Structured assessment of microsurgery skills in the clinical setting
Structured assessment of microsurgery skills in the clinical setting
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DOI：
10.1016/j.bjps.2009.06.024
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发表时间：
2010-08-01
影响因子：
2.7
通讯作者：
Ramakrishnan, Venkat
中科院分区：
文献类型：
--
作者：
Chan, WoanYi;Niranjan, Niri;Ramakrishnan, Venkat
显微外科是整形外科培训的重要组成部分。能力已成为当前外科实践和培训中的一个重要问题。显微外科手术的复杂性需要对技能组件进行详细的评估和反馈。本文提出了一种在临床环境中进行显微外科技能结构化评估（SAMS）的方法。修改的整体评分，错误列表和总结性评分）被纳入开发SAMS方法。使用数字显微镜系统将临床微血管病变记录在视频上，并由三名顾问独立地以盲法进行评分。顾问的得分一直最高。显微外科学员SAMS评分的提高也证明了结构有效性。总体评分者间可靠性较强（α = 0.78）。SAMS方法提供了显微外科技能的形成性和总结性评估。它被证明是一个有效的，可靠的和可行的手术室性能的评估工具，提供系统和全面的反馈，作为学习周期的一部分。(C)2009年英国整形、重建和美容外科医生协会。由爱思唯尔有限公司出版。保留所有权利。
Microsurgery is an essential component in plastic surgery training. Competence has become an important issue in current surgical practice and training. The complexity of microsurgery requires detailed assessment and feedback on skills components. This article proposes a method of Structured Assessment of Microsurgery Skills (SAMS) in a clinical setting.Three types of assessment (i.e., modified Global Rating Score, errors list and summative rating) were incorporated to develop the SAMS method. Clinical anastomoses were recorded on videos using a digital microscope system and were rated by three consultants independently and in a blinded fashion.Fifteen clinical cases of microvascular anastomoses performed by trainees and a consultant microsurgeon were assessed using SAMS. The consultant had consistently the highest scores. Construct validity was also demonstrated by improvement of SAMS scores of microsurgery trainees. The overall inter-rater reliability was strong (alpha = 0.78).The SAMS method provides both formative and summative assessment of microsurgery skills. It is demonstrated to be a valid, reliable and feasible assessment tool of operating room performance to provide systematic and comprehensive feedback as part of the learning cycle. (C) 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.