Journal article
Construct validity of a novel, objective evaluation tool for the basics of open laparotomy training using a simulated model
The American journal of surgery, Vol.214(1), pp.152-157
Jul 2017
PMID: 28501285
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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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Details
- Title
- Construct validity of a novel, objective evaluation tool for the basics of open laparotomy training using a simulated model
- Creators
- Lawrence Greenawald - Drexel UniversityJorge Uribe - Drexel UniversityFaiz Shariff - Drexel UniversityMashaal Syed - Drexel UniversityMohammad Shaikh - Drexel UniversityBarry Mann - Lankenau Medical CenterChristopher Pezzi - Abington Memorial HospitalRichard Damewood - WellSpan York HospitalPatricia A. Shewokis - Drexel UniversityAndres Castellanos - Drexel UniversityDavid Scott Lind - Drexel University
- Publication Details
- The American journal of surgery, Vol.214(1), pp.152-157
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Nutrition Sciences
- Identifiers
- 991019167819404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery