A surgical skills assessment rubric for pterygium surgery
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 ...
This study focuses on the development and validation of a rubric for assessing the competency of ophthalmology residents in performing pterygium surgery. The rubric was created by a panel of experienced surgeons who identified 13 critical stages in the surgical procedure. Each stage was evaluated using the Dreyfus scale, which assesses skill levels from novice to expert. This approach allowed for a comprehensive evaluation of residents' surgical skills, providing a structured framework for feedback and improvement.
The validation process involved two independent surgeons who used the rubric to evaluate 20 masked videos of surgeries performed by 10 residents. The results demonstrated high inter-rater reliability, with an intraclass correlation coefficient of 0.90. This indicates that the rubric is consistent and reliable when used by different evaluators. Furthermore, the study found that residents scored higher on surgeries performed later in their training, suggesting that the rubric effectively captures improvements in surgical skills over time. This temporal improvement supports the rubric's validity as a tool for measuring learning and skill acquisition.
The study concludes that the developed rubric is a valuable tool for teaching and assessing competency in pterygium surgery among ophthalmology residents. By providing a standardized method for evaluating surgical performance, the rubric helps ensure that residents meet the necessary standards for safe and effective practice. It also offers a framework for targeted feedback and skill development, which is crucial for improving surgical outcomes and patient care. Overall, the study contributes to the field of surgical education by offering a reliable and effective assessment tool for a specific surgical procedure.
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