Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

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

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Short- and long-term cause of death in patients undergoing isolated coronary artery bypass grafting: A nationwide cohort study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Rarity of invasiveness in right-sided infective endocarditis

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Coronary artery disease is associated with an increased mortality rate following video-assisted thoracoscopic lobectomy

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Intrathoracic anastomotic leakage after gastroesophageal cancer resection is associated with increased risk of recurrence

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Development and validation of a multiple-choice questionnaire-based theoretical test in direct ophthalmoscopy

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Decentralized virtual reality mastoidectomy simulation training: a prospective, mixed-methods study

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Simulation-Based Training of Ultrasound-Guided Procedures in Radiology - A Systematic Review

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Consensus on technical procedures for simulation-based training in anaesthesiology: A Delphi-based general needs assessment

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Using virtual-reality simulation to ensure basic competence in hysteroscopy

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

BACKGROUND: 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.

METHODS: 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.

RESULTS: 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), and for the 20 procedures performed by experts 35.9 (SD, 2.9) (P < .001). Bonferroni post hoc tests showed that experts were significantly better than intermediates (P < .008) and beginners (P < .001). Intermediates' mean scores were significantly better than beginners (P < .001). The pass/fail standard calculated using the contrasting group's method was 31 points. One of the beginners passed, and 2 experts failed the test.

CONCLUSIONS: Validity evidence was provided for a newly developed assessment tool for video-assisted thoracoscopic surgery lobectomy (video-assisted thoracoscopic surgery lobectomy assessment tool) in a clinical setting. The discriminatory ability among expert surgeons, intermediate surgeons, and beginners proved highly significant. The video-assisted thoracoscopic surgery lobectomy assessment tool could be an important aid in the future training and certification of thoracic surgeons.

Original languageEnglish
JournalJournal of Thoracic and Cardiovascular Surgery
Volume156
Issue number4
Pages (from-to)1717-1722
Number of pages6
ISSN0022-5223
DOIs
Publication statusPublished - Oct 2018

ID: 56243182