视频观察与直接观察评估白内障超声乳化培训住院医师手术操作能力的比较。

Comparison of video-based observation and direct observation for assessing the operative performance of residents undergoing phacoemulsification training.

机构信息

Eye Research Center, The Five Senses Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Indian J Ophthalmol. 2021 Mar;69(3):574-578. doi: 10.4103/ijo.IJO_1166_20.

DOI:10.4103/ijo.IJO_1166_20

PMID:33595476

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7942115/

Abstract

PURPOSE

To compare the video observation of procedural skills (VOPS) method with the direct observation of procedural skills (DOPS) method in the assessment of senior residents' performance utilizing the International Council of Ophthalmology's Ophthalmology Surgical Competency Assessment Rubric for phacoemulsification (ICO-OSCAR; phaco).

METHODS

This is a prospective comparative study conducted at a university-affiliated hospital. Six ophthalmology residents of postgraduate year 4 participated. Their performance in phacoemulsification was rated via DOPS and later in a masked manner through VOPS by a single faculty assessor.

RESULTS

Seventy-one surgeries were evaluated. There were no statistically significant differences between the scores of VOPS and DOPS regarding all ICO-OSCAR indices except "instrument insertion into the eye" in which DOPS had higher scores (P = 0.035). A significant correlation was observed in total scores of "task-specific" (r = 0.64, P < 0.001) and "global" (r = 0.38, P = 0.003) indices between VOPS and DOPS while some subscales did not show a correlation between the two methods of assessment. The Bland-Altman analysis demonstrated that nearly all data points of total "task-specific" and "global" scores fell within the 95% limits of agreement ([-5.84, 6.87] and [-4.78, 4.86], respectively).

CONCLUSION

This study demonstrated that VOPS holds promise for a general rating of residents' performance.

摘要

目的

比较视频观察程序性技能（VOPS）方法与直接观察程序性技能（DOPS）方法在评估眼科住院医师表现方面的效果，使用国际眼科理事会眼科手术能力评估量表（ICO-OSCAR；超声乳化）。

方法

这是一项在大学附属医院进行的前瞻性比较研究。6 名四年级眼科住院医师参与了研究。他们的超声乳化手术表现通过 DOPS 进行评估，然后由一名教员进行盲法评估。

结果

共评估了 71 例手术。在所有 ICO-OSCAR 指标中，除“器械插入眼内”外，VOPS 和 DOPS 的评分均无统计学差异（P = 0.035）。在“任务特定”（r = 0.64，P < 0.001）和“总体”（r = 0.38，P = 0.003）评分的总分中，VOPS 和 DOPS 之间观察到显著相关性，而一些子量表在两种评估方法之间没有相关性。Bland-Altman 分析表明，总“任务特定”和“总体”评分的几乎所有数据点都落在 95%一致性界限内（[-5.84，6.87]和[-4.78，4.86]）。