Workplace-based assessment – a new era of surgical training competency assessment in South Africa
Bibliographic record
Abstract
Surgical training has traditionally been based on the Halstedian apprenticeship model. 1 In this model, certification is dependent on completing training under the guidance of a specialist surgeon and passing final written and oral examinations that primarily assess theoretical knowledge.In order to train specialists who are fit for purpose, 2 it is crucial that we move beyond the assessment of biomedical knowledge only and build capacity to test the full spectrum of competencies required for daily clinical practice, including surgical capability.3 In addition, changes to modern healthcare environments and greater numbers of trainees have resulted in the apprenticeship model no longer being a sustainable strategy for training surgeons.Furthermore, increasing pressures on operating room availability, ethical concerns of trainees training on patients, and escalation of litigation for medical errors require the integration of innovative strategies into training programmes and examining bodies to optimise training and trustworthy certification of competent surgeons.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.014 | 0.017 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.003 | 0.006 |
| Scholarly communication | 0.006 | 0.009 |
| Open science | 0.001 | 0.009 |
| Research integrity | 0.002 | 0.005 |
| Insufficient payload (model declined to judge) | 0.008 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".