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In-training assessment and predictors of competency in endoscopic sinus surgery.
Laryngoscope. 2010 Dec; 120(12):2540-5.L

Abstract

OBJECTIVES

To evaluate the reliability and validity of the assessment tool for endoscopic sinus surgery when used in the operating room for in-training assessment of operative competency; to identify the tasks that may serve as the best indicators for overall surgical performance.

STUDY DESIGN

Cross-sectional validation study.

METHODS

We implemented the global and checklist parts of the endoscopic sinus surgery (ESS) assessment tool to evaluate the surgical skills of 13 Otolaryngology-Head & Neck Surgery residents (PGY 1-5) in the operating room over a period of 15 months. Rhinology faculty scored residents' performance of every step of ESS at the end of each procedure using a previously validated tool. Construct validity was calculated by comparing scores across training levels (using analysis of variance [ANOVA]). Regression analysis was performed to identify tasks on the ESS checklist that most strongly correlated to the overall surgical performance.

RESULTS

Construct validity was demonstrated with senior residents performing better than junior residents. Average checklist and global scores improved with the number of days on rhinology rotation. "Identification of uncinate and boundaries" was found to be the strongest predictor of overall surgical performance.

CONCLUSIONS

The results indicate that this evaluation tool is a reliable and valid instrument for the assessment of surgical competency in the operating room. It can be used to identify weak areas of performance for which additional training may be required early in the rotation/training.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Laeeq K
Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, USA.
Waseem R
No affiliation info available
Weatherly RA
No affiliation info available
Reh DD
No affiliation info available
Lin SY
No affiliation info available
Lane AP
No affiliation info available
Ishii M
No affiliation info available
Cummings CW
No affiliation info available
Bhatti NI
No affiliation info available

MeSH

Clinical CompetenceEducational MeasurementEndoscopyHumansInternship and ResidencyOtolaryngologyOtorhinolaryngologic Surgical ProceduresParanasal SinusesReproducibility of Results

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

21082748

Citation

Laeeq, Kulsoom, et al. "In-training Assessment and Predictors of Competency in Endoscopic Sinus Surgery." The Laryngoscope, vol. 120, no. 12, 2010, pp. 2540-5.
Laeeq K, Waseem R, Weatherly RA, et al. In-training assessment and predictors of competency in endoscopic sinus surgery. Laryngoscope. 2010;120(12):2540-5.
Laeeq, K., Waseem, R., Weatherly, R. A., Reh, D. D., Lin, S. Y., Lane, A. P., Ishii, M., Cummings, C. W., & Bhatti, N. I. (2010). In-training assessment and predictors of competency in endoscopic sinus surgery. The Laryngoscope, 120(12), 2540-5. https://doi.org/10.1002/lary.21134
Laeeq K, et al. In-training Assessment and Predictors of Competency in Endoscopic Sinus Surgery. Laryngoscope. 2010;120(12):2540-5. PubMed PMID: 21082748.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - In-training assessment and predictors of competency in endoscopic sinus surgery. AU - Laeeq,Kulsoom, AU - Waseem,Raafeh, AU - Weatherly,Robert A, AU - Reh,Douglas D, AU - Lin,Sandra Y, AU - Lane,Andrew P, AU - Ishii,Masaru, AU - Cummings,Charles W, AU - Bhatti,Nasir I, PY - 2010/11/18/entrez PY - 2010/11/18/pubmed PY - 2011/1/21/medline SP - 2540 EP - 5 JF - The Laryngoscope JO - Laryngoscope VL - 120 IS - 12 N2 - OBJECTIVES: To evaluate the reliability and validity of the assessment tool for endoscopic sinus surgery when used in the operating room for in-training assessment of operative competency; to identify the tasks that may serve as the best indicators for overall surgical performance. STUDY DESIGN: Cross-sectional validation study. METHODS: We implemented the global and checklist parts of the endoscopic sinus surgery (ESS) assessment tool to evaluate the surgical skills of 13 Otolaryngology-Head & Neck Surgery residents (PGY 1-5) in the operating room over a period of 15 months. Rhinology faculty scored residents' performance of every step of ESS at the end of each procedure using a previously validated tool. Construct validity was calculated by comparing scores across training levels (using analysis of variance [ANOVA]). Regression analysis was performed to identify tasks on the ESS checklist that most strongly correlated to the overall surgical performance. RESULTS: Construct validity was demonstrated with senior residents performing better than junior residents. Average checklist and global scores improved with the number of days on rhinology rotation. "Identification of uncinate and boundaries" was found to be the strongest predictor of overall surgical performance. CONCLUSIONS: The results indicate that this evaluation tool is a reliable and valid instrument for the assessment of surgical competency in the operating room. It can be used to identify weak areas of performance for which additional training may be required early in the rotation/training. SN - 1531-4995 UR - https://www.unboundmedicine.com/medline/citation/21082748/In_training_assessment_and_predictors_of_competency_in_endoscopic_sinus_surgery_ DB - PRIME DP - Unbound Medicine ER -