Assessing the competencies in general surgery residency training.

BACKGROUND: Accreditation Council for Graduate Medical Education (ACGME) competencies have increased the focus on education. A 1-year study of observational assessments was conducted.

METHODS: "Point of Observation" evaluations were completed by faculty for postgraduate year (PGY) I and II surgery residents. Resident procedures and patient office visits were rated in 9 categories, using a Likert scale. Interns were expected to perform at a novice level (0-30%) and PGY II residents at an advanced level, with improvements expected.

RESULTS: PGY I and II residents showed overall improved scores (12% and 6%, respectively) over 1 year. Intern improvements in 9 categories were linear, ranging from 0% to 48%. PGY II resident scores were more variable, with improvements noted in 6 categories ranging from 10% to 30%. Three categories declined in scores, ranging from 2% to 18%.

CONCLUSIONS: Competencies bring emphasis to education and measurable outcomes. Early efforts have proven valuable in identifying curriculum and learning needs.