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Reliable and valid assessment of Lichtenstein hernia repair skills

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Reliable and valid assessment of Lichtenstein hernia repair skills. / Carlsen, C G; Lindorff Larsen, Karen; Funch-Jensen, P; Lund, L; Charles, P; Konge, L.

I: Hernia, Bind 18, Nr. 4, 08.2014, s. 543-8.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Carlsen, CG, Lindorff Larsen, K, Funch-Jensen, P, Lund, L, Charles, P & Konge, L 2014, 'Reliable and valid assessment of Lichtenstein hernia repair skills', Hernia, bind 18, nr. 4, s. 543-8. https://doi.org/10.1007/s10029-013-1196-2

APA

Carlsen, C. G., Lindorff Larsen, K., Funch-Jensen, P., Lund, L., Charles, P., & Konge, L. (2014). Reliable and valid assessment of Lichtenstein hernia repair skills. Hernia, 18(4), 543-8. https://doi.org/10.1007/s10029-013-1196-2

Vancouver

Carlsen CG, Lindorff Larsen K, Funch-Jensen P, Lund L, Charles P, Konge L. Reliable and valid assessment of Lichtenstein hernia repair skills. Hernia. 2014 aug;18(4):543-8. https://doi.org/10.1007/s10029-013-1196-2

Author

Carlsen, C G ; Lindorff Larsen, Karen ; Funch-Jensen, P ; Lund, L ; Charles, P ; Konge, L. / Reliable and valid assessment of Lichtenstein hernia repair skills. I: Hernia. 2014 ; Bind 18, Nr. 4. s. 543-8.

Bibtex

@article{7322b590afab44c5ace2589f086ea509,
title = "Reliable and valid assessment of Lichtenstein hernia repair skills",
abstract = "PURPOSE: Lichtenstein hernia repair is a common surgical procedure and one of the first procedures performed by a surgical trainee. However, formal assessment tools developed for this procedure are few and sparsely validated. The aim of this study was to determine the reliability and validity of an assessment tool designed to measure surgical skills in Lichtenstein hernia repair.METHODS: Key issues were identified through a focus group interview. On this basis, an assessment tool with eight items was designed. Ten surgeons and surgical trainees were video recorded while performing Lichtenstein hernia repair, (four experts, three intermediates, and three novices). The videos were blindly and individually assessed by three raters (surgical consultants) using the assessment tool. Based on these assessments, validity and reliability were explored.RESULTS: The internal consistency of the items was high (Cronbach's alpha = 0.97). The inter-rater reliability was very good with an intra-class correlation coefficient (ICC) = 0.93. Generalizability analysis showed a coefficient above 0.8 even with one rater. The coefficient improved to 0.92 if three raters were used. One-way analysis of variance found a significant difference between the three groups which indicates construct validity, p < 0.001.CONCLUSIONS: Lichtenstein hernia repair skills can be assessed blindly by a single rater in a reliable and valid fashion with the new procedure-specific assessment tool. We recommend this tool for future assessment of trainees performing Lichtenstein hernia repair to ensure that the objectives of competency-based surgical training are met.",
keywords = "Clinical Competence, Hernia, Inguinal, Herniorrhaphy, Humans, Reproducibility of Results",
author = "Carlsen, {C G} and {Lindorff Larsen}, Karen and P Funch-Jensen and L Lund and P Charles and L Konge",
year = "2014",
month = aug,
doi = "10.1007/s10029-013-1196-2",
language = "English",
volume = "18",
pages = "543--8",
journal = "Hernia",
issn = "1265-4906",
publisher = "Springer-Verlag France",
number = "4",

}

RIS

TY - JOUR

T1 - Reliable and valid assessment of Lichtenstein hernia repair skills

AU - Carlsen, C G

AU - Lindorff Larsen, Karen

AU - Funch-Jensen, P

AU - Lund, L

AU - Charles, P

AU - Konge, L

PY - 2014/8

Y1 - 2014/8

N2 - PURPOSE: Lichtenstein hernia repair is a common surgical procedure and one of the first procedures performed by a surgical trainee. However, formal assessment tools developed for this procedure are few and sparsely validated. The aim of this study was to determine the reliability and validity of an assessment tool designed to measure surgical skills in Lichtenstein hernia repair.METHODS: Key issues were identified through a focus group interview. On this basis, an assessment tool with eight items was designed. Ten surgeons and surgical trainees were video recorded while performing Lichtenstein hernia repair, (four experts, three intermediates, and three novices). The videos were blindly and individually assessed by three raters (surgical consultants) using the assessment tool. Based on these assessments, validity and reliability were explored.RESULTS: The internal consistency of the items was high (Cronbach's alpha = 0.97). The inter-rater reliability was very good with an intra-class correlation coefficient (ICC) = 0.93. Generalizability analysis showed a coefficient above 0.8 even with one rater. The coefficient improved to 0.92 if three raters were used. One-way analysis of variance found a significant difference between the three groups which indicates construct validity, p < 0.001.CONCLUSIONS: Lichtenstein hernia repair skills can be assessed blindly by a single rater in a reliable and valid fashion with the new procedure-specific assessment tool. We recommend this tool for future assessment of trainees performing Lichtenstein hernia repair to ensure that the objectives of competency-based surgical training are met.

AB - PURPOSE: Lichtenstein hernia repair is a common surgical procedure and one of the first procedures performed by a surgical trainee. However, formal assessment tools developed for this procedure are few and sparsely validated. The aim of this study was to determine the reliability and validity of an assessment tool designed to measure surgical skills in Lichtenstein hernia repair.METHODS: Key issues were identified through a focus group interview. On this basis, an assessment tool with eight items was designed. Ten surgeons and surgical trainees were video recorded while performing Lichtenstein hernia repair, (four experts, three intermediates, and three novices). The videos were blindly and individually assessed by three raters (surgical consultants) using the assessment tool. Based on these assessments, validity and reliability were explored.RESULTS: The internal consistency of the items was high (Cronbach's alpha = 0.97). The inter-rater reliability was very good with an intra-class correlation coefficient (ICC) = 0.93. Generalizability analysis showed a coefficient above 0.8 even with one rater. The coefficient improved to 0.92 if three raters were used. One-way analysis of variance found a significant difference between the three groups which indicates construct validity, p < 0.001.CONCLUSIONS: Lichtenstein hernia repair skills can be assessed blindly by a single rater in a reliable and valid fashion with the new procedure-specific assessment tool. We recommend this tool for future assessment of trainees performing Lichtenstein hernia repair to ensure that the objectives of competency-based surgical training are met.

KW - Clinical Competence

KW - Hernia, Inguinal

KW - Herniorrhaphy

KW - Humans

KW - Reproducibility of Results

U2 - 10.1007/s10029-013-1196-2

DO - 10.1007/s10029-013-1196-2

M3 - Journal article

C2 - 24297744

VL - 18

SP - 543

EP - 548

JO - Hernia

JF - Hernia

SN - 1265-4906

IS - 4

ER -

ID: 138778411