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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Reliable and Valid Assessment of Clinical Bronchoscopy Performance

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  1. Developing and Gathering Validity Evidence for a Simulation-Based Test of Competencies in Lung Ultrasound

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  2. Development of and Gathering Validity Evidence for a Theoretical Test in Thoracic Ultrasound

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  3. Endoscopic Ultrasound with Bronchoscope-Guided Fine Needle Aspiration for the Diagnosis of Paraesophageally Located Lung Lesions

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  4. Ensuring Basic Competence in Thoracentesis

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  1. Association between head and neck cancer and sexually transmitted diseases: a Danish nationwide, case-control study

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  2. Circulating tumour DNA alterations as biomarkers for head and neck cancer: a systematic review

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  3. Maintaining Competence in Airway Management

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  4. The current epidemic of HPV-associated oropharyngeal cancer: An 18-year Danish population-based study with 2,169 patients

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Background: There have been several attempts to systematically assess performance in bronchoscopy. Earlier validation studies have used bronchoscopy simulators, not real-life performance in patients. Objectives: The aim of this study was to explore the reliability and validity of an assessment tool aimed for the use in a clinical setting. Methods: Five junior residents, 5 senior residents and 9 consultants performed 3 bronchoscopies each. All 57 bronchoscopies were video-recorded and assessed blindly and independently by two bronchoscopy experts using the new assessment tool. Results: The interrater reliability was high, with Cronbach's α = 0.86. Assessment of 3 bronchoscopies by a single rater had a generalizability coefficient of 0.84. The correlation between experience and performance was good (Pearson correlation = 0.76). There were significant differences between the groups for all aspects of the assessment, but post hoc tests showed different discriminative abilities. Conclusions: This new tool for assessing clinical bronchoscopy performance has a high interrater reliability. One rater assessing performance of 3 bronchoscopies ensures sufficient reliability. The assessment tool demonstrated sufficient construct validity.
Original languageEnglish
JournalRespiration
Volume83
Issue number1
Pages (from-to)53-60
Number of pages8
ISSN0025-7931
DOIs
Publication statusPublished - 2012

ID: 33150190