skills exam (OR 1.6, 95% CI 1.2-2.1, p < 0.001).
Completion of FEC is strongly associated with passing the FES skills test. This study supports the ABS recommendation for completion of FEC prior to taking the FES skills test.