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Assessment of surgical competence at carotid endarterectomy under local anaesthesia in a simulated operating theatre. BJS 2010; 97: 511-516.

Published: 23rd February 2010

Authors: S. A. Black, D. F. Nestel, R. L. Kneebone, J. H. N. Wolfe


Methods of surgical training that do not put patients at risk are desirable. A high‐fidelity simulation of carotid endarterectomy under local anaesthesia was tested as a tool for assessment of vascular surgical competence, as an adjunct to training.


Sixty procedures were performed by 30 vascular surgeons (ten junior trainees, ten senior trainees and ten consultants) in a simulated operating theatre. Each performed in a non‐crisis scenario followed by a crisis scenario. Performance was assessed live by means of rating scales for technical and non‐technical skills.


There was a significant difference in technical skills with ascending grade for both generic and procedure‐specific technical skill scores in both scenarios (P < 0·001 for all comparisons). Similarly, there was also a significant difference in non‐technical skill with ascending grade for both scenarios (P < 0·001). There was a highly significant correlation between technical and non‐technical performance in both scenarios (non‐crisis: rs = 0·80, P < 0·001; crisis: rs = 0·85, P < 0·001). Inter‐rater reliability was high (α≥ 0·80 for all scales).


High‐fidelity simulation offers competency‐based assessment for all grades and may provide a useful training environment for junior trainees and more experienced surgeons. Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.

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