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Standardized Checklist for Otoscopy Performance Evaluation: A Validation Study of a Tool to Assess Pediatric Otoscopy

Caroline R Paul1, Meg G Keeley2, Gregory Rebella3

  • 1Assistant Professor (CHS), Department of Pediatrics, University of Wisconsin School of Medicine and Public Health.

Mededportal : the Journal of Teaching and Learning Resources
|April 23, 2019
PubMed

Insights

A new tool, the Standardized Checklist for Otoscopy Performance Evaluation (SCOPE), improves pediatric otoscopy skills. This validated checklist aids in diagnosing acute otitis media (AOM) and enhances learner feedback.

Area of Science:

  • Medical Education
  • Pediatric Otology
  • Diagnostic Assessment

Background:

  • Acute otitis media (AOM) is a common pediatric illness and frequent reason for antibiotic prescriptions.
  • Diagnostic inconsistency and overdiagnosis of AOM highlight a need for improved otoscopy skills and assessment.
  • Current educational efforts lack validated tools for objective assessment of otoscopy competency.

Purpose of the Study:

  • To develop and validate a tool for assessing pediatric otoscopy skills.
  • To address the need for objective competency assessment in diagnosing AOM.
  • To improve educational feedback and diagnostic certainty in pediatric otology.

Main Methods:

  • Development of the Standardized Checklist for Otoscopy Performance Evaluation (SCOPE) based on pediatric ear exam principles.
  • Inclusion of input from process and content experts, focusing on validity domains.
  • Piloting and implementation of the SCOPE over five years with medical students and residents.

Main Results:

  • The SCOPE demonstrated validity evidence as an assessment tool for otoscopy skills.
  • Successful implementation across diverse clinical settings (urgent care, clinics, EDs) and learner levels.
  • The SCOPE was effectively used for both instruction and assessment.

Conclusions:

  • The SCOPE provides a validated instrument for teaching and assessing otoscopy skills.
  • It supports formative and summative assessments across various learner stages.
  • The SCOPE has the potential to enhance diagnostic competency and educational efficiency in pediatric otology.
Abstract

Keywords:
Acute Otitis MediaEditor's ChoicePediatric Ear ExamPediatric Otoscopy

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