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

Publication ,  Conference
Park, AJ; Barber, MD; Bent, AE; Dooley, YT; Dancz, C; Sutkin, G; Jelovsek, JE
Published in: Am J Obstet Gynecol
September 2010

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.

Duke Scholars

Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

September 2010

Volume

203

Issue

3

Start / End Page

240.e1 / 240.e6

Location

United States

Related Subject Headings

  • United States
  • Reproducibility of Results
  • Prospective Studies
  • Obstetrics & Reproductive Medicine
  • Obstetrics
  • Judgment
  • Intraoperative Period
  • Internship and Residency
  • Humans
  • Gynecology
 

Citation

APA
Chicago
ICMJE
MLA
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Park, A. J., Barber, M. D., Bent, A. E., Dooley, Y. T., Dancz, C., Sutkin, G., & Jelovsek, J. E. (2010). Assessment of intraoperative judgment during gynecologic surgery using the Script Concordance Test. In Am J Obstet Gynecol (Vol. 203, pp. 240.e1-240.e6). United States. https://doi.org/10.1016/j.ajog.2010.04.010
Park, Amy J., Matthew D. Barber, Alfred E. Bent, Yashika T. Dooley, Christina Dancz, Gary Sutkin, and J Eric Jelovsek. “Assessment of intraoperative judgment during gynecologic surgery using the Script Concordance Test.” In Am J Obstet Gynecol, 203:240.e1-240.e6, 2010. https://doi.org/10.1016/j.ajog.2010.04.010.
Park AJ, Barber MD, Bent AE, Dooley YT, Dancz C, Sutkin G, et al. Assessment of intraoperative judgment during gynecologic surgery using the Script Concordance Test. In: Am J Obstet Gynecol. 2010. p. 240.e1-240.e6.
Park, Amy J., et al. “Assessment of intraoperative judgment during gynecologic surgery using the Script Concordance Test.Am J Obstet Gynecol, vol. 203, no. 3, 2010, pp. 240.e1-240.e6. Pubmed, doi:10.1016/j.ajog.2010.04.010.
Park AJ, Barber MD, Bent AE, Dooley YT, Dancz C, Sutkin G, Jelovsek JE. Assessment of intraoperative judgment during gynecologic surgery using the Script Concordance Test. Am J Obstet Gynecol. 2010. p. 240.e1-240.e6.
Journal cover image

Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

September 2010

Volume

203

Issue

3

Start / End Page

240.e1 / 240.e6

Location

United States

Related Subject Headings

  • United States
  • Reproducibility of Results
  • Prospective Studies
  • Obstetrics & Reproductive Medicine
  • Obstetrics
  • Judgment
  • Intraoperative Period
  • Internship and Residency
  • Humans
  • Gynecology