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Performance evaluation: continuous lumbar epidural anesthesia skill test

M Sivarajan, P E Lane, E V Miller

    Anesthesia and Analgesia
    |August 1, 1981
    PubMed
    Summary
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    Objective skill assessment for anesthesiology residents is crucial. A new criterion-referenced test for continuous lumbar epidural anesthesia demonstrated high inter-rater reliability, ensuring consistent evaluation of resident performance.

    Area of Science:

    • Medical Education
    • Anesthesiology
    • Skill Assessment

    Background:

    • Current skill evaluation methods for anesthesiology residents often rely on subjective assessments lacking reliability.
    • Objective and reliable methods are needed to accurately measure proficiency in critical procedures like continuous lumbar epidural anesthesia.

    Purpose of the Study:

    • To develop an objective, criterion-referenced skill test for evaluating continuous lumbar epidural anesthesia performance.
    • To establish the inter-rater reliability of the developed skill test among anesthesiology faculty observers.

    Main Methods:

    • Eight video-recorded performances of continuous lumbar epidural anesthesia were assessed.
    • Nine anesthesiology faculty members served as raters to evaluate the recorded performances.

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  • Inter-rater agreement was quantified using coefficient kappa for individual items and the overall test.

    • Main Results:

    • The overall coefficient kappa for the skill test was 0.82, indicating a high level of agreement among raters.
    • Raters demonstrated consistent judgment regarding the performance or nonperformance of specific procedural items.

    Conclusions:

    • The developed criterion-referenced skill test provides a reliable and objective method for assessing anesthesiology residents' performance in continuous lumbar epidural anesthesia.
    • This objective assessment tool enhances the validity and consistency of skill evaluation in anesthesiology training.