Surgical Education, Simulation, and Simulators-Updating the Concept of Validity

Current Urology Reports
Mitchell Goldenberg, Jason Y Lee

Abstract

Competency-based medical education (CBME) is rooted in the use of iterative assessments. We must ensure that the assessments used in CBME are valid, to make acceptable and accurate decisions regarding the competency of a trainee. Until recently, much of the educational and assessment literature in urology have used a now-outdated method of determining validity, based on theory and recommendations from over 50 years ago. We describe a contemporary approach to gathering construct validity evidence for the assessment of urologic trainees, for use in both clinical and simulation environments. Five sources of evidence make up Messick's contemporary framework of validity: test content, response process, internal structure, relationship to other variables, and consequences. These are all components of construct validation and concern the accuracy, quality, reproducibility, generalizability, and wider impact of the scores generated by an assessment, respectively. When deciding the competency of a trainee, program directors and educators must have a clear understanding of how the validity is established and is determined in each assessment context. The contextual specificity of validity means that stakeholders must be prepared to defend...Continue Reading

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Citations

May 17, 2019·Nature Reviews. Urology·S Larry GoldenbergSeptimiu E Salcudean
Jun 25, 2019·Anatomical Sciences Education·Davida A RobinsonPeter A Knight
Nov 2, 2019·Prenatal Diagnosis·Nisarat PhithakwatcharaTuangsit Wataganara
Dec 19, 2019·Journal of Evaluation in Clinical Practice·Rylan EganBrent Thoma
Nov 20, 2019·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Gerald B SchulzAlexander Karl
Aug 19, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Romain CorroennePierre-Emmanuel Bouet
May 28, 2019·Journal of Medical Systems·Ilaria SoaveRoberto Marci
Feb 4, 2021·Journal of Endourology·Rikke Groth OlsenSarah Hjartbro Bube
Dec 29, 2020·Journal of Dental Education·Loulwa M Al-Saud
Mar 14, 2021·Current Urology Reports·Runzhuo MaAndrew J Hung
Aug 25, 2021·Computers in Biology and Medicine·Sami AlkadriRolando F Del Maestro

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