Construct validity of a novel, objective evaluation tool for the basics of open laparotomy training using a simulated model - 27/09/17
, Jorge Uribe, M.D. a, Faiz Shariff, M.D. a, Mashaal Syed, M.S.E. a, b, Mohammad Shaikh, M.D. a, Barry Mann, M.D. c, Christopher Pezzi, M.D. d, Richard Damewood, M.D. e, Patricia A. Shewokis, Ph.D. a, b, f, Andres Castellanos, M.D. a, David Scott Lind, M.D. aAbstract |
Background |
We describe initial success in designing and implementing an objective evaluation for opening and closing a simulated abdomen.
Methods |
(1) An assessment for laparotomy was created using peer-reviewed literature, texts, and the input of academic surgeons nationally; (2) the assessment was evaluated for construct validity, comparing the videotaped performance of laparotomy by surgical experts and novices on a viscoelastic model; and (3) the basics of open laparotomy training (BOLT) curriculum was piloted with junior residents to evaluate efficacy at improving performance.
Results |
Experts performed better than novices opening (.94 vs .51; P < .001), closing (.85 vs .16; P < .001), and overall performance (.88 vs .27; P < .001). Novices caused bowel injury more frequently (5 vs 1; P < .05) and took longer to open the abdomen (6:06 vs 3:43; P = .01). After completing the BOLT curriculum, novices improved for opening (1.00 vs .50; P = .014), closing (.80 vs .10; P = .014), and overall score (.87 vs .23; P = .014).
Conclusions |
We demonstrate construct validity of an evaluation tool for simulated laparotomy, and pilot efforts with the BOLT curriculum have shown promise.
Le texte complet de cet article est disponible en PDF.Keywords : Laparotomy, Simulation, Construct validity, Resident education
Plan
| There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs. |
|
| The authors declare no conflicts of interest. |
Vol 214 - N° 1
P. 152-157 - juillet 2017 Retour au numéro
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