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Objective assessment of vaginal surgical skills.

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Date
2010-07
Authors
Chen, Chi Chiung Grace
Korn, Abner
Klingele, Christopher
Barber, Matthew D
Paraiso, Marie Fidela R
Walters, Mark D
Jelovsek, J Eric
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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 article
Subject
Clinical Competence
Education, Medical, Graduate
Female
Gynecology
Humans
Hysterectomy, Vaginal
Observer Variation
Pain Measurement
Retrospective Studies
Students, Medical
Vagina
Videotape Recording
Permalink
https://hdl.handle.net/10161/15391
Published Version (Please cite this version)
10.1016/j.ajog.2010.01.072
Publication 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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Scholars@Duke

Barber

Matthew Don Barber

W. Allen Addison, M.D. Distinguished Professor of Obstetrics and Gynecology
Jelovsek

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
Alphabetical list of authors with Scholars@Duke profiles.
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