Zhang Zhihua, Zhou Minwen, Liu Kun, Zhu Bijun, Liu Haiyun, Sun Xiaodong, Xu Xun
Shanghai Key Laboratory of Ocular Fundus Diseases, Shanghai, China.
Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, 100 Haining Road, Shanghai, 200080, China.
BMC Ophthalmol. 2018 Mar 5;18(1):68. doi: 10.1186/s12886-018-0736-z.
More and more concerns have been arisen about the ability of new medical graduates to meet the demands of today's practice environment. In this study, we wanted to develop a valid, reliable and standardized assessment tool for evaluating the basic microsurgical skills of residents in a microsurgery laboratory, to get them well prepared before entering the surgical realm of ophthalmology.
Twenty-three experts who have teaching experience reviewed the assessment scale. Constructive comments were incorporated to ensure face and content validity. Twenty-one attendings from different specialties then graded eight corneal rupture suturing videos with the scale to investigate interrater reliability. Fourteen of them graded the same videos 3 months later to investigate intrarater reliability (repeatability).
A total of 280 assessment scales were completed. All the ICC values of interrater reliability were greater than 0.8 with 75% data greater than 0.9 (range 0.860-0.976). All the ICC values of intrarater reliability (repeatability) were also greater than 0.8 with 63% data greater than 0.9 (range 0.833-0.954).
The assessment scale we developed is valid and reliable. This tool could be useful to ensure that junior residents achieve a certain level of microsurgical technique in a laboratory environment before training in the operation room. Hopefully, this tool will provide a structured template for other residency programs to assess their residents for basic microsurgical skills.
新毕业的医学专业人员能否满足当今临床实践环境的需求，这一问题引发了越来越多的关注。在本研究中，我们希望开发一种有效、可靠且标准化的评估工具，用于在显微外科实验室中评估住院医师的基本显微外科技能，以便他们在进入眼科手术领域之前做好充分准备。
23名具有教学经验的专家对评估量表进行了评审。纳入了建设性意见以确保表面效度和内容效度。然后，来自不同专业的21名主治医师使用该量表对8个角膜破裂缝合视频进行评分，以调查评分者间信度。其中14人在3个月后对相同视频进行评分，以调查评分者内信度（重复性）。
共完成了280份评估量表。评分者间信度的所有组内相关系数（ICC）值均大于0.8，75%的数据大于0.9（范围为0.860 - 0.976）。评分者内信度（重复性）的所有ICC值也大于0.8，63%的数据大于0.9（范围为0.833 - 0.954）。
我们开发的评估量表有效且可靠。该工具有助于确保初级住院医师在进入手术室培训之前，在实验室环境中达到一定水平的显微外科技能。希望该工具能为其他住院医师培训项目提供一个结构化模板，以评估其住院医师的基本显微外科技能。
