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

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.