Development and initial validation of an instrument for video-based assessment of technical skill in ERCP.
The accurate measurement of technical skill in ERCP is essential for endoscopic training, quality assurance, and coaching of this procedure. Hypothesizing that technical skill can be measured by analysis of ERCP videos, we aimed to develop and validate a video-based ERCP skill assessment tool. Based...
| Publicado en: | Gastrointestinal Endoscopy Vol. 93; no. 4; pp. 914 - 924 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Apr2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149312597&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149312597 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00165107 4A9 jtl: Gastrointestinal Endoscopy issn: 00165107 maglogo: N pubinfo: dt: Apr2021 vid: 93 iid: 4 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 149312597 149312597 149312597 10.1016/j.gie.2020.07.055 149312597 ppf: 914 ppct: 10 formats: tig: atl: Development and initial validation of an instrument for video-based assessment of technical skill in ERCP. aug: au: Elmunzer, B. Joseph Walsh, Catharine M. Guiton, Gretchen Serrano, Jose Chak, Amitabh Edmundowicz, Steven Kwon, Richard S. Mullady, Daniel Papachristou, Georgios I. Elta, Grace Baron, Todd H. Yachimski, Patrick Fogel, Evan L. Draganov, Peter V. Taylor, Jason R. Scheiman, James Singh, Vikesh K. Varadarajulu, Shyam Willingham, Field F. Cote, Gregory A. affil: Division of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, South Carolina, USA sug: subj: Instrument Construction Instrument Validation Cholangiopancreatography, Endoscopic Retrograde Videorecording Clinical Assessment Tools Clinical Competence Evaluation Human Validation Studies Reliability and Validity Delphi Technique ab: The accurate measurement of technical skill in ERCP is essential for endoscopic training, quality assurance, and coaching of this procedure. Hypothesizing that technical skill can be measured by analysis of ERCP videos, we aimed to develop and validate a video-based ERCP skill assessment tool. Based on review of procedural videos, the task of ERCP was deconstructed into its basic components by an expert panel that developed an initial version of the Bethesda ERCP Skill Assessment Tool (BESAT). Subsequently, 2 modified Delphi panels and 3 validation exercises were conducted with the goal of iteratively refining the tool. Fully crossed generalizability studies investigated the contributions of assessors, ERCP performance, and technical elements to reliability. Twenty-nine technical elements were initially generated from task deconstruction. Ultimately, after iterative refinement, the tool comprised 6 technical elements and 11 subelements. The developmental process achieved consistent improvements in the performance characteristics of the tool with every iteration. For the most recent version of the tool, BESAT-v4, the generalizability coefficient (a reliability index) was.67. Most variance in BESAT scores (43.55%) was attributed to differences in endoscopists' skill, indicating that the tool can reliably differentiate between endoscopists based on video analysis. Video-based assessment of ERCP skill appears to be feasible with a novel instrument that demonstrates favorable validity evidence. Future steps include determining whether the tool can discriminate between endoscopists of varying experience levels and predict important outcomes in clinical practice. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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