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Updated: Sep 18, 2025

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Development and Validity Evidence of a Trauma Laparotomy Operative Assessment Tool.

Joanna F Ryan1, Simon R Turner1, W Robert Leeper2

  • 1Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.

Journal of Surgical Education
|June 26, 2025
PubMed
Summary
This summary is machine-generated.

A new assessment tool was developed for trauma laparotomy surgical training. This validated tool enhances learning and performance through formative assessment in both simulation and clinical settings.

Keywords:
assessmentcompetency-based educationsurgical educationtrauma surgery

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Area of Science:

  • Surgical Education
  • Medical Simulation
  • Operative Assessment

Background:

  • Formative assessment is crucial for surgical training and performance improvement.
  • Trauma laparotomy is an uncommon yet essential surgical procedure.
  • Maximizing educational impact from each trauma laparotomy is imperative.

Purpose of the Study:

  • To develop a procedure-specific operative assessment tool for trauma laparotomy.
  • To gather validity evidence for the tool's use in formative assessment.

Main Methods:

  • Modified Delphi methodology was employed to create the assessment tool items.
  • The tool underwent validity testing in both simulation and clinical environments.
  • An international panel of surgeons participated in the Delphi study.

Main Results:

  • A 17-item tool was created, covering technical and nontechnical aspects of trauma laparotomy.
  • The tool showed strong internal consistency (Cronbach's alpha 0.91/0.80) and correlation with OSATS (Spearman 0.87/0.79).
  • Item factor analyses confirmed strong item discrimination.

Conclusions:

  • A structured, procedure-specific assessment tool for trauma laparotomy has been successfully developed and validated.
  • The tool provides supporting validity evidence for its application in formative surgical assessment.
  • The developed tool can be utilized to enhance learning and performance in trauma laparotomy training.