A Surgical Skills Assessment Rubric for Pterygium Surgery

A Surgical Skills Assessment Rubric for Pterygium Surgery Publisher Pubmed

Zareighanavati M¹ ; Ghassemi H¹ ; Salabati M¹ ; Mahmoudzadeh R¹ ; Liu C^{2, 3, 4} ; Daniell M^{5, 6} ; Huang AJW⁷ ; Kheirkhah A⁸ ; Djalilian AR⁹

Show Affiliations

1. Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
2. Sussex Eye Hospital, Brighton, United Kingdom
3. Brighton and Sussex Medical School, Brighton, United Kingdom
4. Tongdean Eye Clinic, Hove, United Kingdom
5. Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Australia
6. Ophthalmology, Department of Surgery, University of Melbourne, Melbourne, Australia
7. Ophthalmology and Visual Sciences, Washington University, St Louis, MO, United States
8. Department of Ophthalmology, University of Texas Health Sciences Center, San Antonio, TX, United States
9. Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL, United States

Source: Ocular Surface Published:2020

Abstract

Purpose: To introduce an assessment tool (rubric) for evaluating ophthalmology residents’ competency in pterygium surgery. Methods: A panel of experienced international surgeons collaborated and developed the rubric. After describing various stages of the procedure, the Dreyfus scale of skill acquisition was used for scoring each stage. After finalizing the rubric, two surgeons independently evaluated 20 masked pterygium surgery videos of 10 residents and scored the videos according to the rubric. The agreement between the scores of them was examined with the intra-class correlation coefficient test. Results: This rubric divides pterygium surgery into 13 different stages and covers the two most common techniques of pterygium surgery; conjunctival autograft and amniotic membrane transplant. The rubric showed face and content validity. Overall, an intraclass correlation coefficient of 0.90 (95% confidence interval 0.76–0.96, P < 0.001) was achieved between the two surgeons. The residents scored significantly higher on surgeries performed later in their rotation compared to the earlier surgeries (4.32 ± 0.35 vs 3.96 ± 0.31, P = 0.006). Certain stages of pterygium surgery were more strongly correlated with the residents’ past pterygium surgical experience. Conclusion: This study introduces an international rubric for assessing competency in pterygium surgery. In addition to face and content validity, this rubric shows high inter-rater reliability. This may be a useful tool for teaching and measuring competency in pterygium surgery. © 2020

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Style	Citing Format
MLA	Zareighanavati M, et al.. "A Surgical Skills Assessment Rubric for Pterygium Surgery." Ocular Surface, vol. 18, no. 3, 2020, pp. 494-498.
APA	Zareighanavati M, Ghassemi H, Salabati M, Mahmoudzadeh R, Liu C, Daniell M, Huang AJW, Kheirkhah A, Djalilian AR (2020). A Surgical Skills Assessment Rubric for Pterygium Surgery. Ocular Surface, 18(3), 494-498.
Chicago	Zareighanavati M, Ghassemi H, Salabati M, Mahmoudzadeh R, Liu C, Daniell M, Huang AJW, Kheirkhah A, Djalilian AR. "A Surgical Skills Assessment Rubric for Pterygium Surgery." Ocular Surface 18, no. 3 (2020): 494-498.
Harvard	Zareighanavati M et al. (2020) 'A Surgical Skills Assessment Rubric for Pterygium Surgery', Ocular Surface, 18(3), pp. 494-498.
Vancouver	Zareighanavati M, Ghassemi H, Salabati M, Mahmoudzadeh R, Liu C, Daniell M, et al.. A Surgical Skills Assessment Rubric for Pterygium Surgery. Ocular Surface. 2020;18(3):494-498.
BibTex	@article{ author = {Zareighanavati M and Ghassemi H and Salabati M and Mahmoudzadeh R and Liu C and Daniell M and Huang AJW and Kheirkhah A and Djalilian AR}, title = {A Surgical Skills Assessment Rubric for Pterygium Surgery}, journal = {Ocular Surface}, volume = {18}, number = {3}, pages = {494-498}, year = {2020} }
RIS	TY - JOUR AU - Zareighanavati M AU - Ghassemi H AU - Salabati M AU - Mahmoudzadeh R AU - Liu C AU - Daniell M AU - Huang AJW AU - Kheirkhah A AU - Djalilian AR TI - A Surgical Skills Assessment Rubric for Pterygium Surgery JO - Ocular Surface VL - 18 IS - 3 SP - 494 EP - 498 PY - 2020 ER -

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