International Centre for Eye Health, London School of Hygiene and Topical Medicine, London, England; Imperial College London, London, England.
Royal Australian and New Zealand College of Ophthalmologists, Sydney, Australia.
J Cataract Refract Surg. 2019 Sep;45(9):1252-1257. doi: 10.1016/j.jcrs.2019.04.010.
To develop and test the validity of a surgical competency assessment tool for simulated small-incision cataract surgery (SICS).
Participating ophthalmologists contributed from 8 countries.
Qualitative and quantitative development and evaluation of face and content validity of an assessment rubric, and evaluation of construct validity and reliability.
The SICS Ophthalmic Simulated Surgical Competency Assessment Rubric (Sim-OSSCAR) was developed and assessed for face and content validity by an international group of experienced ophthalmologists. Groups of novice and competent surgeons from 4 countries were recorded performing surgery, and masked assessments were performed by 4 expert surgeons, to determine construct validity and reliability.
The Sim-OSSCAR for SICS was assessed by a panel of 12 international experts from 8 countries. In response to the question, "Do you think the OSSCAR represents the surgical techniques and skills upon which trainees should be assessed?," all respondents either agreed or strongly agreed. Face validity was rated as 4.60 (out of 5.0). The content was iteratively agreed to by the panel of experts; final content validity was rated as 4.5. Interobserver reliability was assessed, and 17 of 20 items in the assessment matrix had a Krippendorff α correlation of more than 0.6. A Wilcoxon rank-sum test showed that competent surgeons perform better than novices (P = .02).
This newly developed and validated assessment tool for simulation SICS, based on the International Council of Ophthalmology's Ophthalmology Surgical Competency Assessment Rubric, has good face and content validity. It can play a role in ophthalmic surgical education.
开发和测试用于模拟小切口白内障手术 (SICS) 的手术能力评估工具的有效性。
参与的眼科医生来自 8 个国家。
评估量表的表面和内容有效性的定性和定量开发和评估，以及构建有效性和可靠性的评估。
国际经验丰富的眼科医生小组开发并评估了眼科模拟手术技能评估量表 (Sim-OSSCAR) 的表面和内容有效性。来自 4 个国家的新手和熟练外科医生小组进行了手术记录，并由 4 名专家外科医生进行了掩蔽评估，以确定构建有效性和可靠性。
Sim-OSSCAR 用于 SICS 由来自 8 个国家的 12 名国际专家小组进行评估。针对“您是否认为 OSSCAR 代表了学员应接受评估的手术技术和技能？”这一问题，所有受访者都表示同意或强烈同意。表面有效性评分为 4.60（满分 5.0）。内容由专家组反复协商一致；最终内容有效性评分为 4.5。评估了观察者间的可靠性，评估矩阵中的 20 个项目中有 17 个项目的 Krippendorff α 相关性大于 0.6。Wilcoxon 秩和检验显示，熟练外科医生的表现优于新手（P =.02）。
根据国际眼科理事会的眼科手术能力评估量表开发和验证的新的模拟 SICS 评估工具具有良好的表面和内容有效性。它可以在眼科手术教育中发挥作用。
