Assessment of competence in video-assisted thoracoscopic surgery lobectomy: A Danish nationwide study

The Journal of Thoracic and Cardiovascular Surgery
René Horsleben PetersenLars Konge

Abstract

Competence in video-assisted thoracoscopic surgery lobectomy has previously been established on the basis of numbers of procedures performed, but this approach does not ensure competence. Specific assessment tools, such as the newly developed video-assisted thoracoscopic surgery lobectomy assessment tool, allow for structured and objective assessment of competence. Our aim was to provide validity evidence for the video-assisted thoracoscopic surgery lobectomy assessment tool. Video recordings of 60 video-assisted thoracoscopic surgery lobectomies performed by 18 thoracic surgeons were rated using the video-assisted thoracoscopic surgery lobectomy assessment tool. All 4 centers of thoracic surgery in Denmark participated in the study. Two video-assisted thoracoscopic surgery experts rated the videos. They were blinded to surgeon and center. The total internal consistency reliability Cronbach's alpha was 0.93. Inter-rater reliability between the 2 raters was Pearson's r = 0.71 (P < .001). The mean video-assisted thoracoscopic surgery lobectomy assessment tool scores for the 10 procedures performed by beginners were 22.1 (standard deviation [SD], 8.6) for the 28 procedures performed by the intermediate surgeons, 31.2 (SD, 4.4), an...Continue Reading

Citations

Dec 1, 2018·Interactive Cardiovascular and Thoracic Surgery·Takuro MiyazakiAlessandro Brunelli
Jan 28, 2019·The Journal of Thoracic and Cardiovascular Surgery·Megan F HuntStephen C Yang
Feb 4, 2019·The Journal of Thoracic and Cardiovascular Surgery·Nandita Nettu Mahajan, Shanda H Blackmon

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