| Autor: |
Joosten, Maja, Bökkerink, Guus M.J., Sutcliffe, Jonathan, Levitt, Marc A., Diefenbach, Karen, Reck, Carlos A., Krois, Wilfried, Blaauw, Ivo de, Botden, Sanne M.B.I. |
| Předmět: |
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| Zdroj: |
European Journal of Pediatric Surgery; Oct2022, Vol. 32 Issue 5, p399-407, 9p |
| Abstrakt: |
Introduction: The correction of an anorectal malformation (ARM) is complex and relatively infrequent. Simulation training and subsequent assessment may result in better clinical outcomes. Assessment can be done using a competency assessment tool (CAT). This study aims to develop and validate a CAT for the posterior sagittal anorectoplasty (PSARP) on a simulation model.Materials and Methods: The CAT-PSARP was developed after consultation with experts in the field. The PSARP was divided into five steps, while tissue and instrument handling were scored separately. Participants of pediatric colorectal hands-on courses in 2019 and 2020 were asked to participate. They performed one PSARP procedure on an ARM simulation model, while being assessed by two objective observers using the CAT-PSARP.Results: A total of 82 participants were enrolled. A fair interobserver agreement was found for general skills (intraclass correlation coefficient [ICC] = 0.524, p < 0.001), a good agreement for specific skills (ICC = 0.646, p < 0.001), and overall performance (ICC = 0.669, p < 0.001). The experienced group scored higher on all steps (p < 0.001), except for "anoplasty (p = 0.540)," compared with an inexperienced group.Conclusion: The CAT-PSARP is a suitable objective assessment tool for the overall performance of the included steps of the PSARP for repair of an ARM on a simulation model. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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