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Ensuring basic competency in chest tube insertion using a simulated scenario: an international validation study.

Peter Hertz1,2, Katrine Jensen1,2, Saleh N Abudaff3

  • 1Copenhagen Academy for Medical Education and Simulation (CAMES), University of Copenhagen and the Capital Region of Denmark, Rigshospitalet, Copenhagen, Denmark.

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This summary is machine-generated.

This study established a reliable pass/fail score for the Chest Tube Insertion Competency Test (TUBE-iCOMPT). This ensures surgical trainees demonstrate competence before patient procedures, enhancing safety and minimizing complications.

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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Patient Safety

Background:

  • Chest tube insertion is a common procedure with significant potential for complications.
  • A structured training program and reliable assessment are crucial for novice surgeons.
  • Ensuring competency before patient procedures is vital for patient safety.

Purpose of the Study:

  • To establish a credible pass/fail standard for the Chest Tube Insertion Competency Test (TUBE-iCOMPT).
  • To gather further validity evidence for the TUBE-iCOMPT assessment tool.
  • To support the integration of TUBE-iCOMPT into mastery learning programs.

Main Methods:

  • Utilized the Chest Tube Insertion Competency Test (TUBE-iCOMPT) with validity evidence explored via Messick's framework.
  • Employed the contrasting groups' method with 34 doctors (novices and experienced surgeons) performing the procedure twice.
  • Used the modified Angoff method with seven thoracic surgeons defining pass/fail criteria.

Main Results:

  • The TUBE-iCOMPT demonstrated high reliability (Cronbach's alpha=0.94, generalizability coefficient=0.91).
  • Experienced surgeons scored significantly higher than novices (74.7 vs 50.7, p<0.001).
  • A pass/fail score of 62 resulted in zero false negatives and three false positives.

Conclusions:

  • The TUBE-iCOMPT possesses strong validity evidence and a credible pass/fail score.
  • The assessment tool is suitable for integration into mastery learning programs.
  • Competency assessment via TUBE-iCOMPT can enhance patient safety in chest tube insertion procedures.