Sivarajan M, Lane P E, Miller E V, Liu P, Herr G, Willenkin R, Winter P, Hardy C A, Mulroy M F
Anesth Analg. 1981 Aug;60(8):543-7.
The evaluation of skills in anesthesiology residents is usually subjective and lacks demonstrable reliability. Therefore, an objective criterion-referenced skill test for measuring performance of continuous lumbar epidural anesthesia was developed. For such a test to be useful, it is necessary to demonstrate agreement among rater-observers. Eight performances of continuous lumbar epidural anesthesia were recorded on video tape and simultaneously rated by nine anesthesiology faculty observers to determine inter-rater reliability. Inter-rater agreement was analyzed by determining coefficient kappa for each item and the entire test. Coefficient kappa for the entire test was 0.82 indicating a high degree of agreement between raters on the performance or nonperformance of various items. Development and utility of skill tests are discussed.
对麻醉住院医师技能的评估通常是主观的，且缺乏可证明的可靠性。因此，开发了一种用于测量连续腰段硬膜外麻醉操作表现的客观标准参照技能测试。要使这样的测试有用，有必要证明评分观察者之间的一致性。连续腰段硬膜外麻醉的八次操作被录制在录像带上，并由九位麻醉学教员观察者同时进行评分，以确定评分者间的可靠性。通过确定每个项目和整个测试的kappa系数来分析评分者间的一致性。整个测试的kappa系数为0.82，表明评分者在各项操作表现与否上高度一致。讨论了技能测试的开发和实用性。
