{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T13:41:13Z","timestamp":1792590073461,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100018828","name":"Intuitive Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018828","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The shortage of practitioners trained to provide essential surgical care remains among the most stubborn contributors to the global burden of disease, particularly in resource\u2010constrained settings where expert trainers are scarce. The Surgical Education Learners Forum (SELF) is a global community of practitioners working to develop cost\u2010effective, scalable, open\u2010access training modules that let clinicians anywhere learn, practice, and evaluate procedural skills independently. The key difference between a SELF training module and traditional procedural skills training is an integrated self\u2010administered skills assessment (SASA) framework. Through SASA, the learner receives formative feedback from a physical simulator while practicing the physical and psychomotor skills it is designed to teach. SASA helps learners confidently transfer their new skills directly into clinical practice. This is the fourth article in the SELF series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants in the 2023 SELF Symposium \u201cSelf\u2010Administered Skills Assessment\u201d working session were tasked with creating expert recommendation guidelines for developers creating SASA for training modules. The group engaged with idea generation in two key areas: understanding the learner journey and creating developer\u2010recommended best practices followed by agreement on next steps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The primary recommendation for developers was to create a sustainable platform with straightforward delivery. The session also called for developing and supporting a global SELF community of practice to meet the needs of learners and developers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The further development and testing of SASA is integral to the success of the SELF community moving forward. The community must prioritize increasing the depth and breadth of research studies on SASA approaches and techniques in SELF training modules.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70634","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T12:56:09Z","timestamp":1792587369000},"source":"Crossref","is-referenced-by-count":0,"title":["Self\u2010Administered Skills Assessment Using Simulation Modules for Procedural Competency: SELF Series Article 4"],"prefix":"10.1002","author":[{"given":"JoAnna L.","family":"Hunter\u2010Squires","sequence":"first","affiliation":[{"name":"Indiana University School of Medicine  Indianapolis Indiana USA"},{"name":"AMPATH Consortium  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Habila","family":"Umaru","sequence":"additional","affiliation":[{"name":"National Hospital Abuja  Abuja Nigeria"},{"name":"Royal Orthopedic Hospital and Medicare  Abuja Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5419-2552","authenticated-orcid":false,"given":"Jacqueline","family":"Yao","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle N.","family":"Joseph","sequence":"additional","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4163-8572","authenticated-orcid":false,"given":"Eric","family":"O'Flynn","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons in Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(25)00985\u20107"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s44186\u2010023\u201000217\u20102"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2023.10.007"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/wjs.70603"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjsopen\/zrab147"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.01.031"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2020.0178"},{"key":"e_1_2_10_9_1","unstructured":"Global Surgical Training Challenge About the Challenge accessed June 7 2026 https:\/\/globalsurgicaltraining.challenges.org\/about\u2010the\u2010challenge."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/wjs.70219"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2022.07.023"},{"key":"e_1_2_10_12_1","unstructured":"SELF (2026) Developer Tools accessed July 27 2026 https:\/\/self.surgery\/developer#developer\u2010tools."},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s44186\u2010023\u201000130\u20108"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000000740"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s44186\u2010023\u201000137\u20101"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2022.01.009"},{"key":"e_1_2_10_17_1","doi-asserted-by":"crossref","DOI":"10.4324\/9780429299612","volume-title":"The Adult Learner: The Definitive Classic in Adult Education and Human Resource Development","author":"Knowles M. 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