TY - JOUR
T1 - Training less-experienced faculty improves reliability of skills assessment in cardiac surgery
AU - Lou, Xiaoying
AU - Lee, Richard
AU - Feins, Richard H.
AU - Enter, Daniel
AU - Hicks, George L.
AU - Verrier, Edward D.
AU - Fann, James I.
N1 - Funding Information:
This study was supported by the Thoracic Surgery Directors Association and the Joint Council for Thoracic Surgery Education , the Thoracic Surgery Foundation for Research and Education Simulation Grant (R.H.F. and J.I.F.), and the Western Thoracic Surgical Association Doty Award (J.I.F.). Corporate sponsors of this session include the Chamberlain Group , Sorin Group , St Jude Medical Inc , CryoLife Inc , Scanlan International , LifeLike BioTissue Inc , Teleflex Medical , and Ethicon Inc .
PY - 2014/12/1
Y1 - 2014/12/1
N2 - Objective Previous work has demonstrated high inter-rater reliability in the objective assessment of simulated anastomoses among experienced educators. We evaluated the inter-rater reliability of less-experienced educators and the impact of focused training with a video-embedded coronary anastomosis assessment tool.Results All components of the assessment tool exhibited improvement in reliability, with 4 (bite, needle holder use, needle angles, and hand mechanics) improving the most from poor (ICC range, 0.09-0.48) to strong (ICC range, 0.80-0.90) agreement. After training, inter-rater reliabilities for composite scores improved from moderate (ICC, 0.76) to strong (ICC, 0.90) agreement, and for overall pass/fail ratings, from poor (kappa = 0.20) to moderate (kappa = 0.78) agreement.Conclusions Focused, video-based anchor training facilitates greater inter-rater reliability in the objective assessment of simulated coronary anastomoses. Among raters with less teaching experience, such training may be needed before objective evaluation of technical skills.
AB - Objective Previous work has demonstrated high inter-rater reliability in the objective assessment of simulated anastomoses among experienced educators. We evaluated the inter-rater reliability of less-experienced educators and the impact of focused training with a video-embedded coronary anastomosis assessment tool.Results All components of the assessment tool exhibited improvement in reliability, with 4 (bite, needle holder use, needle angles, and hand mechanics) improving the most from poor (ICC range, 0.09-0.48) to strong (ICC range, 0.80-0.90) agreement. After training, inter-rater reliabilities for composite scores improved from moderate (ICC, 0.76) to strong (ICC, 0.90) agreement, and for overall pass/fail ratings, from poor (kappa = 0.20) to moderate (kappa = 0.78) agreement.Conclusions Focused, video-based anchor training facilitates greater inter-rater reliability in the objective assessment of simulated coronary anastomoses. Among raters with less teaching experience, such training may be needed before objective evaluation of technical skills.
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U2 - 10.1016/j.jtcvs.2014.09.017
DO - 10.1016/j.jtcvs.2014.09.017
M3 - Article
C2 - 25308119
AN - SCOPUS:84920024046
VL - 148
SP - 2491-2496.e2
JO - Journal of Thoracic and Cardiovascular Surgery
JF - Journal of Thoracic and Cardiovascular Surgery
SN - 0022-5223
IS - 6
ER -