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- W1566672642 abstract "New selection methods developed since 2007 by the South West Peninsula Deanery [1] for recruitment of CT1 trainees to anaesthesia show promise as a correlate of trainees’ subsequent workplace performance. Selection centre and workplace assessment (WPA) score correlations were attenuated by a poor inter-rater agreement between consultants and ODPs. The aim of this study was to assess whether the WPA score and interrater reliability could be improved by benchmarking, thus familiarising consultants and ODPs with the marking scheme. In addition, we intended to investigate possible group differences in rating performance by consultants and ODPs. Three videos showing a poor, medium and good performance by trainees conducting a simulated indicator case were shown in random order at all Anaesthetic Directorates within the Deanery. Eighty-five consultants and ODPs independently scored non-technical skills in the three videos. Criterion referenced matrices were used to score immediately after viewing with no remarking allowed. Inter-rater agreement coefficients were excellent: 0.81 for consultants; 0.81 for ODPs; and 0.79 across the whole group. Median scores for the three films strongly differentiated between the poor, medium and good performances (p < 0.001). There was strong evidence of a learning effect related to the order in which the films were viewed. Figure 1 shows decreasing overlap of scores between poor, medium and good video performances with successive viewings. Distribution of total score by film and order of showing. Familiarisation with scoring tools allows assessors to make reliable judgements of video-based work place performance, demonstrated by inter-rater agreement. There is good agreement between consultant and ODP ratings of non-technical skills in trainee performance. There are indications of a positive learning effect leading assessors to become more reliable with practice. Assessors should be exposed to benchmarking performance before introducing any new WPA. This is a Department of Health funded pilot project." @default.
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- W1566672642 date "2010-01-01" @default.
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- W1566672642 title "Improving work place assessments in anaesthesia" @default.
- W1566672642 doi "https://doi.org/10.1111/j.1365-2044.2009.06184_9.x" @default.
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