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--- jnl:schaverien2018 [2019/05/18 03:21]
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+++ jnl:schaverien2018 [2020/03/24 02:34] (current)
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 ====Figures====
 {{:jnl:schaverien2018-01.jpg?400|Figure 1. Line graph demonstrating the correlation between microsurgical assessment overall performance scores using the SAMS tool in the OR at the start
-and end of the fellowship. At the start of the fellowship, on all measures, the highest ranked trainees were scored the highest on microsurgical performance.
+and end of the fellowship. At the start of the fellowship, on all measures, the highest ranked trainees were scored the highest on microsurgical performance. By the end of the fellowship the same trainees also demonstrated slightly better scores, but these were similar to those achieved by the trainees ranked lowest at interview. Linear regression lines are shown. OR, operating room; SAMS, Structured Assessment of Microsurgery Skill.}}
-By the end of the fellowship the same trainees also demonstrated slightly better scores, but these were similar to those achieved by the trainees ranked lowest at interview. Linear regression lines are shown. OR, operating room; SAMS, Structured Assessment of Microsurgery Skill.}}
 {{:jnl:schaverien2018-02.jpg?400|Figure 2. Line graph comparing time taken to perform an arterial anastomosis in the rat femoral artery in the laboratory at the start and end of the fellowship.
-When time taken was evaluated, paradoxically at the start of the fellowship the highest ranked trainees took longer to perform a microvascular anastomosis
+When time taken was evaluated, paradoxically at the start of the fellowship the highest ranked trainees took longer to perform a microvascular anastomosis than the lower ranked trainees, with significant outliers affecting the scores. By the end of the fellowship the trainees ranked highest at interview were fastest, making the greatest the improvement in time, and there was a reduction in variance about the mean. Linear regression lines are shown.}}
-than the lower ranked trainees, with significant outliers affecting the scores. By the end of the fellowship the trainees ranked highest at interview were fastest, making the greatest the improvement in time, and there was a reduction in variance about the mean. Linear regression lines are shown.}}
 ====Commentary====
+  - Very interesting study. I have not come across many articles like this one in ortho/plastic/hand domain. Provides evidence that you can predict performance
+  - However, since same group of people picking and assessing, there may be some bias (they are looking at some perspective of "good"). An independent assessment would be better
+  - All improve by their metrics, but the "weaker" ones improved more.
 ====Source=====
 Schaverien, M., Butler, C., Suami, H., Garvey, P., Liu, J., & Selber, J. (2018). Interview Scores Correlate with Fellow Microsurgical Skill and Performance. Journal of Reconstructive Microsurgery, 34(03), 211–217. https://doi.org/10.1055/s-0037-1607392

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