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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Related Experiment Video

Updated: Jul 6, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
06:13

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Published on: June 20, 2018

Measuring competence in endoscopic sinus surgery.

J Syme-Grant1, P S White, J P G McAleer

  • 1Department of Medical Education, Ninewells Hospital and Medical School, Dundee.

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
|March 6, 2008
PubMed
Summary
This summary is machine-generated.

A new Endoscopic Sinus Surgery Competence Assessment Tool (ESSCAT) was developed for UK surgical training. This valid and reliable tool assesses trainee performance in endoscopic sinus surgery, supporting competence-based education.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Otolaryngology

Background:

  • Competence-based education is being integrated into UK higher surgical training.
  • Valid and reliable performance assessment tools are crucial for ensuring competency achievement.
  • No such tools have been reported in UK literature for endoscopic sinus surgery.

Purpose of the Study:

  • To develop and pilot test the Endoscopic Sinus Surgery Competence Assessment Tool (ESSCAT).
  • To create an in-theatre assessment tool for UK higher surgical trainees in otolaryngology.

Main Methods:

  • Task analysis of endoscopic sinus surgery (ESS) procedures informed the ESSCAT rating matrix.
  • National consultation involved otolaryngology consultants and registrars for refinement.
  • Two cycles of in-theatre testing and video analysis were used to establish utility, validity, and reliability.

Main Results:

  • The ESSCAT demonstrated high validity, with a consensus-derived minimum standard and evidence of trainee learning (p=0.027).
  • Inter-rater reliability was moderate for competence decisions (Cohen's Kappa=0.5) and good for total scores (ICC=0.63).
  • Intra-rater reliability was good for both competence decisions (Kappa=0.67) and total scores (Kendall's Tau-b=0.73).

Conclusions:

  • The ESSCAT provides a valid and reliable method for assessing in-theatre endoscopic sinus surgery performance.
  • The tool is recommended for use in higher specialist otolaryngology training in the UK.
  • Ongoing evaluation of the ESSCAT is advised.