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Concordance Between Expert and Nonexpert Ratings of Condensed Video-Based Trainee Operative Performance Assessment.

Rebecca E Scully1, Shanley B Deal2, Michael J Clark3

  • 1Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts.

Journal of Surgical Education
|March 24, 2020
PubMed
Summary

Video editing and rater expertise do not significantly impact surgical resident performance ratings. Using condensed videos and non-expert raters may streamline future validation studies for operative performance assessment scales.

Keywords:
assessmentoperative evaluationresidency trainingvideo

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Area of Science:

  • Medical Education
  • Surgical Training
  • Performance Assessment

Background:

  • Surgical resident evaluation relies on accurate operative performance assessment.
  • The impact of video editing and rater expertise on these evaluations is not well understood.
  • Standardized assessment tools are crucial for reliable surgical training feedback.

Purpose of the Study:

  • To examine how video editing (full-length vs. condensed) affects surgical trainee performance ratings.
  • To determine if rater expertise (evaluation expert vs. nonexpert) influences operative performance assessments.
  • To evaluate the reliability of different performance rating scales in surgical education.

Main Methods:

  • Randomized independent review of intraoperative videos from six general surgery procedures.
  • Comparison of full-length and condensed video versions rated by 13 independent surgeons.
  • Utilized Operative Performance Rating Scale, SIMPL, Zwisch, and ten Cate scales for assessment.

Main Results:

  • Video editing had no statistically significant effect on any of the performance rating scales used.
  • Rater expertise (expert vs. nonexpert) also showed no significant impact on the assessment scores.
  • All tested scales demonstrated consistent results regardless of video format or rater background.

Conclusions:

  • Condensed surgical videos and non-expert raters yield comparable operative performance scores to full-length videos and expert raters.
  • Future validation of operative performance assessment scales can potentially utilize non-expert raters and condensed videos.
  • Standardized protocols for video condensation may enhance the efficiency of future validation studies in surgical education.