| Title | Video assessment of basic surgical trainees' operative skills. | | Author(s) | Driscoll PJ, Paisley AM, Paterson-Brown S | | Institution | Department of Clinical and Surgical Sciences (Surgery), New Royal Infirmary, Edinburgh, UK. | | Source | Am J Surg 2008 Jun 14. | | Abstract | BACKGROUND: We previously described a feasible, reliable, valid, and acceptable clinical assessment form for basic surgical trainees (BSTs). We now recently assessed tissue-handling skills using real-time assessment (RTA) and video assessment (VA) and addressed feasibility, reliability, validity, and trainer-trainee agreement using the same assessment form.
METHODS: Nine BSTs were videotaped as they performed open inguinal hernia repairs at 6 and 12 months of surgical training. Edited videotapes were independently rated by 7 consultants and 5 trainees using the technical part of the Edinburgh BST Assessment Form (EBSTAF-Tech), the Toronto Global Rating Scale of Surgical Performance (Toronto scale), and a visual analogue scale.
RESULTS: RTA and VA both proved to be reliable tools (RTA alpha >/= .85; VA alpha >/= .76; interclass correlation coefficient [ICC] >/= .69, rho >/= .694 [P </= .004]), but RTA was not construct valid. VA scores distinguished consultant from trainee operators (Mann-Whitney P < .02), with trainers able to discriminate between trainee levels (Wilcoxon P = .01 to .023). Concurrent validity was demonstrated by the VA (trainers tau-b = .71 to .79 [P < .001] and trainees tau-b = .79 to .82 [P < .001]) with good trainer-trainee agreement (EBSTAF-Tech tau-b = .35 [P = .03), Toronto tau-b = .46 [P = .006), and visual analogue scale tau-b = .46 [P = .006]).
CONCLUSIONS: VA of BST tissue-handling skills is feasible, reliable, valid, and highly sensitive. It may also improve trainee self-assessment skills by promoting reflective practice. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 18558396 |
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