创伤拉皮切除术手术评估工具的开发和有效性证据
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
概括
为创伤腹腔切除术外科培训开发了一种新的评估工具. 这种经过验证的工具通过模拟和临床环境中的形成性评估来增强学习和绩效.
科学领域:
- 外科教育的外科教育
- 医疗模拟 医疗模拟
- 运营性评估 运营性评估
背景情况:
- 形成性评估对于外科培训和绩效改进至关重要.
- 创伤性腹腔切除术是一种罕见但必不可少的外科手术程序.
- 必须最大限度地提高每次创伤性腹腔切除术的教育影响.
研究的目的:
- 为创伤腹腔切除术开发一种特定于程序的操作评估工具.
- 收集用于工具在形成性评估中的有效性证据.
主要方法:
- 用修改的Delphi方法来创建评估工具项目.
- 该工具在模拟和临床环境中进行了有效性测试.
- 一个由外科医生组成的国际小组参与了德尔菲研究.
主要成果:
- 创建了一个17项工具,涵盖创伤腹腔切除术的技术和非技术方面.
- 该工具显示出强大的内部一致性 (克朗巴赫α 0.91/0.80) 和与OSATS (斯皮尔曼 0.87/0.79) 的相关性.
- 项目因素分析证实了强烈的项目歧视.
结论:
- 创伤腹腔切除术的结构化,程序特定的评估工具已经成功开发和验证.
- 该工具提供了支持其在形成性外科评估中的应用的有效性证据.
- 开发的工具可以用于增强创伤腹腔切除训练中的学习和表现.
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