Objective assessment of vaginal surgical skills.
Abstract
OBJECTIVE: To develop and validate an instrument to assess surgical skills during
vaginal surgery. STUDY DESIGN: Trainees from 2 institutions were directly assessed
in the operating room by supervising surgeons while performing a vaginal hysterectomy
using the new Vaginal Surgical Skills Index, global rating scale, and visual analogue
scale. Trainees were assessed again by the same surgeons 4 weeks after the live surgery
and by a blinded outside reviewer using a videotape of the case. Internal consistency,
interrater and intrarater reliability, and construct validity were evaluated. RESULTS:
Two hundred twelve evaluations were analyzed on 76 surgeries from 27 trainees. There
was good internal consistency, interrater, and intrarater reliability. Vaginal Surgical
Skills Index scores correlated with global rating score and visual analog scale scores.
Increasing Vaginal Surgical Skills Index scores significantly correlated with year
of training and surgical volume with an estimated increase in score of 0.3 per hysterectomy
performed. CONCLUSION: The Vaginal Surgical Skills Index is a feasible, reliable,
and valid instrument to assess vaginal surgical skills.
Type
Journal articleSubject
Clinical CompetenceEducation, Medical, Graduate
Female
Gynecology
Humans
Hysterectomy, Vaginal
Observer Variation
Pain Measurement
Retrospective Studies
Students, Medical
Vagina
Videotape Recording
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https://hdl.handle.net/10161/15391Published Version (Please cite this version)
10.1016/j.ajog.2010.01.072Publication Info
Chen, Chi Chiung Grace; Korn, Abner; Klingele, Christopher; Barber, Matthew D; Paraiso,
Marie Fidela R; Walters, Mark D; & Jelovsek, J Eric (2010). Objective assessment of vaginal surgical skills. Am J Obstet Gynecol, 203(1). pp. 79.e1-79.e8. 10.1016/j.ajog.2010.01.072. Retrieved from https://hdl.handle.net/10161/15391.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Matthew Don Barber
W. Allen Addison, M.D. Distinguished Professor of Obstetrics and Gynecology
John E Jelovsek
F. Bayard Carter Distinguished Professor of Obstetrics and Gynecology
Dr. Jelovsek is the F. Bayard Carter Distinguished Professor of OBGYN at Duke University
and serves as Director of Data Science for Women’s Health. He is Board Certified in
OBGYN by the American Board of OBGYN and in Female Pelvic Medicine & Reconstructive
Surgery by the American Board of OBGYN and American Board of Urology. He has an active
surgical practice in urogynecology based out of Duke Raleigh. He has expertise as
a clinician-scientist in developing and evaluating clini
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