Validity evidence for Surgical Improvement of Clinical Knowledge Ops: a novel gaming platform to assess surgical decision making

Abstract Background Current surgical education curricula focus mainly on the acquisition of technical skill rather than clinical and operative judgment. SICKO (Surgical Improvement of Clinical Knowledge Ops) is a novel gaming platform developed to address this critical need. A pilot study was perfor...

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Published inThe American journal of surgery Vol. 209; no. 1; pp. 79 - 85
Main Authors Lin, Dana T., M.D, Park, Julia, M.D, Liebert, Cara A., M.D, Lau, James N., M.D
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 2015
Elsevier Limited
Subjects
Assessments
Clinical Competence
Computer Simulation
Curriculum
Data Collection
Decision Making
Feedback
Gamification
General Surgery - education
Hospitals
Humans
Internet
Internship and Residency - methods
Judgment
Laboratories
Models, Educational
Patients
Pilot Projects
Review boards
Standard deviation
Studies
Surgery
Surgical decision making
Surgical education
Teaching
United States
User-Computer Interface
Video Games
United States
Assessments
Gamification
Surgical decision making
Surgical education
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Summary:Abstract Background Current surgical education curricula focus mainly on the acquisition of technical skill rather than clinical and operative judgment. SICKO (Surgical Improvement of Clinical Knowledge Ops) is a novel gaming platform developed to address this critical need. A pilot study was performed to collect validity evidence for SICKO as an assessment for surgical decision making. Methods Forty-nine subjects stratified into 4 levels of expertise were recruited to play SICKO. Later, players were surveyed regarding the realism of the gaming platform as well as the clinical competencies required of them while playing SICKO. Results Each group of increasing expertise outperformed the less experienced groups. Mean total game scores for the novice, junior resident, senior resident, and expert groups were 5,461, 8,519, 11,404, and 13,913, respectively ( P = .001). Survey results revealed high scores for realism and content. Conclusions SICKO holds the potential to be not only an engaging and immersive educational tool, but also a valid assessment in the armamentarium of surgical educators.
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ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2014.08.033