Assessing competence in cochlear implant surgery using the newly developed Cochlear Implant Surgery Assessment Tool.

Autor: Frendø M; Department of Otorhinolaryngology, Head & Neck Surgery and Audiology, Rigshospitalet, 9 Blegdamsvej, 2100, Copenhagen Ø, Denmark. martin.frendoe-soerensen.01@regionh.dk.; The Simulation Centre, Copenhagen Academy for Medical Education and Simulation (CAMES), The Capital Region of Denmark, Copenhagen, Denmark. martin.frendoe-soerensen.01@regionh.dk., Frithioff A; Department of Otorhinolaryngology, Head & Neck Surgery and Audiology, Rigshospitalet, 9 Blegdamsvej, 2100, Copenhagen Ø, Denmark.; The Simulation Centre, Copenhagen Academy for Medical Education and Simulation (CAMES), The Capital Region of Denmark, Copenhagen, Denmark., Konge L; The Simulation Centre, Copenhagen Academy for Medical Education and Simulation (CAMES), The Capital Region of Denmark, Copenhagen, Denmark., Foghsgaard S; Department of Otorhinolaryngology, Head & Neck Surgery and Audiology, Rigshospitalet, 9 Blegdamsvej, 2100, Copenhagen Ø, Denmark., Mikkelsen PT; Visual Computing Lab, The Alexandra Institute, Aarhus, Denmark., Sørensen MS; Department of Otorhinolaryngology, Head & Neck Surgery and Audiology, Rigshospitalet, 9 Blegdamsvej, 2100, Copenhagen Ø, Denmark., Cayé-Thomasen P; Department of Otorhinolaryngology, Head & Neck Surgery and Audiology, Rigshospitalet, 9 Blegdamsvej, 2100, Copenhagen Ø, Denmark., Andersen SAW; Department of Otorhinolaryngology, Head & Neck Surgery and Audiology, Rigshospitalet, 9 Blegdamsvej, 2100, Copenhagen Ø, Denmark.; The Simulation Centre, Copenhagen Academy for Medical Education and Simulation (CAMES), The Capital Region of Denmark, Copenhagen, Denmark.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2022 Jan; Vol. 279 (1), pp. 127-136. Date of Electronic Publication: 2021 Feb 19.
DOI: 10.1007/s00405-021-06632-9
Abstrakt: Purpose: To develop and gather validity evidence for a novel tool for assessment of cochlear implant (CI) surgery, including virtual reality CI surgery training.
Methods: Prospective study gathering validity evidence according to Messick's framework. Four experts developed the CI Surgery Assessment Tool (CISAT). A total of 35 true novices (medical students), trained novices (residents) and CI surgeons performed two CI-procedures each in the Visible Ear Simulator, which were rated by three blinded experts. Classical test theory and generalizability theory were used for reliability analysis.
Results: The CISAT significantly discriminated between the three groups (p < 0.001). The generalizability coefficient was 0.76 and most of the score variance (53.3%) was attributable to the participant and only 6.8% to the raters. When exploring a standard setting for CI surgery, the contrasting groups method suggested a pass/fail score of 36.0 points (out of 55), but since the trained novices performed above this, we propose using the mean CI surgeon performance score (45.3 points).
Conclusion: Validity evidence for simulation-based assessment of CI performance supports the CISAT. Together with the standard setting, the CISAT might be used to monitor progress in competency-based training of CI surgery and to determine when the trainee can advance to further training.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.)
Databáze: MEDLINE
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