دورية أكاديمية
أعرض في EDS

Summative Evaluation of Vaginal Surgery Skills: Setting A Pass-Fail Score.

التفاصيل البيبلوغرافية
العنوان: Summative Evaluation of Vaginal Surgery Skills: Setting A Pass-Fail Score.
المؤلفون: Geoffrion R; University of British Columbia, Vancouver, BC, Canada. roxygeo@hotmail.com.; Department of Obstetrics and Gynecology, St. Paul's Hospital, Suite 930, 1125 Howe Street, Vancouver, BC, V6Z 2K8, Canada. roxygeo@hotmail.com., Koenig NA; University of British Columbia, Vancouver, BC, Canada., Sunderji Z; University of British Columbia, Vancouver, BC, Canada., Lee T; Centre for Health Evaluation & Outcome Sciences, Vancouver, BC, Canada.
المصدر: International urogynecology journal [Int Urogynecol J] 2024 Feb; Vol. 35 (2), pp. 451-456. Date of Electronic Publication: 2024 Jan 11.
نوع المنشور: Randomized Controlled Trial; Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: England NLM ID: 101567041 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-3023 (Electronic) Linking ISSN: 09373462 NLM ISO Abbreviation: Int Urogynecol J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : Springer
مواضيع طبية MeSH: Colpotomy* , Surgeons*, Female ; Humans ; Pregnancy ; Canada ; Computer Simulation ; Hysterectomy, Vaginal
مستخلص: Introduction and Hypothesis: We developed a summative assessment tool to evaluate competent performance on three procedure-specific low fidelity simulation models for vaginal surgery. Our purpose was to determine a pass-fail score for each model.
Methods: We enrolled participants (2011-2023, three Canadian academic centers) and grouped them according to operative competency in vaginal procedures. Novice operators were medical students recruited through targeted advertisement to clerkship level medical students. Proficient operators consisted of gynecology residents from the intervention arm of a randomized controlled trial, trained to competence in the use of the models; urogynecology fellows and attending gynecologic surgeons recruited through departmental rounds. All participants were asked to perform the three procedures on the models, were videotaped, and their performance assessed by evaluators familiar with the procedure and the scoring system, blinded to operator identity. A total performance score (range 0-400) assessed timing and errors. Basic skill deductions were set a priori. We calculated sensitivity and specificity scores and obtained an optimal cutoff based on Youden's J statistic.
Results: For anterior repair, we rated 46 novice and 16 proficient videos. The pass-fail score was 170/400. For posterior repair, we rated 54 novice and 14 proficient videos. The pass-fail score was 140/400. For vaginal hysterectomy, we rated 47 novice and 12 proficient videos. The pass-fail score was 180/400. Scores of proficient operators were significantly better than those of novice participants (p < 0.001 for all).
Conclusions: A pass-fail score can distinguish between novice and proficient operators and can be used for summative assessment of surgical skill.
(© 2024. The International Urogynecological Association.)
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فهرسة مساهمة: Keywords: Low fidelity simulation; Pass–fail score; Summative assessment; Vaginal surgery
تواريخ الأحداث: Date Created: 20240111 Date Completed: 20240304 Latest Revision: 20240304
رمز التحديث: 20240304
DOI: 10.1007/s00192-023-05717-9
PMID: 38206339
قاعدة البيانات: MEDLINE
الوصف
تدمد:1433-3023
DOI:10.1007/s00192-023-05717-9