Development of RAD-Score: A Tool to Assess the Procedural Competence of Diagnostic Radiology Residents
| Autor: | Susan Peddle, Kawan Rakhra, Zaid Jibri, Matthew D. F. McInnes, Geoffrey P. Doherty, Inga Isupov, Stan J. Hamstra, Ashish Gupta, Rebecca M. Hibbert |
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| Rok vydání: | 2017 |
| Předmět: |
Diagnostic Imaging
medicine.medical_specialty Psychometrics 020205 medical informatics Response process Modified delphi Pilot Projects 02 engineering and technology Sensitivity and Specificity 03 medical and health sciences 0302 clinical medicine Image Interpretation Computer-Assisted 0202 electrical engineering electronic engineering information engineering Humans Medicine Radiology Nuclear Medicine and imaging 030212 general & internal medicine Competence (human resources) Work Performance Ontario business.industry Outcome measures Internship and Residency Reproducibility of Results Construct validity General Medicine Clinical Competence Educational Measurement Radiology business Software |
| Zdroj: | American Journal of Roentgenology. 208:820-826 |
| ISSN: | 1546-3141 0361-803X |
| DOI: | 10.2214/ajr.16.17173 |
| Popis: | The purpose of this study is to develop a tool to assess the procedural competence of radiology trainees, with sources of evidence gathered from five categories to support the construct validity of tool: content, response process, internal structure, relations to other variables, and consequences.A pilot form for assessing procedural competence among radiology residents, known as the RAD-Score tool, was developed by evaluating published literature and using a modified Delphi procedure involving a group of local content experts. The pilot version of the tool was tested by seven radiology department faculty members who evaluated procedures performed by 25 residents at one institution between October 2014 and June 2015. Residents were evaluated while performing multiple procedures in both clinical and simulation settings. The main outcome measure was the percentage of residents who were considered ready to perform procedures independently, with testing conducted to determine differences between levels of training.A total of 105 forms (for 52 procedures performed in a clinical setting and 53 procedures performed in a simulation setting) were collected for a variety of procedures (eight vascular or interventional, 42 body, 12 musculoskeletal, 23 chest, and 20 breast procedures). A statistically significant difference was noted in the percentage of trainees who were rated as being ready to perform a procedure independently (in postgraduate year [PGY] 2, 12% of residents; in PGY3, 61%; in PGY4, 85%; and in PGY5, 88%; p0.05); this difference persisted in the clinical and simulation settings. User feedback and psychometric analysis were used to create a final version of the form.This prospective study describes the successful development of a tool for assessing the procedural competence of radiology trainees with high levels of construct validity in multiple domains. Implementation of the tool in the radiology residency curriculum is planned and can play an instrumental role in the transition to competency-based radiology training. |
| Databáze: | OpenAIRE |
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