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低成本鼻窦手术模拟训练器的面部、内容和结构有效性。

Face, content, and construct validity of a low-cost sinus surgery task trainer.

机构信息

Department of Otolaryngology-Head and Neck Surgery, Georgetown University Hospital, Washington, DC 20007, USA.

出版信息

Otolaryngol Head Neck Surg. 2012 Mar;146(3):504-9. doi: 10.1177/0194599811430187. Epub 2011 Nov 23.

Abstract

OBJECTIVE

To assess the face, content, and construct validities of a low-cost sinus surgery task trainer in acquisition of skills for endoscopic sinus surgery.

STUDY DESIGN

Prospective validation study.

SETTING

Tertiary academic center.

SUBJECTS AND METHODS

Attending otolaryngologists, otolaryngology residents at various levels of training, and medical students performed nasal endoscopy and 5 specific tasks using this model. Face and content validities were assessed based on the attendings' responses to a questionnaire evaluating the task trainer. Construct validity was determined by comparing novice to experienced performance using a validated checklist and globalized rating scale.

RESULTS

A total of 77 subjects participated in the study. Attending otolaryngologists responded to a survey after completing the tasks. Eighty percent of evaluators rated the trainer as realistic and agreed that this model correlates with the essential skills needed for endoscopic sinus surgery, 90% felt this model provided adequate training and would increase resident competency, and 90% were interested in using the model to train residents. On the task trainer, experienced otolaryngologists and senior residents scored significantly higher than junior residents and medical students using the objective measures of the globalized rating scale and checklist.

CONCLUSION

This study demonstrates face, content, and construct validity of the low-cost sinus surgery task trainer. This model has the potential to be a valuable tool in endoscopic sinus surgery training for otolaryngology residents.

摘要

目的

评估一种低成本鼻窦手术模拟训练器在鼻内镜鼻窦手术技能获取方面的表面效度、内容效度和结构效度。

研究设计

前瞻性验证研究。

设置

三级学术中心。

受试者和方法

主治耳鼻喉科医师、不同培训阶段的耳鼻喉科住院医师和医学生使用该模型进行鼻内镜检查和 5 项特定任务。根据主治医生对评估模拟训练器的问卷的回答来评估表面和内容效度。通过使用经过验证的检查表和全球评分量表比较新手和有经验者的表现来确定结构效度。

结果

共有 77 名受试者参与了研究。主治医生在完成任务后完成了一项调查。80%的评估者认为该训练器逼真,并认为该模型与鼻内镜鼻窦手术所需的基本技能相关,90%的人认为该模型提供了足够的训练,并将提高住院医师的能力,90%的人有兴趣使用该模型来培训住院医师。在任务训练器上,经验丰富的耳鼻喉科医生和高级住院医师在全球评分量表和检查表的客观测量中得分明显高于初级住院医师和医学生。

结论

本研究表明低成本鼻窦手术模拟训练器具有表面、内容和结构效度。该模型有可能成为耳鼻喉科住院医师鼻内镜鼻窦手术培训的有价值工具。

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