Assessment of intraoperative judgment during gynecologic surgery using the Script Concordance Test
作者： Amy J. Park , Matthew D. Barber , Alfred E. Bent , Yashika T. Dooley , Christina Dancz
DOI: 10.1016/J.AJOG.2010.04.010
关键词:
摘要: Objective We sought to develop a valid, reliable assessment of intraoperative judgment by residents during gynecologic surgery based on Script Concordance Theory. Study Design This was multicenter prospective study involving 5 obstetrics and gynecology residency programs. Surgeons from each site generated case scenarios common procedures. Construct validity evaluated correlating scores training level, in-service examinations, surgical skill experience using Global Rating Scale Operative Performance volumes. Results A final test that included 42 administered 75 residents. Internal consistency (Cronbach alpha=0.73) test-retest reliability (Lin correlation coefficient=0.76) were good. There significant differences between levels ( P = .002) correlated with examination (r 0.38; .001). no association total number cases or technical skills. Conclusion The Test appears be reliable, valid tool for decision-making surgery.
umontreal.ca
elsevier.com
sci-hub.se 参考文章(12)
Louis Sibert, Stefan J Darmoni, Badisse Dahamna, Marie-France Hellot, Jacques Weber, Bernard Charlin, On line clinical reasoning assessment with Script Concordance test in urology: results of a French pilot study. BMC Medical Education. ,vol. 6, pp. 45- 45 ,(2006) , 10.1186/1472-6920-6-45
H G Schmidt, G R Norman, H P Boshuizen, A cognitive perspective on medical expertise Academic Medicine. ,vol. 65, pp. 611- 21 ,(1990) , 10.1097/00001888-199010000-00001
Richard Reznick, Glenn Regehr, Helen MacRae, Jenepher Martin, Wendy McCulloch, Testing technical skill via an innovative “bench station” examination American Journal of Surgery. ,vol. 173, pp. 226- 230 ,(1997) , 10.1016/S0002-9610(97)89597-9
Bernard Charlin, Jacques Tardif, Henny P. A. Boshuizen, Scripts and medical diagnostic knowledge: theory and applications for clinical reasoning instruction and research. Academic Medicine. ,vol. 75, pp. 182- 190 ,(2000) , 10.1097/00001888-200002000-00020
Bernard Charlin, Louise Roy, Carlos Brailovsky, Francois Goulet, Cees van der Vleuten, The Script Concordance test: a tool to assess the reflective clinician. Teaching and Learning in Medicine. ,vol. 12, pp. 189- 195 ,(2000) , 10.1207/S15328015TLM1204_5
Louis Sibert, Bernard Charlin, Jacques Corcos, Robert Gagnon, Joel Lechevallier, Philippe Grise, Assessment of clinical reasoning competence in urology with the script concordance test: an exploratory study across two sites from different countries. European Urology. ,vol. 41, pp. 227- 233 ,(2002) , 10.1016/S0302-2838(02)00053-2
Louis Sibert, Bernard Charlin, Jacques Corcos, Robert Gagnon, Philippe Grise, Cees van der Vleuten, None, Stability of clinical reasoning assessment results with the Script Concordance test across two different linguistic, cultural and learning environments. Medical Teacher. ,vol. 24, pp. 522- 527 ,(2002) , 10.1080/0142159021000012599
Sarkis Meterissian, Brent Zabolotny, Robert Gagnon, Bernard Charlin, Is the script concordance test a valid instrument for assessment of intraoperative decision-making skills? American Journal of Surgery. ,vol. 193, pp. 248- 251 ,(2007) , 10.1016/J.AMJSURG.2006.10.012
Sarkis H. Meterissian, A novel method of assessing clinical reasoning in surgical residents. Surgical Innovation. ,vol. 13, pp. 115- 119 ,(2006) , 10.1177/1553350606291042
R Gagnon, B Charlin, M Coletti, E Sauve, C van der Vleuten, Assessment in the context of uncertainty: how many members are needed on the panel of reference of a script concordance test? Medical Education. ,vol. 39, pp. 284- 291 ,(2005) , 10.1111/J.1365-2929.2005.02092.X