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Procedure-based assessments: the past, the present and the future
  1. Ahmed Abdelaal
  1. Trauma & Orthopaedics department, Royal Gwent Hospital, Newport, UK
  1. Correspondence to Dr Ahmed Abdelaal, Royal Gwent Hospital, Newport NP20 2UB, UK; aahabdelaal{at}


One of the most significant changes to the structure of surgical training in the UK was the introduction of workplace-based assessments (WBAs). Since its integration into the Intercollegiate Surgical Curriculum Programme, we as surgical trainees became the children of WBAs. Procedure-based assessment (PBA) is one of the pillars of WBAs and no surgical trainee portfolio is complete without a significant number of PBAs completed. As a senior trauma and orthopaedics trainee myself, I have encountered PBA on a regular basis, both as a trainee and as an assessor to my junior colleagues. My journey in understanding and implementing PBAs has not been a smooth one. This is also a reflection of almost all surgical trainees across all specialties. In this review, I aim to shed some light on my perspective on PBA, its values, limitations and concerns that have risen as a result of its introduction. I also aim to use my experiences to highlight possible ways of improvement in PBA.

  • PBA surgical training
  • WBA
  • validity
  • reliability
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  • Contributors I confirm that I am the sole author of this paper and all the work is attributed to myself.

  • Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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