Doyle Jeffrey D, Webber Eric M, Sidhu Ravi S
Department of Surgery, Faculty of Medicine, University of British Columbia, 910 West 10th Avenue, Vancouver, British Columbia, Canada V5Z 4E3.
Am J Surg. 2007 May;193(5):551-5; discussion 555. doi: 10.1016/j.amjsurg.2007.02.003.
The ideal assessment of technical skills should be defensible and practical. The purpose of this study was to evaluate the utility of a Global Rating Scale (GRS) Assessment tool of resident operating room performance.
Residents were assessed in the operating room on multiple occasions during a 6-month study period using a 9-item GRS. Data were analyzed to assess scale reliability and sensitivity to year of training. Feasibility was evaluated with a post-study questionnaire.
Seven residents had a total of 32 procedures assessed. One-way analysis of variance (ANOVA) showed that scores increased with year of training (P = .009). Reliability was excellent. (Cronbach's alpha .91). The post-study survey identified feedback and faculty interaction as strengths of this tool, but time constraint was a barrier.
The GRS tool is a valid and reliable method that has the potential to be a practical, useful assessment tool of resident operating room performance.
对技术技能的理想评估应该是合理且实用的。本研究的目的是评估一种用于评估住院医师手术室表现的整体评分量表（GRS）评估工具的效用。
在为期6个月的研究期间，使用包含9个项目的GRS在手术室对住院医师进行多次评估。对数据进行分析，以评估量表的可靠性以及对培训年份的敏感性。通过研究后的问卷调查评估可行性。
7名住院医师共有32台手术接受评估。单因素方差分析（ANOVA）显示，分数随培训年份增加（P = .009）。可靠性极佳（克朗巴哈系数为.91）。研究后的调查确定反馈和教员互动是该工具的优点，但时间限制是一个障碍。
GRS工具是一种有效且可靠的方法，有可能成为评估住院医师手术室表现的实用、有用的评估工具。
