Development and validation of the TOCO-TURBT tool: a summative assessment tool that measures surgical competency in transurethral resection of bladder tumour
| Autor: | Anna H. de Vries, Ad J.M. Hendrikx, Arno M. M. Muijtjens, Cordula Wagner, Evert L. Koldewijn, Irene M. Tjiam, Cees P. M. van der Vleuten, Barbara M.A. Schout, Hilde G. J. van Genugten, Jeroen J. G. van Merriënboer |
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| Přispěvatelé: | RS: SHE - R1 - Research (OvO), Onderwijsontw & Onderwijsresearch |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Certification FEASIBILITY SURGERY Urologists Urology 030232 urology & nephrology PROCEDURAL SKILLS Assessment Resection 03 medical and health sciences 0302 clinical medicine Urethra Validation Content validity PROGRAM Medicine Humans TECHNICAL PERFORMANCE Generalizability theory Medical physics Transurethral resection of bladder tumour VALIDITY RECURRENCE Competence (human resources) OPERATIVE PERFORMANCE OBJECTIVE ASSESSMENT business.industry Construct validity Internship and Residency Reproducibility of Results Endoscopy Cross-Sectional Studies Summative assessment Urinary Bladder Neoplasms Cognitive task analysis Education Medical Graduate 030220 oncology & carcinogenesis RELIABILITY Task analysis Urologic Surgical Procedures Clinical Competence business |
| Zdroj: | Surgical endoscopy and other interventional techniques, 32(12), 4923-4931. Springer, Cham |
| ISSN: | 0930-2794 |
| Popis: | The current shift towards competency-based residency training has increased the need for objective assessment of skills. In this study, we developed and validated an assessment tool that measures technical and non-technical competency in transurethral resection of bladder tumour (TURBT). The ‘Test Objective Competency’ (TOCO)–TURBT tool was designed by means of cognitive task analysis (CTA), which included expert consensus. The tool consists of 51 items, divided into 3 phases: preparatory (n = 15), procedural (n = 21), and completion (n = 15). For validation of the TOCO–TURBT tool, 2 TURBT procedures were performed and videotaped by 25 urologists and 51 residents in a simulated setting. The participants’ degree of competence was assessed by a panel of eight independent expert urologists using the TOCO–TURBT tool. Each procedure was assessed by two raters. Feasibility, acceptability and content validity were evaluated by means of a quantitative cross-sectional survey. Regression analyses were performed to assess the strength of the relation between experience and test scores (construct validity). Reliability was analysed by generalizability theory. The majority of assessors and urologists indicated the TOCO–TURBT tool to be a valid assessment of competency and would support the implementation of the TOCO–TURBT assessment as a certification method for residents. Construct validity was clearly established for all outcome measures of the procedural phase (all r > 0.5, p |
| Databáze: | OpenAIRE |
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