Assessment of intraoperative judgment during gynecologic surgery using the Script Concordance Test.

Conference Paper

OBJECTIVE: We sought to develop a valid, reliable assessment of intraoperative judgment by residents during gynecologic surgery based on Script Concordance Theory. STUDY DESIGN: This was a multicenter prospective study involving 5 obstetrics and gynecology residency programs. Surgeons from each site generated case scenarios based on common gynecologic procedures. Construct validity was evaluated by correlating scores to training level, in-service examinations, and surgical skill and experience using a Global Rating Scale of Operative Performance and case volumes. RESULTS: A final test that included 42 case scenarios was administered to 75 residents. Internal consistency (Cronbach alpha = 0.73) and test-retest reliability (Lin correlation coefficient = 0.76) were good. There were significant differences between test scores and training levels (P = .002) and test scores correlated with in-service examination scores (r = 0.38; P = .001). There was no association between test scores and total number of cases or technical skills. CONCLUSION: The Script Concordance Test appears to be a reliable, valid assessment tool for intraoperative decision-making during gynecologic surgery.

Full Text

Duke Authors

Cited Authors

  • Park, AJ; Barber, MD; Bent, AE; Dooley, YT; Dancz, C; Sutkin, G; Jelovsek, JE

Published Date

  • September 2010

Published In

Volume / Issue

  • 203 / 3

Start / End Page

  • 240.e1 - 240.e6

PubMed ID

  • 20494330

Electronic International Standard Serial Number (EISSN)

  • 1097-6868

Digital Object Identifier (DOI)

  • 10.1016/j.ajog.2010.04.010

Conference Location

  • United States