Gastrointestinal Endoscopy Competency Assessment Tool: reliability and validity evidence.

摘要: Background Rigorously developed and validated direct observational assessment tools are required to support competency-based colonoscopy training facilitate skill acquisition, optimize learning, ensure readiness for unsupervised practice. Objective To examine reliability validity evidence of the Gastrointestinal Endoscopy Competency Assessment Tool (GiECAT) use within clinical setting. Design Prospective, observational, multicenter validation study. Sixty-one endoscopists performing 116 colonoscopies were assessed using GiECAT, which consists a 7-item global rating scale (GRS) 19-item checklist (CL). A second rater procedures determine interrater by intraclass correlation coefficients (ICCs). Endoscopists' first procedure scores compared test-retest ICCs. Discriminative was examined comparing novice, intermediate, experienced endoscopists' scores. Concurrent measured correlating with experience, cecal terminal ileal intubation rates, physician assessment. Setting total performed 33 novice ( 1000 previous procedures) from 6 Canadian hospitals. Main Outcome Measurements Interrater reliability, discriminative, concurrent validity. Results high (total: ICC = 0.85; GRS: CL: 0.81). Test-retest excellent 0.91; 0.93; 0.80). Significant differences in GiECAT among novice, noted P Limitations Nonblinded assessments. Conclusion This study provides supporting assessing performance live