Section of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Calgary, Calgary, Alberta, Canada.
Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Laryngoscope. 2023 Oct;133(10):2719-2724. doi: 10.1002/lary.30610. Epub 2023 Feb 23.
Microlaryngoscopy is a basic technical skill in Oto-HNS. It is essential for residency programs to have a competency-based assessment tool to evaluate residents' performance of this procedure. An Objective Structured Assessment of Technical Skills (OSATS) is a procedure-specific assessment, which consists of the following: (a) Operation-Specific Checklist and (b) Global Rating Scale (GRS).
The objective of this study was to create an OSATS for adult microlaryngoscopy.
This was a prospective study, with an initial qualitative phase for OSATS development (Phase I), and a clinical pilot phase (Phase II). In Phase I, interviews were conducted with three laryngologists to establish a stepwise description of adult microlaryngoscopy and review a previously validated GRS for relevance to microlaryngoscopy. Responses were used to create a framework for the OSATS. The OSATS was then presented to Oto-HNS residents and laryngologists in an alternating fashion, for review of clarity and relevance. A pilot study was then performed to evaluate the resident performance of adult microlaryngoscopy. Multiple regression analysis was carried out to investigate whether training level, case complexity, and previous OSATS exposure could predict participant scores.
Phase I of this study led to the creation of a 34-item OSATS. The pilot study (N = 28 procedures) revealed that training level was significantly correlated with increased OSATS scores. There was no statistically significant correlation between case complexity and resident scores. Assessors reported the perceived utility of the OSATS and intent for use in residency training.
Application of the proposed OSATS will allow for competency-based assessment of the resident performance of microlaryngoscopy.
NA Laryngoscope, 133:2719-2724, 2023.
喉显微外科是耳鼻喉头颈外科的一项基本技术技能。住院医师培训计划必须有一个基于能力的评估工具来评估住院医师在该程序中的表现。客观结构化的手术技能评估（OSATS）是一种特定于程序的评估，包括以下内容：（a）操作特定检查表和（b）总体评分量表（GRS）。
本研究的目的是为成人喉显微外科创建一个 OSATS。
这是一项前瞻性研究，包括 OSATS 开发的初始定性阶段（第 I 阶段）和临床试点阶段（第 II 阶段）。在第 I 阶段，对三位喉科医生进行了访谈，以建立成人喉显微外科的逐步描述，并对之前验证过的与喉显微外科相关的 GRS 进行了回顾。这些反应被用来为 OSATS 建立一个框架。然后，以交替的方式向耳鼻喉头颈外科住院医师和喉科医生展示 OSATS，以评估其清晰度和相关性。然后进行了一项试点研究，以评估住院医师成人喉显微外科的操作表现。进行了多元回归分析，以调查培训水平、病例复杂性和之前的 OSATS 暴露是否可以预测参与者的分数。
本研究的第 I 阶段导致创建了一个 34 项的 OSATS。试点研究（N=28 例）表明，培训水平与 OSATS 评分的增加显著相关。病例复杂性与住院医师评分之间没有统计学上的显著相关性。评估者报告了 OSATS 的感知效用以及在住院医师培训中使用的意图。
应用提出的 OSATS 将允许基于能力的评估住院医师在喉显微外科中的表现。
无 喉镜，133：2719-2724，2023。
