Use of Risk Model for Assessment of Resident Perception of Surgical Complexity and Evaluation of Procedural Competence

Jesse J. Liu, Ahmed Raslan, Jeffrey S. Raskin

Research output: Chapter in Book/Report/Conference proceedingChapter


Neurosurgical resident education is a sophisticated process with many evaluation tools currently in use. The American Board of Neurosurgical Surgeons (ABNS) requires a pregraduation pass score on the written exam which objectively stratifies neurosurgical residents' medical knowledge on a single national scale, 360-degree evaluations provide comprehensive training feedback, and the milestone project guides decisions regarding level transitioning and overall progress. Despite this, there is no objective metric for evaluating either the surgical performance of a resident or his or her perceived confidence. Deconstructing complex neurosurgical operations into a series of shared modules can improve the granularity with which we understand a surgeon's comfort with a procedural step and the time it takes to complete that step. Pinpointing the steps in a procedure which residents feel least comfortable performing and concentrating on developing those skills would allow for a more efficient mastery of the procedure and potentially reduce operating room time.

Original languageEnglish (US)
Title of host publicationQuality and Safety in Neurosurgery
PublisherElsevier Inc.
Number of pages7
ISBN (Electronic)9780128128992
ISBN (Print)9780128128985
StatePublished - Feb 28 2018



  • Operative performance
  • Resident education
  • Risk matrix

ASJC Scopus subject areas

  • Neuroscience(all)

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