South Western Sydney Clinical School, University of New South Wales, Sydney, Australia; Department of Anaesthesia, Liverpool Hospital, Sydney, Australia.
Department of Anaesthesia, Liverpool Hospital, Sydney, Australia.
Br J Anaesth. 2018 Feb;120(2):264-273. doi: 10.1016/j.bja.2017.09.007. Epub 2017 Nov 24.
Competency-based assessment tools are used in regional anaesthesia to measure the performance of study participants, trainees, and consultants. This narrative review was performed to appraise currently published assessment tools for regional anaesthesia. A literature search found 397 citations of which 28 peer-reviewed studies met the inclusion criteria of primary psychometric evaluation of assessment tools for regional anaesthesia. The included studies were diverse in the type of assessment and the skill set being assessed. The types of assessments included multiple-choice questions, hand-motion analysis, cumulative sum, visuospatial and psychomotor screening, checklists, and global rating scales. The skill sets that were assessed included holistic regional anaesthesia technical and non-technical performance observed at the bedside, to isolated part-tasks, such as needle tip visualisation under ultrasound. To evaluate validity and reliability, we compared the studies against published medical education consensus statements on ideal assessment tools. We discuss the relative merits of different tools when used to assess regional anaesthesia, the importance of psychometrically robust assessment tools in competency-based anaesthesia education, and directions for future education research in regional anaesthesia.
基于能力的评估工具在区域麻醉中用于衡量研究参与者、学员和顾问的表现。本叙述性综述旨在评估目前发表的用于区域麻醉的评估工具。文献检索发现了 397 条引文，其中 28 项同行评议的研究符合纳入标准，即对区域麻醉评估工具进行了主要心理计量学评估。纳入的研究在评估类型和评估技能方面存在差异。评估类型包括多项选择题、手部运动分析、累积和、视觉空间和心理运动筛查、检查表和总体评分量表。评估的技能包括在床边观察到的整体区域麻醉技术和非技术表现，以及孤立的部分任务，如超声下的针尖可视化。为了评估有效性和可靠性，我们将这些研究与已发表的关于理想评估工具的医学教育共识声明进行了比较。我们讨论了在评估区域麻醉时使用不同工具的相对优点、在基于能力的麻醉教育中使用心理计量学稳健的评估工具的重要性，以及区域麻醉教育研究的未来方向。
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