一种人工耳蜗植入手术能力评估工具的结构效度和信度。
The construct validity and reliability of an assessment tool for competency in cochlear implant surgery.
作者信息
Piromchai Patorn, Kasemsiri Pornthep, Wijewickrema Sudanthi, Ioannou Ioanna, Kennedy Gregor, O'Leary Stephen
机构信息
Department of Otolaryngology, Royal Victorian Eye and Ear Hospital, University of Melbourne, East Melbourne, VIC 3002, Australia ; Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
出版信息
Biomed Res Int. 2014;2014:192741. doi: 10.1155/2014/192741. Epub 2014 Jul 10.
INTRODUCTION
We introduce a rating tool that objectively evaluates the skills of surgical trainees performing cochlear implant surgery.
METHODS
Seven residents and seven experts performed cochlear implant surgery sessions from mastoidectomy to cochleostomy on a standardized virtual reality temporal bone. A total of twenty-eight assessment videos were recorded and two consultant otolaryngologists evaluated the performance of each participant using these videos.
RESULTS
Interrater reliability was calculated using the intraclass correlation coefficient for both the global and checklist components of the assessment instrument. The overall agreement was high. The construct validity of this instrument was strongly supported by the significantly higher scores in the expert group for both components.
CONCLUSION
Our results indicate that the proposed assessment tool for cochlear implant surgery is reliable, accurate, and easy to use. This instrument can thus be used to provide objective feedback on overall and task-specific competency in cochlear implantation.
引言
我们介绍一种评分工具，用于客观评估进行人工耳蜗植入手术的外科住院医师的技能。
方法
七名住院医师和七名专家在标准化虚拟现实颞骨上进行从乳突切除术到蜗窗造口术的人工耳蜗植入手术操作。共录制了28个评估视频，两名耳鼻喉科顾问医生使用这些视频评估每位参与者的表现。
结果
使用组内相关系数计算评估工具的整体和清单部分的评分者间信度。总体一致性较高。该工具的结构效度得到了两个部分在专家组中得分显著更高的有力支持。
结论
我们的结果表明，所提出的人工耳蜗植入手术评估工具可靠、准确且易于使用。因此，该工具可用于提供关于人工耳蜗植入整体和特定任务能力的客观反馈。
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