Document Detail

Development of workplace-based assessments of non-technical skills in anaesthesia*.
MedLine Citation:
PMID:  22251107     Owner:  NLM     Status:  In-Data-Review    
Non-technical skills are recognised as crucial to good anaesthetic practice. We designed and evaluated a specialty-specific tool to assess non-technical aspects of trainee performance in theatre, based on a system previously found reliable in a recruitment setting. We compared inter-rater agreement (multir-ater kappa) for live assessments in theatre with that in a selection centre and a video-based rater training exercise. Twenty-seven trainees participated in the first in-theatre assessment round and 40 in the second. Round- 1 scores had poor inter-rater agreement (mean kappa = 0.20) and low reliability (generalisability coefficient G = 0.50). A subsequent assessor training exercise showed good inter-rater agreement, (mean kappa = 0.79) but did not improve performance of the assessment tool when used in round 2 (mean kappa = 0.14, G = 0.42). Inter-rater agreement in two selection centres (mean kappa = 0.61 and 0.69) exceeded that found in theatre. Assessment tools that perform reliably in controlled settings may not do so in the workplace.
G V Crossingham; P J A Sice; M J Roberts; W H Lam; T C E Gale
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  67     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  158-64     Citation Subset:  AIM; IM    
Copyright Information:
Anaesthesia © 2011 The Association of Anaesthetists of Great Britain and Ireland.
Specialist Registrar in Anaesthesia  Consultant Anaesthetist, Department of Anaesthesia, Plymouth Hospitals NHS Trust, Plymouth, UK  Research Fellow  Honorary Associate Professor, Institute of Clinical Education, Peninsula College of Medicine and Dentistry, Plymouth, UK.
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