Recurrence Checkpoint Knowledge and Skills Methodology for Continuous Development in Neurosurgical Residency

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-07-30 DOI:10.1016/j.jsurg.2025.103633

Baglan Mustafayev MD, PhD , Alina Mustafayeva MD, PhD , Askar Bakhtiyarov MD, PhD , Kuanysh Nikatov MD

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引用次数: 0

Abstract

BACKGROUND

Competency-based neurosurgical training requires effective systems for longitudinal skill development and assessment.

PURPOSE

To describe and evaluate a novel educational model—Recurrence Checkpoint: Knowledge and Skills(RCKaS)—for structured reinforcement of resident competencies.

METHODS

The model was implemented in a 4-year residency program with quarterly checkpoints. Each checkpoint included cognitive tasks, technical simulations, and case-based evaluations, followed by faculty feedback.

RESULTS

The model facilitated early identification of skill gaps, enhanced resident confidence, and improved feedback quality. Faculty reported improved mentoring engagement and assessment clarity. The study employed a dual comparison strategy: (1) a within-subject analysis of entrustment progression across 3 structured checkpoints in the same cohort (n = 36); and (2) an exploratory comparison with a retrospective group of residents trained prior to RCKaS implementation (n = 14). RCKaS-trained residents demonstrated higher scores in clinical reasoning, procedural skills, and diagnostic accuracy.

CONCLUSION

Recurrence checkpoint offers a feasible and impactful tool for aligning training with core neurosurgical competencies. It supports personalized learning and prepares residents for progressive responsibility. This approach promotes sustained growth in clinical competence and may serve as a scalable model for other surgical training programs.

Design

Prospective educational study with two-level comparisons (within-group and retrospective cohort).

Setting

Neurosurgical residency program at the National Center for Neurosurgery, Astana, Kazakhstan.

Participants

Thirty-six residents (PGY1-PGY4) enrolled between 2022 and 2024 and a retrospective cohort of fourteen residents enrolled between 2019 and 2021.

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神经外科住院医师持续发展的复发检查点知识和技能方法学

背景：以能力为基础的神经外科训练需要有效的纵向技能发展和评估系统。目的描述和评估一种新的教育模式——复发检查点：知识和技能（RCKaS）——用于结构化地强化住院医师的能力。方法该模型在一个为期4年的住院医师项目中实施，每个季度都有检查点。每个检查点包括认知任务、技术模拟和基于案例的评估，然后是教师反馈。结果该模型有助于早期识别技能差距，增强居民信心，提高反馈质量。教师报告说，指导参与度和评估清晰度都有所提高。该研究采用了双重比较策略：(1)对同一队列中3个结构化检查点的委托进展进行受试者内分析（n = 36）；(2)与实施RCKaS之前接受过培训的住院医师回顾性组进行探索性比较（n = 14）。经过rckas培训的住院医生在临床推理、程序技能和诊断准确性方面表现出更高的分数。结论复发检查点为神经外科核心能力培训提供了一种可行且有效的工具。它支持个性化学习，并为住院医生的进步责任做好准备。这种方法促进了临床能力的持续增长，并可作为其他外科培训项目的可扩展模型。前瞻性教育研究，两水平比较（组内和回顾性队列）。在哈萨克斯坦阿斯塔纳国家神经外科中心设置神经外科住院医师项目。参与者：36名居民（PGY1-PGY4）在2022年至2024年期间入组，14名居民在2019年至2021年期间入组。

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.