Kiew Sieh Yean, Yeo Ian Yew San, Golnik Karl C, Muriel-Herrero María A, Fuertes-Barahona Vanesa, Grzybowski Andrzej
Singapore National Eye Centre, Singapore 169856, Singapore.
Duke-NUS Medical School, National University of Singapore, Academic Clinical Programme for Ophthalmology, Singapore 169856, Singapore.
J Clin Med. 2021 Apr 2;10(7):1476. doi: 10.3390/jcm10071476.
(1) Background: Intravitreal injections (IVIs) are the most commonly performed intraocular procedure worldwide. Ensuring correct learning is essential to avoid complications. Our purpose was to develop an internationally valid tool to assess skill in performing IVIs. (2) Methods: A panel of six content experts designed a rubric for assessing the IVI procedure by using a modified Dreyfus scale of skill acquisition, dividing it into steps and providing objective behavioral descriptors for each level of skill in each category, following the International Council of Ophthalmology (ICO) guidance. The rubric draft was then critically reviewed by 12 international content experts, and their constructive comments were considered for the final rubric. (3) Results: The Ophthalmology Surgical Competency Assessment Rubric for IVI (ICO-OSCAR:IVI) is the proposed tool for assessing healthcare professionals training to perform IVI. (4) Conclusions: The ICO-OSCAR:IVI is the result of the consensus of an international expert panel. The methodology used for its development provides this rubric with face and content validity. It can be used globally to assess healthcare professionals training to perform IVI, as well as the impact of different teaching methods on performance. Further studies are required to establish intra- and inter-rater reliability, as well as the predictive validity of this tool.
(1) 背景：玻璃体内注射（IVIs）是全球最常见的眼内手术。确保正确操作对于避免并发症至关重要。我们的目的是开发一种具有国际通用性的工具，以评估进行玻璃体内注射的技能。(2) 方法：一个由六位内容专家组成的小组根据国际眼科理事会（ICO）的指导，使用改进的德雷福斯技能获取量表设计了一个用于评估玻璃体内注射手术的评分标准，将其分为多个步骤，并为每个类别中每个技能水平提供客观的行为描述。然后，12位国际内容专家对评分标准草案进行了严格审查，并将他们的建设性意见纳入最终的评分标准。(3) 结果：玻璃体内注射眼科手术能力评估评分标准（ICO-OSCAR:IVI）是提议用于评估接受玻璃体内注射操作培训的医疗专业人员的工具。(4) 结论：ICO-OSCAR:IVI是国际专家小组达成共识的结果。其开发所采用的方法赋予了该评分标准表面效度和内容效度。它可在全球范围内用于评估接受玻璃体内注射操作培训的医疗专业人员，以及不同教学方法对操作表现的影响。还需要进一步研究以确定评分者内和评分者间的可靠性，以及该工具的预测效度。
