Commentary: “We mock what we don't understand!”
2019; Elsevier BV; Volume: 159; Issue: 4 Linguagem: Inglês
10.1016/j.jtcvs.2019.06.035
ISSN1097-685X
AutoresDesmond M. D’Souza, Nahush A. Mokadam,
Tópico(s)Cardiac, Anesthesia and Surgical Outcomes
ResumoCentral MessageMock oral examinations should be part of a comprehensive educational curriculum.See Article page 1439. Mock oral examinations should be part of a comprehensive educational curriculum. See Article page 1439. Surgeons must be good communicators, team players, and continuing learners who can hone their skills throughout their careers.1Kim S. Dunkin B.J. Paige J.T. Eggerstedt J.M. Nicholas C. Vassilliou M.C. et al.What is the future of training in surgery? Needs assessment of national stakeholders.Surgery. 2014; 156: 707-717Abstract Full Text Full Text PDF PubMed Scopus (30) Google Scholar Our specialty, like others, has set high standards for trainees to meet in the Board Certification process, while at the same time we have struggled with ideal assessments. Indeed, the American Board of Thoracic Surgery (ABTS) Qualifying Examination focuses on knowledge acquisition, whereas the Certifying Examination evaluates decision making and communication skills. Although there is criticism of this process for a variety of reasons, this is nonetheless our method of assessment, and as educators, we do strive to prepare our trainees. In this issue of the Journal, Corsini and colleagues2Corsini E.M. Mitchell K.G. Nguyen T.C. Vaporciyan A.A. Antonoff M.B. Cardiothoracic surgery mock oral examinations: a single institution's 5-year experience.J Thorac Cardiovasc Surg. 2020; 159: 1439-1444Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar describe a single-institutional mock oral examination (MOE) program. Corsini and colleagues2Corsini E.M. Mitchell K.G. Nguyen T.C. Vaporciyan A.A. Antonoff M.B. Cardiothoracic surgery mock oral examinations: a single institution's 5-year experience.J Thorac Cardiovasc Surg. 2020; 159: 1439-1444Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar have carefully highlighted the importance of such educational endeavors in providing trainees with the skill set to face the ABTS Certifying Examination. MOEs provide invaluable feedback, not just to trainees but, importantly, also to the training programs themselves. One potential shortcoming of MOEs is that current ABTS examiners are not permitted to participate because of the high-stakes nature of the Certifying Examination. As described, these biannual MOEs can be (and perhaps should be) integrated into comprehensive curricular activities, such as weekly conferences, simulation laboratories, and research meetings. Dissecting out the true implications of a MOE for all trainees across the United States will be hard to determine, but the takeaway message is clear: MOE is a valuable learning experience for trainees, and it allows programs to identify at-risk candidates to permit early intervention. In an era in which surgical education remains a poorly funded mandate,3Butkus R. Lane S. Steinmann A.F. Caverzagie K.J. Tape T.G. Hingle S.T. et al.Alliance for Academic Internal Medicine and American College of Physicians Graduate Medical Education Task Forces, for the Health and Public Policy Committee of the American College of PhysiciansFinancing U.S. graduate medical education: a policy position paper of the Alliance for Academic Internal Medicine and the American College of Physicians.Ann Intern Med. 2016; 165: 134-137Crossref PubMed Scopus (18) Google Scholar the large time commitment for preparation and analysis is an important consideration. As surgical education evolves beyond simple case logs, milestone metrics, and in-training examinations to prepare our next generation of surgeons, we as a field must continue to seek higher standards for ourselves as educators. All too often, the role of formal education gets lost in our world,4Mokadam N.A. Dardas T.F. Hermsen J.L. Pal J.D. Mulligan M.S. Jacobs L.M. et al.Flipping the classroom: case-based learning, accountability, assessment, and feedback leads to a favorable change in culture.J Thorac Cardiovasc Surg. 2017; 153: 987-996Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar and perhaps Corsini and colleagues2Corsini E.M. Mitchell K.G. Nguyen T.C. Vaporciyan A.A. Antonoff M.B. Cardiothoracic surgery mock oral examinations: a single institution's 5-year experience.J Thorac Cardiovasc Surg. 2020; 159: 1439-1444Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar should use the success of their program to provide rationale for broader faculty and institutional support. As Dan Aykroyd would have us know, “We mock what we don't understand.”5Aykroyd D. Ganz L. Mandel B. Spies Like Us. Warner Bros Pictures, Burbank (CA)1985Google Scholar Cardiothoracic surgery mock oral examinations: A single institution's 5-year experienceThe Journal of Thoracic and Cardiovascular SurgeryVol. 159Issue 4PreviewAlthough in-training examinations provide surrogate data on qualifying exam readiness, use of mock oral examinations (MOEs) in cardiothoracic surgery training before the American Board of Thoracic Surgery certifying oral exam is not uniform. Although MOEs are prioritized by some institutions, development and execution of these labor-intensive, time-consuming exams may be a barrier to others. Therefore, we aimed to develop an MOE program and to assess its educational value. Full-Text PDF Open Archive
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