Crowd-sourced assessment of technical skills: an opportunity for improvement in the assessment of laparoscopic surgical skills.
BACKGROUND
Objective, unbiased assessment of surgical skills remains a challenge in surgical education. We sought to evaluate the feasibility and reliability of Crowd-Sourced Assessment of Technical Skills.


METHODS
Seven volunteer general surgery interns were given time for training and then testing, on laparoscopic peg transfer, precision cutting, and intracorporeal knot-tying. Six faculty experts (FEs) and 203 Amazon.com Mechanical Turk crowd workers (CWs) evaluated 21 deidentified video clips using the Global Objective Assessment of Laparoscopic Skills validated rating instrument.


RESULTS
Within 19 hours and 15 minutes we received 662 eligible ratings from 203 CWs and 126 ratings from 6 FEs over 10 days. FE video ratings were of borderline internal consistency (Krippendorff's alpha = .55). FE ratings were highly correlated with CW ratings (Pearson's correlation coefficient = .78, P < .001).


CONCLUSION
We propose the use of Crowd-Sourced Assessment of Technical Skills as a reliable, basic tool to standardize the evaluation of technical skills in general surgery.
['Deal|Shanley B|SB|', 'Lendvay|Thomas S|TS|', 'Haque|Mohamad I|MI|', 'Brand|Timothy|T|', 'Comstock|Bryan|B|', 'Warren|Justin|J|', 'Alseidi|Adnan|A|']
D002983:Clinical Competence D063045:Crowdsourcing D005240:Feasibility Studies D013502:General Surgery D006801:Humans D007396:Internship and Residency D010535:Laparoscopy D010865:Pilot Projects D015203:Reproducibility of Results D013536:Suture Techniques D014741:Video Recording
Crowd sourced data Psychomotor skills Surgical skills assessment Surgical skills education