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- W2894954558 abstract "Faculty Advisor: Erika Banks, MD PURPOSE: To develop and validate a competence assessment tool for total abdominal hysterectomy. BACKGROUND: Surgical education traditionally relied on a volume-based apprenticeship model, but the paradigm has shifted towards an outcomes-based competency-based model. Assessment of surgical competence is a challenge as few standardized, validated tools exist. There is currently no validated, objective, surgical skills assessment tool for the total abdominal hysterectomy (TAH) in the literature. METHODS: Expert gynecologic surgeons developed the competence assessment tool for TAH (CAT-TAH) using Delphi methodology (Content Validity Indices ≥0.75). CAT-TAH’s ability to differentiate different levels of trainees (construct validity) was assessed in the operating room using the Kruskal-Wallis test, with post-hoc analyses to determine structure of differences. CAT-TAH's inter-rater reliability was assessed by comparing scores provided by the surgeon versus 2 blinded assessors using the pairwise correlation coefficient. RESULTS: Six expert surgeons reached consensus on CAT-TAH after 3 rounds of the Delphi process. The tool deconstructed the TAH into 8 steps with descriptors, scored on a scale of 1-5 with anchors. Fourteen trainee assessments were analyzed. Median cumulative scores were significantly higher for fellows than for residents (36 (34.7-40) vs. 26.7 (20-29), P =.04). Median cumulative scores from primary assessor and blinded assessors correlated well ( r =0.737, P =.016). DISCUSSION: This pilot demonstrated that it is feasible to develop and validate an objective assessment tool to evaluate TAH surgical competence. A larger sample size is necessary to corroborate these observations. A validated CAT-TAH will be useful to residency program directors in assessing graduating residents’ ability to perform TAH." @default.
- W2894954558 created "2018-10-12" @default.
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- W2894954558 date "2018-10-01" @default.
- W2894954558 modified "2023-10-14" @default.
- W2894954558 title "Development and Validation of an Objective Assessment Tool for Abdominal Hysterectomy Competency" @default.
- W2894954558 doi "https://doi.org/10.1097/01.aog.0000546667.71636.31" @default.
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