Details

Autor(en) / Beteiligte

• Park, Amy J., MD
• Barber, Matthew D., MD, MHS
• Bent, Alfred E., MD
• Dooley, Yashika T., MD
• Dancz, Christina, MD
• Sutkin, Gary, MD
• Jelovsek, J. Eric, MD

Titel

Assessment of intraoperative judgment during gynecologic surgery using the Script Concordance Test

Ist Teil von

• American journal of obstetrics and gynecology, 2010-09, Vol.203 (3), p.240.e1-240.e6

Ort / Verlag

New York, NY: Elsevier Inc

Erscheinungsjahr

2010

Quelle

MEDLINE

Beschreibungen/Notizen

• Objective We sought to develop a valid, reliable assessment of intraoperative judgment by residents during gynecologic surgery based on Script Concordance Theory. Study Design This was a multicenter prospective study involving 5 obstetrics and gynecology residency programs. Surgeons from each site generated case scenarios based on common gynecologic procedures. Construct validity was evaluated by correlating scores to training level, in-service examinations, and surgical skill and experience using a Global Rating Scale of Operative Performance and case volumes. Results A final test that included 42 case scenarios was administered to 75 residents. Internal consistency (Cronbach alpha = 0.73) and test-retest reliability (Lin correlation coefficient = 0.76) were good. There were significant differences between test scores and training levels ( P = .002) and test scores correlated with in-service examination scores (r = 0.38; P = .001). There was no association between test scores and total number of cases or technical skills. Conclusion The Script Concordance Test appears to be a reliable, valid assessment tool for intraoperative decision-making during gynecologic surgery.