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Development and Validation of the Cochlear Implant Surgical Competency Assessment Instrument.

Thomas Balkany1, Kaming Lo, Howard Francis

  • 1*Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida †Institute for Cochlear Implant Training, Silverthorne, Colorado ‡Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida §Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland ||Carle Clinic, Urbana, Illinois ¶House Clinic, Los Angeles, California #Boys Town Ear, Nose and Throat Institute, Omaha, Nebraska.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|February 15, 2017
PubMed
Summary
This summary is machine-generated.

A new cochlear implant surgical competency assessment (CI-SCA) instrument was validated. This tool objectively evaluates surgical skills, identifies areas for improvement, and tracks progress in cochlear implant surgery training.

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Area of Science:

  • Otolaryngology
  • Surgical Education
  • Medical Device Evaluation

Background:

  • Assessing surgical skills is crucial for patient safety and effective training.
  • Standardized tools are needed to objectively evaluate cochlear implant (CI) surgical competency.

Purpose of the Study:

  • To introduce and validate a new instrument for evaluating cochlear implant surgical skills.
  • To establish the reliability and validity of the CI surgical competency assessment (CI-SCA).

Main Methods:

  • Developed an instrument based on expert surveys and expert evaluations.
  • Collected 100 evaluations from residents, fellows, and practicing CI surgeons using temporal bones.
  • Assessed interrater reliability and construct validity through correlation with training and post-training improvements.

Main Results:

  • High interrater reliability was confirmed using the intraclass correlation coefficient.
  • Construct validity was demonstrated by positive correlations between scores and training levels (years, board certification, fellowship).
  • Improved scores after a training session further supported construct validity.

Conclusions:

  • The CI-SCA is an objective, accurate, and dependable instrument for assessing CI surgical competency.
  • The CI-SCA can be used to establish competency, identify skill deficits, and monitor training progress.