{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:15:02Z","timestamp":1787004902754,"version":"build-2736575974"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Introduction\u2003Self-assessment aids \u201creflection-before-practice,\u201d which is expected to result in a better understanding of one's strengths and weaknesses and consequently a better overall performance. This is, however, rarely used in surgical training. This study aims to evaluate the correlation between self-, peer-, and expert assessment on surgical skills of pediatric surgical trainees.<\/jats:p>\n                  <jats:p>Materials and Methods\u2003A competency assessment tool for the posterior sagittal anorectoplasty (CAT-PSARP) was previously developed and validated. During international hands-on pediatric colorectal workshops in 2019 and 2020, participants practiced the PSARP on an inanimate anorectal malformation model. They were assisted by a peer and assessed by two independent expert observers, using the CAT-PSARP. After the training session, both self- and peer assessment were completed, using the same CAT-PSARP.<\/jats:p>\n                  <jats:p>Results\u2003A total of 79 participants were included. No correlation was found between the overall CAT-PSARP scores of the expert observers and the self-assessment (r\u2009=\u20090.179, p\u2009=\u20090.116), while a weak correlation was found between experts and peer assessment (r\u2009=\u20090.317, p\u2009=\u20090.006). When comparing the self-assessment scores with peer assessment, a moderate correlation was found for the overall performance score (r\u2009=\u20090.495, p\u2009&lt;\u20090.001). Additionally, the participants who were first to perform the procedure scored significantly better than those who trained second on the overall performance (mean 27.2 vs. 24.4, p\u2009&lt;\u20090.001).<\/jats:p>\n                  <jats:p>Conclusion\u2003Participants, peers, and experts seemed to have a unique view on the performance during training because there was little correlation between outcomes of the trainees and the experts. Self-assessment may be useful for reflection during training; however, expert assessment seems to be essential for assessment of surgical skills.<\/jats:p>","DOI":"10.1055\/s-0040-1715438","type":"journal-article","created":{"date-parts":[[2020,8,9]],"date-time":"2020-08-09T18:32:31Z","timestamp":1596997951000},"page":"025-033","source":"Crossref","is-referenced-by-count":9,"title":["Are Self-Assessment and Peer Assessment of Added Value in Training Complex Pediatric Surgical Skills?"],"prefix":"10.1055","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1674-1546","authenticated-orcid":false,"given":"Maja","family":"Joosten","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Radboudumc, Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guus M. J.","family":"B\u00f6kkerink","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Princess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bas H.","family":"Verhoeven","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Radboudumc, Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Sutcliffe","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Leeds General Infirmary, Leeds, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivo","family":"de Blaauw","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Radboudumc, Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanne M. B. 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