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Construct validity of a novel, objective evaluation tool for the basics of open laparotomy training using a simulated model
Journal article   Peer reviewed

Construct validity of a novel, objective evaluation tool for the basics of open laparotomy training using a simulated model

Lawrence Greenawald, Jorge Uribe, Faiz Shariff, Mashaal Syed, Mohammad Shaikh, Barry Mann, Christopher Pezzi, Richard Damewood, Patricia A. Shewokis, Andres Castellanos, …
The American journal of surgery, v 214(1), pp 152-157
Jul 2017
PMID: 28501285

Abstract

Construct validity Laparotomy Resident education Simulation
We describe initial success in designing and implementing an objective evaluation for opening and closing a simulated abdomen. (1) An assessment for laparotomy was created using peer-reviewed literature, texts, and the input of academic surgeons nationally; (2) the assessment was evaluated for construct validity, comparing the videotaped performance of laparotomy by surgical experts and novices on a viscoelastic model; and (3) the basics of open laparotomy training (BOLT) curriculum was piloted with junior residents to evaluate efficacy at improving performance. Experts performed better than novices opening (.94 vs .51; P < .001), closing (.85 vs .16; P < .001), and overall performance (.88 vs .27; P < .001). Novices caused bowel injury more frequently (5 vs 1; P < .05) and took longer to open the abdomen (6:06 vs 3:43; P = .01). After completing the BOLT curriculum, novices improved for opening (1.00 vs .50; P = .014), closing (.80 vs .10; P = .014), and overall score (.87 vs .23; P = .014). We demonstrate construct validity of an evaluation tool for simulated laparotomy, and pilot efforts with the BOLT curriculum have shown promise.

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Collaboration types
Domestic collaboration
Web of Science research areas
Surgery
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