In-training assessment and predictors of competency in endoscopic sinus surgery

In-training assessment and predictors of competency in endoscopic sinus surgery

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: Cro...

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Bibliographic Details
Published in:The Laryngoscope Vol. 120; no. 12; pp. 2540 - 2545
Main Authors: Laeeq, Kulsoom, Waseem, Raafeh, Weatherly, Robert A., Reh, Douglas D., Lin, Sandra Y., Lane, Andrew P., Ishii, Masaru, Cummings, Charles W., Bhatti, Nasir I.
Format: Journal Article
Language:English
Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 01-12-2010
Wiley-Blackwell
Subjects:
Assessment
Biological and medical sciences
Clinical Competence
Educational Measurement
Endoscopy
formative feedback
Humans
in-training
Internship and Residency
Level of evidence: 1b
Medical sciences
objective
operative competency
Otolaryngology - education
Otorhinolaryngologic Surgical Procedures - education
Otorhinolaryngologic Surgical Procedures - standards
Otorhinolaryngology. Stomatology
Paranasal Sinuses - surgery
Reproducibility of Results
residency
surgical skills
residency
Endoscopic surgery
in-training
Treatment
formative teedback
Assessment
ENT
operative competency
Predictive factor
surgical skills
objective
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Summary: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. Laryngoscope, 2010
Bibliography:ark:/67375/WNG-8WPF6VX4-P
This article was presented as an oral presentation at the Triological Society Annual Meeting at the Combined Otolaryngology Spring Meeting (COSM), Las Vegas, NV, U.S.A., May 1, 2010.
The authors have no financial disclosures for this article.
The authors have no conflicts of interest to declare.
istex:5CF5B85CD72C7811BC4880857B5DD69DD86FA9A1
ArticleID:LARY21134
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.21134