Department of Surgery, University of Calgary, Alberta, Canada.
Am J Surg. 2011 Oct;202(4):433-40. doi: 10.1016/j.amjsurg.2010.07.045. Epub 2011 Aug 20.
The purpose of this study was to investigate the reliability and validity of a performance assessment of communication, professionalism, and surgical skills competencies for surgery residents.
Fourteen residents from the general surgery program of the University of Calgary were assessed in 7 surgical simulation stations that included communication and professionalism skills.
The internal consistency reliability of the checklists and global rating scales combined was adequate for communication (α = .75-.92) and surgical skills (α = .86-.96), but not for professionalism (α = 0). There was evidence of validity as surgical skills performance improved as a function of postgraduate year level but not for the professionalism checklist. Surgical skills and communication correlated in the 2 stations assessed (r = .55 and .57; P < .05).
There is evidence for both reliability and validity for simultaneously assessing surgical skills and communication skills. Further instrument development is required to assess professionalism in a structured examination context.
本研究旨在探讨一种评估外科住院医师沟通、专业精神和手术技能能力的方法的可靠性和有效性。
对来自卡尔加里大学普通外科项目的 14 名住院医师在 7 个外科模拟站进行评估，其中包括沟通和专业技能。
检查表和综合全球评定量表的内部一致性信度对于沟通（α=.75-.92）和手术技能（α=.86-.96）是足够的，但对于专业精神（α=0）则不够。有证据表明，随着研究生年级的提高，手术技能表现有所提高，但专业精神检查表则不然。在评估的 2 个站点中，手术技能和沟通呈正相关（r=.55 和.57；P<.05）。
同时评估手术技能和沟通技能具有可靠性和有效性的证据。需要进一步开发工具，以便在结构化考试环境中评估专业精神。
