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Surgical Skills Feedback and myTIPreport: Is There Construct Validity?

AnnaMarie Connolly¹, Anita Blanchard, Alice Goepfert

¹Departments of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina, University of Chicago, Chicago, Illinois, University of Alabama, Birmingham, Birmingham, Alabama, University of Pittsburgh, Pittsburgh, Pennsylvania, Mountain Area Health Education Center, Asheville, North Carolina, and Northwestern University, Chicago, Illinois.

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Summary

The myTIPreport tool effectively assesses procedural skills, showing significant differences between junior and senior surgical learners. This supports its construct validity for evaluating surgical training.

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Area of Science:

Medical Education
Surgical Training
Assessment Tools

Background:

Assessing procedural skills is crucial in surgical education.
Existing assessment tools require validation for reliability and accuracy.
myTIPreport aims to provide a standardized method for procedural skill evaluation.

Purpose of the Study:

To conduct construct validity testing of the myTIPreport assessment tool.
To evaluate myTIPreport's ability to differentiate between learner skill levels.
To examine the correlation between teacher and learner assessments within myTIPreport.

Main Methods:

A prospective, multicenter study involving obstetrics and gynecology (OBGYN) and female pelvic medicine and reconstructive surgery (FPMRS) programs.
Teachers and learners used myTIPreport with a 5-point Dreyfus rating scale for procedural assessments.
Construct validity was tested by comparing senior and junior learner assessments, with a threshold of 10 feedback encounters per group.

Main Results:

Data from 440 learners and 443 teachers across 19 training programs were analyzed.
myTIPreport assessments showed significantly higher ratings for senior learners (PGY-4s vs. PGY-1s; PGY-7s vs. PGY-5s) in most categories.
A strong correlation (Spearman coefficient = 0.89) was observed between teacher and learner self-assessments.

Conclusions:

myTIPreport effectively detected differences in procedural skills between senior and junior surgical trainees.
The findings support the emerging construct validity of myTIPreport for procedural skills assessment.
myTIPreport shows promise as a reliable tool for evaluating surgical competency in training programs.