Using operative outcome to assess technical skill
Using operative outcome to assess technical skill
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DOI：
10.1016/s0002-9610(00)00470-0
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发表时间：
2000-09-01
影响因子：
3
通讯作者：
Reznick, R
中科院分区：
文献类型：
--
作者：
Szalay, D;MacRae, H;Reznick, R
背景技术背景：本研究探讨是否手术产品和时间完成可以作为衡量技术skills.METHODS：9个最后一年（PGY 5）和11个倒数第二年（PGY 4）普外科居民参加了6站板凳模型考试。记录完成时间。12名外科医生（每站2名）使用5分制量表评价最终产品的质量。结果：产品质量的平均评分者间可靠性为0.59。最终产品分析的站间可靠性为0.59，完成时间为0.72。主治医师的评分与产品质量和时间评分之间的一致性分别为63%和78%。PGY 5s的平均产品质量评分为4.14 ± 0.26，而PGY 4s为3.82 ± 0.33（P < 0.05）。PGY 5的平均时间为110 ± 19分钟，而PGY 4的平均时间为132 ± 15分钟（P < 0.05）。结论：对手术最终产品和完成时间的分析为技术能力的台架模型考试提供了有效的替代在线考官评分。美国外科杂志2000;180：234-237。(C)2000年出版，Excerpta Medica，Inc.
BACKGROUND: This study examined whether an operative product and time to completion could serve as measures of technical skill.METHODS: Nine final-year (PGY5) and 11 penultimate-year (PGY4) general surgery residents participated in a 6-station bench model examination. Time to completion was recorded. Twelve faculty surgeons (2 per station) evaluated the quality of the final product using a 5-point scale.RESULTS: The mean interrater reliability was 0.59 for product quality. Interstation reliability was 0.59 for analysis of the final product and 0.72 for time to completion. There was 63% and 78% agreement between attendings' ratings and product quality and time scores respectively. PGY5s' mean product quality score was 4.14 +/- 0.26, compared with 3.82 +/- 0.33 for PGY4s (P < 0.05). PGY5s' mean time was 110 +/- 19 minutes compared with PGY4s' 132 +/- 15 (P < 0.05).CONCLUSIONS: Analysis of the operative end product and time to completion offer efficient alternatives to on-line examiner scoring for bench model examinations of technical competence. Am J Surg. 2000;180:234-237. (C) 2000 by Excerpta Medica, Inc.