Fuchs Weizman Noga, Manoucheri Elmira, Vitonis Allison F, Hicks Gloria J, Einarsson Jon I, Cohen Sarah L
Division of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
Obstetrics and Gynecology Epidemiology Center, Brigham and Women's Hospital, Boston, Massachusetts.
J Surg Educ. 2015 Mar-Apr;72(2):212-219. doi: 10.1016/j.jsurg.2014.08.015. Epub 2014 Nov 6.
The aim of this study was to design and validate a new assessment tool for laparoscopic vaginal cuff suturing in a box trainer.
A primary grading tool was constructed including a novel checklist component and a previously validated global rating scale. A four-step validation process was then undertaken. Face validity was determined by a survey of a panel of experts in the field of minimally invasive gynecologic surgery. Content validity was assessed via analysis of consistency and variability of the experts' ratings, and items were removed or rephrased according to the experts' comments.
Overall, five novices and five expert laparoscopic surgeons were videotaped performing suture closure of a latex vaginal cuff model in a box trainer. The videotapes were reviewed by two raters. Discriminate validity, along with interrater and intrarater reliabilities, was assessed by analysis of the video ratings.
The Simulation, Training, Research, and Technology Utilization System center at Brigham and Women's Hospital, a tertiary medical center in Boston, MA.
The final assessment tool is presented.
We have validated an assessment tool for vaginal cuff suturing in a box trainer.
本研究旨在设计并验证一种用于箱式训练器中腹腔镜阴道残端缝合的新型评估工具。
构建了一个主要的分级工具，包括一个新颖的检查表组件和一个先前验证过的整体评分量表。然后进行了一个四步验证过程。通过对微创妇科手术领域的专家小组进行调查来确定表面效度。通过分析专家评分的一致性和变异性来评估内容效度，并根据专家的意见删除或重新表述项目。
总体而言，对五名新手和五名专家腹腔镜外科医生在箱式训练器中对乳胶阴道残端模型进行缝合闭合的操作进行了录像。录像带由两名评分者进行评审。通过对视频评分的分析来评估区分效度以及评分者间和评分者内的信度。
马萨诸塞州波士顿的一家三级医疗中心布莱根妇女医院的模拟、培训、研究和技术应用系统中心。
展示了最终的评估工具。
我们已经验证了一种用于箱式训练器中阴道残端缝合的评估工具。
