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Response Process Validity Evidence for Video Commentary Assessment in Surgery: A Qualitative Study.

Vicky J-H Yeh1, Fareeda Mukhtar2, Rachel Yudkowsky3

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|June 10, 2022
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Summary
This summary is machine-generated.

Surgical residents understand the purpose of Video Commentary (VC) assessments. However, their varied response strategies, focusing on speed, points, logic, and relevance, may impact assessment validity and inform other clinical skills evaluations.

Keywords:
Educational MeasurementMental SchemaResponse ProcessSurgery EducationThink AloudValidation Study

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Area of Science:

  • Medical Education
  • Surgical Training
  • Assessment Methodology

Background:

  • Proficient performance in surgical tasks relies on well-developed mental representations.
  • Video Commentary (VC) is a novel assessment tool designed to evaluate these mental representations in surgical tasks.
  • Understanding how residents approach VC is crucial for its validation and effective use.

Purpose of the Study:

  • To investigate the response processes of surgical residents during Video Commentary (VC) assessments.
  • To determine if residents' understanding and application of VC align with its intended purpose of measuring mental representations.
  • To identify factors influencing residents' performance and response strategies in VC.

Main Methods:

  • A qualitative study employing grounded theory was conducted with surgical residents.
  • Semi-structured interviews explored residents' understanding of and approach to VC.
  • Likert-type questions assessed residents' perceived purpose of VC.
  • Analysis of narrative comments and quantitative data informed a theoretical model of response processes.

Main Results:

  • Residents generally perceive VC's purpose as intended by educators.
  • Response processes are influenced by test characteristics, resident understanding, and personal factors.
  • Four primary response strategies were identified: focus on speed, points, logic, and relevance.
  • Residents believe VC scores reflect quick speaking, quick thinking, and anatomy knowledge.
  • Anterior residents focus on facts, while senior residents provide comprehensive descriptions.

Conclusions:

  • Surgical residents generally grasp the educational intent of VC.
  • Divergent response strategies (speed, points, logic, relevance) may pose a threat to assessment validity.
  • These identified response strategies offer insights applicable to other clinical skills assessments.