Evaluation of an instrument to assess resident surgical entrustable professional activities (SEPAs).
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
18
04
2019
revised:
09
08
2019
accepted:
26
08
2019
pubmed:
19
9
2019
medline:
21
8
2020
entrez:
19
9
2019
Statut:
ppublish
Résumé
The purpose of this study was to examine the reliability and the validity of the new surgical entrustable professional activities (SEPAs) instruments. A prospective evaluation of six procedure-specific SEPAs instruments derived from the validated OPRS evaluation tools was conducted in 2018. Each instrument includes an open-ended feedback item and a series of Likert-Scale rating items. Attending, resident and a constant 3rd surgeon-observer completed the same evaluation for the observed case within 3 days of each evaluated operation. 40 cases performed by 10 residents and 11 attending surgeons were observed and evaluated. The SEPAs instruments were supported by strong validity evidence. Factor analysis revealed three latent variables are consistent with the core construct of SEPAs instrument. Internal reliability was high with Cronbach's α ranging from 0.84 to 0.94 across the six procedures. Test-retest reliability varied from 0.74 to 0.93 in the study sample. The SEPAs instruments are reliable and valid tools for assessment of crucial aspects of resident learning and surgical entrustable professional activities that lead to entrustment and eventually surgical autonomy.
Sections du résumé
BACKGROUND
The purpose of this study was to examine the reliability and the validity of the new surgical entrustable professional activities (SEPAs) instruments.
METHODS
A prospective evaluation of six procedure-specific SEPAs instruments derived from the validated OPRS evaluation tools was conducted in 2018. Each instrument includes an open-ended feedback item and a series of Likert-Scale rating items. Attending, resident and a constant 3rd surgeon-observer completed the same evaluation for the observed case within 3 days of each evaluated operation.
RESULTS
40 cases performed by 10 residents and 11 attending surgeons were observed and evaluated. The SEPAs instruments were supported by strong validity evidence. Factor analysis revealed three latent variables are consistent with the core construct of SEPAs instrument. Internal reliability was high with Cronbach's α ranging from 0.84 to 0.94 across the six procedures. Test-retest reliability varied from 0.74 to 0.93 in the study sample.
CONCLUSIONS
The SEPAs instruments are reliable and valid tools for assessment of crucial aspects of resident learning and surgical entrustable professional activities that lead to entrustment and eventually surgical autonomy.
Identifiants
pubmed: 31526512
pii: S0002-9610(19)30564-1
doi: 10.1016/j.amjsurg.2019.08.026
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4-7Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.