Open thoracotomy procedural competency: validity study of teaching and assessment modalities

Annals of Emergency Medicine
D M ChapmanS H Cavanaugh

Abstract

To determine (1) reliability and validity estimates of three modalities used to assess open thoracotomy procedural competency and (2) the effect of computer practice on procedural performance as measured by the three assessment modalities. An experimental, sequential assessment design with volunteer examinees completing all three assessment modalities (paper, computer, pig model) was implemented at the animal support facilities of a university medical school with an affiliated emergency medicine residency program. Level of physician training (student, resident, faculty) and type of computer practice (thoracotomy, cricothyrotomy) were independent variables. Procedural competency scores were determined for each modality; scores were defined in terms of performance time and performance accuracy for three thoracotomy procedures (opening the chest, pericardiotomy, and aortic cross-clamping). Thoracotomy performance on the pig reliably discriminated among examinees known to differ in level of training. However, computer simulation performance did not significantly differ among examinees with different levels of training. Computer simulation practice significantly improved later performance on the computer assessment (P < .05) but not...Continue Reading

References

Nov 1, 1992·Academic Medicine : Journal of the Association of American Medical Colleges·L R Powers, S K Draeger
Feb 5, 1992·JAMA : the Journal of the American Medical Association·M I Resnick
Dec 1, 1990·Academic Medicine : Journal of the Association of American Medical Colleges·T F Gabryel, M A Brierley
Mar 1, 1990·Annals of Emergency Medicine·M S Nelson
Apr 1, 1989·Academic Medicine : Journal of the Association of American Medical Colleges·N C Bruce
Jun 1, 1981·American Journal of Public Health·J E WareK N Lohr

❮ Previous
Next ❯

Citations

Oct 18, 2000·The Journal of Emergency Medicine·D P Davis
Dec 14, 1999·The Journal of Emergency Medicine·C J Denny, D Kollek
Apr 1, 2007·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Ernest E WangAbra Berg
Aug 5, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S R Hayden, E A Panacek
Nov 18, 2008·Annales Françaises D'anesthèsie Et De Rèanimation·M BenkhadraM Freysz
Jul 30, 2011·American Journal of Surgery·Kamran AhmedGeorge B Hanna
Aug 30, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Richard L Lammers
Oct 3, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Richard L LammersWalter C Robey
Jan 3, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·James Kimo TakayesuChad Kessler
Sep 13, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ernest E WangLamont Clay
Oct 25, 2014·World Journal of Surgery·Lindsay M FairfaxIan D Civil
Feb 14, 2002·The Journal of Surgical Research·Ilkka HeleniusVille Remes
Jun 15, 2011·Scottish Medical Journal·Shaun Shi Yan Tan, Sudip K Sarker
Apr 7, 2007·Anesthesiology·John E Tetzlaff
Jan 9, 2020·The Western Journal of Emergency Medicine·Emily S BinstadtJessie G Nelson
Oct 25, 2014·Critical Care Medicine·P Kristina KhandujaSylvain Boet
Sep 25, 2020·The Western Journal of Emergency Medicine·Danielle T MillerDavid H Salzman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
P P McKeownA A Adgey
Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society
R Rabinovici
Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES
Tevfik Ilker AkçamUfuk Cağırıcı
© 2021 Meta ULC. All rights reserved