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Performance Assessment for Mastoidectomy.

Rishabh Sethia1, Thomas F Kerwin2, Gregory J Wiet3,4

  • 11 College of Medicine, The Ohio State University, Columbus, Ohio, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|September 29, 2016
PubMed
Summary
This summary is machine-generated.

This review identifies various mastoidectomy performance assessment tools, finding the Johns Hopkins tool has the most validity evidence. A standardized national assessment instrument is needed for surgical benchmarks.

Keywords:
mastoidectomyobjective assessmentoperative competencytechnical performancevalidity evidence

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Area of Science:

  • Otolaryngology
  • Surgical Education
  • Medical Simulation

Background:

  • Mastoidectomy performance assessment lacks standardized tools.
  • Evaluating surgical skills is crucial for patient safety and training.

Purpose of the Study:

  • Review current literature on mastoidectomy performance assessment tools.
  • Identify available assessment tools and summarize their validity evidence.
  • Determine the reliability and validity of existing mastoidectomy assessment methods.

Main Methods:

  • Systematic literature review of studies from 2007-2015.
  • Searched MEDLINE via PubMed for English-language articles.
  • Categorized studies into intraoperative assessments and simulation-based assessments (cadaveric, virtual reality).

Main Results:

  • Twenty-three studies met inclusion criteria.
  • Included 4 intraoperative, 5 cadaveric, 10 virtual reality, and 4 combined assessment studies.
  • The Johns Hopkins assessment tool demonstrated the most validity evidence among reviewed tools.

Conclusions:

  • A wide variety of mastoidectomy assessment tools exist with varying validity.
  • Standardized assessment metrics are needed for national adoption.
  • A universally agreed-on tool will enable standardized benchmarks for mastoid surgery.