Conceptualizing and determining laparoscopic competencies in surgical residents: A qualitative study from China.

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2026-04-25 DOI:10.1016/j.amjsurg.2026.117004

Yao Xiao, Yue Zhang, Yanmeng Zhao, Zhouwen Yang, Soomin Lee, Yangjun Liu, Qianqian Zhao, Oudong Xia

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引用次数: 0

Abstract

Objective: Given the inadequacy of current evaluation systems for laparoscopic training, this study aims to develop a multidimensional competency framework for surgical residents. The framework is intended to identify key indicators that distinguish excellent performance and better support resident training.

Methods: Based grounded theory and the Iceberg Model, interviews with 15 specialists and 21 residents informed the competency framework. For validation, residents were divided into "excellent" and "average" cohorts, undergoing double-blind competency scoring and comparative analysis.

Results: The finalized competency framework comprises 47 specific competency characteristics across four themes: knowledge, skills, traits, and motives. Comparative analysis revealed four key competency characteristic (Surgical Procedures, Self-awareness, Professional Ethics, and Optimism & Confidence) that significantly distinguished excellent from average residents.

Conclusion: By integrating explicit and implicit competencies, this model provides a novel evaluation tool for identifying and cultivating surgical talent, offering a paradigm shift for quality assurance in standardized laparoscopic residency programs.

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概念化和确定外科住院医师的腹腔镜能力：一项来自中国的定性研究。

目的：鉴于目前腹腔镜培训评估系统的不足，本研究旨在为外科住院医师建立一个多维能力框架。该框架旨在确定区分优秀业绩和更好地支持住院医师培训的关键指标。方法：基于扎根理论和冰山模型，对15名专家和21名住院医师进行访谈，告知胜任力框架。为了验证，将住院医师分为“优秀”和“一般”两组，进行双盲能力评分和比较分析。结果：最终的胜任力框架包括47个具体的胜任力特征，跨越四个主题：知识、技能、特质和动机。对比分析显示，外科手术、自我意识、职业道德、乐观与自信四个关键胜任特征显著地将优秀住院医师与一般住院医师区分出来。结论：通过整合外显能力和内隐能力，该模型为识别和培养外科人才提供了一种新的评估工具，为标准化腹腔镜住院医师项目的质量保证提供了一种范式转变。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.