Use of Cognitive Task Analysis to Guide the Development of Performance-Based Assessments for IntraOperative Decision Making

摘要: ABSTRACTBackground: There is a paucity of performance-based assessments that focus on intraoperative decision making. The purpose this article to review the performance outcomes and usefulness two were developed using cognitive task analysis (CTA) frameworks. Methods: Assessment-A used CTA create “think aloud” oral examination was administered while junior residents (PGY 1-2's, N = 69) performed porcine-based laparoscopic cholecystectomy. Assessment-B simulation-based, formative assessment senior residents' 4-5's, 29) making during ventral hernia repair. In addition survey-based usefulness, multiconstruct evaluation eight variables. Results: When comparing outcomes, both approaches revealed major deficiencies in decision-making skills. Multiconstruct method adva...