Development of a valid and reliable pterygium surgery assessment scale for ophthalmology residents

Abstract Background Microsurgery training has become an important part of ophthalmology teaching and one of the main topics of examination. Accurate and effective evaluation of microsurgery skills is vital for the training and teaching of residents. In this study, we aimed to establish a pterygium s...

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Main Authors: Zhihua Zhang, Tianwei Qian, Bijun Zhu, Haiyun Liu, Xiaodong Sun, Xun Xu
Format: Article
Language:English
Published: BMC 2021-09-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-021-02934-y
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author Zhihua Zhang
Tianwei Qian
Bijun Zhu
Haiyun Liu
Xiaodong Sun
Xun Xu
author_facet Zhihua Zhang
Tianwei Qian
Bijun Zhu
Haiyun Liu
Xiaodong Sun
Xun Xu
author_sort Zhihua Zhang
collection DOAJ
description Abstract Background Microsurgery training has become an important part of ophthalmology teaching and one of the main topics of examination. Accurate and effective evaluation of microsurgery skills is vital for the training and teaching of residents. In this study, we aimed to establish a pterygium surgery assessment scale for use by ophthalmic residents and evaluate its reliability and validity. Methods Based on a literature search, experienced pterygium surgeons developed the preliminary scale according to the standard surgical procedure. The preliminary scale and a questionnaire were sent to teaching and research experts in the field for feedback. Face and content validity and reliability of the scale were determined by rounds of modifications based on expert feedback. For construct validity, existing assessment scales were obtained and a range of factors were tested. Results Nineteen expert surgeons completed the questionnaire and modifications were made until all surgeons agreed on the final scale. Good construct validity was found by evaluation against 257 existing scales. For reliability, 280 evaluation scales were completed. Inter- and intra-rater reliability analysis both found Intraclass Correlation Coefficient (ICC) > 0.8 for all items and total scores. Conclusion The pterygium surgery assessment scale developed in this study has good reliability and validity, and is an effective measurement tool for the evaluation of ophthalmology residents’ pterygium surgical skills.
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spelling doaj.art-726e059d508e42208747c2e809c0f3f92022-12-21T18:37:07ZengBMCBMC Medical Education1472-69202021-09-012111810.1186/s12909-021-02934-yDevelopment of a valid and reliable pterygium surgery assessment scale for ophthalmology residentsZhihua Zhang0Tianwei Qian1Bijun Zhu2Haiyun Liu3Xiaodong Sun4Xun Xu5Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong UniversityDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong UniversityDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong UniversityDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong UniversityDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong UniversityDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong UniversityAbstract Background Microsurgery training has become an important part of ophthalmology teaching and one of the main topics of examination. Accurate and effective evaluation of microsurgery skills is vital for the training and teaching of residents. In this study, we aimed to establish a pterygium surgery assessment scale for use by ophthalmic residents and evaluate its reliability and validity. Methods Based on a literature search, experienced pterygium surgeons developed the preliminary scale according to the standard surgical procedure. The preliminary scale and a questionnaire were sent to teaching and research experts in the field for feedback. Face and content validity and reliability of the scale were determined by rounds of modifications based on expert feedback. For construct validity, existing assessment scales were obtained and a range of factors were tested. Results Nineteen expert surgeons completed the questionnaire and modifications were made until all surgeons agreed on the final scale. Good construct validity was found by evaluation against 257 existing scales. For reliability, 280 evaluation scales were completed. Inter- and intra-rater reliability analysis both found Intraclass Correlation Coefficient (ICC) > 0.8 for all items and total scores. Conclusion The pterygium surgery assessment scale developed in this study has good reliability and validity, and is an effective measurement tool for the evaluation of ophthalmology residents’ pterygium surgical skills.https://doi.org/10.1186/s12909-021-02934-yPterygium surgeryAssessment scaleReliabilityValidity
spellingShingle Zhihua Zhang
Tianwei Qian
Bijun Zhu
Haiyun Liu
Xiaodong Sun
Xun Xu
Development of a valid and reliable pterygium surgery assessment scale for ophthalmology residents
BMC Medical Education
Pterygium surgery
Assessment scale
Reliability
Validity
title Development of a valid and reliable pterygium surgery assessment scale for ophthalmology residents
title_full Development of a valid and reliable pterygium surgery assessment scale for ophthalmology residents
title_fullStr Development of a valid and reliable pterygium surgery assessment scale for ophthalmology residents
title_full_unstemmed Development of a valid and reliable pterygium surgery assessment scale for ophthalmology residents
title_short Development of a valid and reliable pterygium surgery assessment scale for ophthalmology residents
title_sort development of a valid and reliable pterygium surgery assessment scale for ophthalmology residents
topic Pterygium surgery
Assessment scale
Reliability
Validity
url https://doi.org/10.1186/s12909-021-02934-y
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