Assessment of laparoscopic skills: comparing the reliability of global rating and entrustability tools
Background: Competence by design (CBD) residency programs increasingly depend on tools that provide reliable assessments, require minimal rater training, and measure progression through the CBD milestones. To assess intraoperative skills, global rating scales and entrustability ratings are commonly...
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| Format: | Article |
| Language: | English |
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Canadian Medical Education Journal
2022-08-01
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| Series: | Canadian Medical Education Journal |
| Online Access: | https://journalhosting.ucalgary.ca/index.php/cmej/article/view/72369 |
| _version_ | 1828518083796402176 |
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| author | Kameela Alibhai Amanda Fowler Nada Gawad Timothy J Wood Isabelle Raîche |
| author_facet | Kameela Alibhai Amanda Fowler Nada Gawad Timothy J Wood Isabelle Raîche |
| author_sort | Kameela Alibhai |
| collection | DOAJ |
| description |
Background: Competence by design (CBD) residency programs increasingly depend on tools that provide reliable assessments, require minimal rater training, and measure progression through the CBD milestones. To assess intraoperative skills, global rating scales and entrustability ratings are commonly used but may require extensive training. The Competency Continuum (CC) is a CBD framework that may be used as an assessment tool to assess laparoscopic skills. The study aimed to compare the CC to two other assessment tools: the Global Operative Assessment of Laparoscopic Skills (GOALS) and the Zwisch scale.
Methods: Four expert surgeons rated thirty laparoscopic cholecystectomy videos. Two raters used the GOALS scale while the remaining two raters used both the Zwisch scale and CC. Each rater received scale-specific training. Descriptive statistics, inter-rater reliabilities (IRR), and Pearson’s correlations were calculated for each scale.
Results: Significant positive correlations between GOALS and Zwisch (r = 0.75, p < 0.001), CC and GOALS (r = 0.79, p < 0.001), and CC and Zwisch (r = 0.90, p < 0.001) were found. The CC had an inter-rater reliability of 0.74 whereas the GOALS and Zwisch scales had inter-rater reliabilities of 0.44 and 0.43, respectively. Compared to GOALS and Zwisch scales, the CC had the highest inter-rater reliability and required minimal rater training to achieve reliable scores.
Conclusion: The CC may be a reliable tool to assess intraoperative laparoscopic skills and provide trainees with formative feedback relevant to the CBD milestones. Further research should collect further validity evidence for the use of the CC as an independent assessment tool.
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| first_indexed | 2024-12-11T18:50:18Z |
| format | Article |
| id | doaj.art-4f75cba14ad946638f7a8e8c31c4e7a2 |
| institution | Directory Open Access Journal |
| issn | 1923-1202 |
| language | English |
| last_indexed | 2024-12-11T18:50:18Z |
| publishDate | 2022-08-01 |
| publisher | Canadian Medical Education Journal |
| record_format | Article |
| series | Canadian Medical Education Journal |
| spelling | doaj.art-4f75cba14ad946638f7a8e8c31c4e7a22022-12-22T00:54:18ZengCanadian Medical Education JournalCanadian Medical Education Journal1923-12022022-08-0110.36834/cmej.72369Assessment of laparoscopic skills: comparing the reliability of global rating and entrustability tools Kameela Alibhai0Amanda Fowler1Nada Gawad2Timothy J Wood3Isabelle Raîche4University of OttawaMemorial University of Newfoundland and LabradorUniversity of OttawaUniversity of OttawaUniversity of Ottawa Background: Competence by design (CBD) residency programs increasingly depend on tools that provide reliable assessments, require minimal rater training, and measure progression through the CBD milestones. To assess intraoperative skills, global rating scales and entrustability ratings are commonly used but may require extensive training. The Competency Continuum (CC) is a CBD framework that may be used as an assessment tool to assess laparoscopic skills. The study aimed to compare the CC to two other assessment tools: the Global Operative Assessment of Laparoscopic Skills (GOALS) and the Zwisch scale. Methods: Four expert surgeons rated thirty laparoscopic cholecystectomy videos. Two raters used the GOALS scale while the remaining two raters used both the Zwisch scale and CC. Each rater received scale-specific training. Descriptive statistics, inter-rater reliabilities (IRR), and Pearson’s correlations were calculated for each scale. Results: Significant positive correlations between GOALS and Zwisch (r = 0.75, p < 0.001), CC and GOALS (r = 0.79, p < 0.001), and CC and Zwisch (r = 0.90, p < 0.001) were found. The CC had an inter-rater reliability of 0.74 whereas the GOALS and Zwisch scales had inter-rater reliabilities of 0.44 and 0.43, respectively. Compared to GOALS and Zwisch scales, the CC had the highest inter-rater reliability and required minimal rater training to achieve reliable scores. Conclusion: The CC may be a reliable tool to assess intraoperative laparoscopic skills and provide trainees with formative feedback relevant to the CBD milestones. Further research should collect further validity evidence for the use of the CC as an independent assessment tool. https://journalhosting.ucalgary.ca/index.php/cmej/article/view/72369 |
| spellingShingle | Kameela Alibhai Amanda Fowler Nada Gawad Timothy J Wood Isabelle Raîche Assessment of laparoscopic skills: comparing the reliability of global rating and entrustability tools Canadian Medical Education Journal |
| title | Assessment of laparoscopic skills: comparing the reliability of global rating and entrustability tools |
| title_full | Assessment of laparoscopic skills: comparing the reliability of global rating and entrustability tools |
| title_fullStr | Assessment of laparoscopic skills: comparing the reliability of global rating and entrustability tools |
| title_full_unstemmed | Assessment of laparoscopic skills: comparing the reliability of global rating and entrustability tools |
| title_short | Assessment of laparoscopic skills: comparing the reliability of global rating and entrustability tools |
| title_sort | assessment of laparoscopic skills comparing the reliability of global rating and entrustability tools |
| url | https://journalhosting.ucalgary.ca/index.php/cmej/article/view/72369 |
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