Document Detail

A study of resident proficiency with thyroid surgery: creation of a thyroid-specific tool.
MedLine Citation:
PMID:  20493358     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Creation and testing of a tool, Hemithyroidectomy-Specific Scale (HSS), to evaluate performance of a hemithyroidectomy. STUDY DESIGN: Prospective, multi-center study of our HSS tool versus a Global Scale (GS). SETTING: Two tertiary care academic medical centers. SUBJECTS AND METHODS: Sixteen unique residents (postgraduate years [PGY] 2-5) evaluated a total of 97 times with a performance tool by a single endocrine surgeon evaluator (B.C.S.). RESULTS: Overall, the reliability of both evaluation instruments was good. Cronbach's alpha was 0.972 for the GS and 0.959 for the HSS. This indicates high internal consistency of each instrument. In general, the scores increased with increasing PGY level, indicating reasonable construct validity. CONCLUSION: This study describes a new HSS checklist type of evaluation instrument for hemithyroidectomy and compares it to a validated GS. HSS offers advantages to GS. Most residents reached competence in hemithyroidectomy by the PGY4 level. A large, multi-institutional study would be required for adequate evaluation of our tool prior to its routine use in resident evaluations.
Brendan C Stack; Eric Siegel; Donald Bodenner; Michelle M Carr
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; Validation Studies    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  142     ISSN:  1097-6817     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-24     Completed Date:  2010-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  856-62     Citation Subset:  IM    
Copyright Information:
Copyright 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.
Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
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MeSH Terms
Checklist* / instrumentation
Clinical Competence*
General Surgery / education*
Internship and Residency*
Pilot Projects
Reproducibility of Results
Thyroidectomy* / standards

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

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