Duration of Faculty Training Needed to Ensure Reliable OR Performance Ratings

作者：George Brian C^*; Teitelbaum Ezra N; DaRosa Debra A; Hungness Eric S; Meyerson Shari L; Fryer Jonathan P; Schuller Mary; Zwischenberger Joseph B

来源：Journal of Surgical Education, 2013, 70(6): 703-708.

DOI：10.1016/j.jsurg.2013.06.015

• frame-of-reference training
• rater training
• faculty development
• measurement
• evaluation
• surgical education

OBJECTIVES: The American Board of Surgery has mandated intraoperative assessment of general surgery residents, yet the time required to train faculty to accurately and reliably complete operating room performance evaluation forms is unknown. Outside of surgical education, frame-of-reference (FOR) training has been shown to be an effective training modality to teach raters the specific performance indicators associated with each point on a rating scale. Little is known, however, about what form and duration of FOR training is needed to accomplish reliable ratings among surgical faculty. %26lt;br%26gt;DESIGN: Two groups of surgical faculty separately underwent either an accelerated 1-hour (n = 10) or immersive four-hour (n = 34) FOR faculty development program. Both programs included a formal presentation and a facilitated discussion of sample behaviors for each point on the Zwisch operating room performance rating scale (see DaRosa et al.(8)). The immersive group additionally participated in a small group exercise that included additional practice. After training, both groups were tested using 10 video clips of trainees at various levels. Responses were scored against expert consensus rating. The 2-sided Mann-Whitney U test was used to compare between group means. %26lt;br%26gt;SETTING AND PARTICIPANTS: All trainees were faculty members in the Department of Surgery of a large mid-western private medical school. %26lt;br%26gt;RESULTS: Faculty undergoing the 1-hour FOR training program did not have a statistically different mean correct response rate on the video test when compared with those undergoing the 4-hour training program (88% vs 80%; p = 0.07). %26lt;br%26gt;CONCLUSIONS: One-hour FOR training sessions are likely sufficient to train surgical faculty to reliably use a simple evaluation instrument for the assessment of intraoperative performance. Additional research is needed to determine how these results generalize to different assessment instruments.

• 出版日期2013-12
• 单位西北大学