Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota.
Otol Neurotol. 2021 Feb 1;42(2):e153-e156. doi: 10.1097/MAO.0000000000002914.
To derive normative data based on postgraduate year (PGY) and number of completed otology rotations using a validated tool for cochlear implant surgical competency assessment.
Prospective, blinded validation study.
Otolaryngology-Head and Neck Surgery residency training program at a tertiary academic medical center.
Fourteen unique otolaryngology trainees, ranging from PGY-1 to PGY-6, were assessed a total of 26 times in a temporal bone laboratory setting using a validated assessment tool for cochlear implantation.
Construct validity, internal consistency, and inter-rater reliability.
Inter-rater reliability was calculated using the Cohen's kappa. Overall agreement between raters was excellent (κ = 0.82). Construct validity was supported by a positive association between higher task-based checklist and global rating scale scores with both trainee PGY level and number of otology rotations completed. Time to complete the exercise was inversely associated with PGY level and number of otology rotations completed.
Herein, we build upon a previously validated instrument to provide a method to reliably assess surgical competency in a core otologic procedure among residents across the training continuum. This data can be used to provide objective feedback on overall and task-specific competency in cochlear implantation to identify surgical deficiencies early on and to guide supportive course correction.
利用经验证的耳蜗植入手术能力评估工具，根据住院医师培训年限（PGY）和完成的耳科轮转次数，得出规范数据。
前瞻性、盲法验证研究。
三级学术医疗中心的耳鼻喉科住院医师培训计划。
14 名独特的耳鼻喉科受训者，从 PGY-1 到 PGY-6，总共在颞骨实验室环境中使用经验证的耳蜗植入评估工具进行了 26 次评估。
结构有效性、内部一致性和评分者间可靠性。
使用 Cohen 的 kappa 计算评分者间可靠性。评分者之间的总体一致性非常好（κ=0.82）。结构有效性通过任务检查表和总体评分与受训者 PGY 水平和完成的耳科学轮转次数之间的正相关得到支持。完成练习的时间与 PGY 水平和完成的耳科学轮转次数呈负相关。
在此，我们在先前经过验证的仪器的基础上，提供了一种在整个培训过程中评估住院医师核心耳科手术能力的可靠方法。这些数据可用于提供耳蜗植入术整体和特定任务能力的客观反馈，以便及早发现手术缺陷，并指导支持性课程纠正。
