Document Detail

Assessment of intraoperative judgment during gynecologic surgery using the Script Concordance Test.
MedLine Citation:
PMID:  20494330     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We sought to develop a valid, reliable assessment of intraoperative judgment by residents during gynecologic surgery based on Script Concordance Theory. STUDY DESIGN: This was a multicenter prospective study involving 5 obstetrics and gynecology residency programs. Surgeons from each site generated case scenarios based on common gynecologic procedures. Construct validity was evaluated by correlating scores to training level, in-service examinations, and surgical skill and experience using a Global Rating Scale of Operative Performance and case volumes. RESULTS: A final test that included 42 case scenarios was administered to 75 residents. Internal consistency (Cronbach alpha = 0.73) and test-retest reliability (Lin correlation coefficient = 0.76) were good. There were significant differences between test scores and training levels (P = .002) and test scores correlated with in-service examination scores (r = 0.38; P = .001). There was no association between test scores and total number of cases or technical skills. CONCLUSION: The Script Concordance Test appears to be a reliable, valid assessment tool for intraoperative decision-making during gynecologic surgery.
Amy J Park; Matthew D Barber; Alfred E Bent; Yashika T Dooley; Christina Dancz; Gary Sutkin; J Eric Jelovsek
Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; Validation Studies     Date:  2010-05-21
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  203     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2010-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  240.e1-6     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Mosby, Inc. All rights reserved.
Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, OH, USA.
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MeSH Terms
Clinical Competence*
Decision Making*
Educational Measurement*
Gynecologic Surgical Procedures / education*
Gynecology / education
Internship and Residency
Intraoperative Period
Obstetrics / education
Prospective Studies
Reproducibility of Results
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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