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To the Editor: Current resident evaluation systems are based on subjective assessments without clear delineation of the surgical ability that defines proficiency and thus remain highly variable between evaluators and programs. The Objective Structured Assessment of Technical Skills (OSATS) tool is a validated measure of technical proficiency among trainees in multiple specialties. 1 Alam M. Nodzenski M. Yoo S. Poon E. Bolotin E.
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