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Reliable and Valid Assessment of Clinical Bronchoscopy Performance

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@article{36604d7e8b2846159b7b44b2584ab73b,
title = "Reliable and Valid Assessment of Clinical Bronchoscopy Performance",
abstract = "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.",
author = "Lars Konge and Larsen, {Klaus Richter} and Paul Clementsen and Henrik Arendrup and {von Buchwald}, Christian and Charlotte Ringsted",
note = "Copyright {\circledC} 2011 S. Karger AG, Basel.",
year = "2012",
doi = "10.1159/000330061",
language = "English",
volume = "83",
pages = "53--60",
journal = "Respiration (English Edition)",
issn = "0025-7931",
publisher = "S./Karger AG",
number = "1",

}

RIS

TY - JOUR

T1 - Reliable and Valid Assessment of Clinical Bronchoscopy Performance

AU - Konge, Lars

AU - Larsen, Klaus Richter

AU - Clementsen, Paul

AU - Arendrup, Henrik

AU - von Buchwald, Christian

AU - Ringsted, Charlotte

N1 - Copyright © 2011 S. Karger AG, Basel.

PY - 2012

Y1 - 2012

N2 - 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.

AB - 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.

U2 - 10.1159/000330061

DO - 10.1159/000330061

M3 - Journal article

VL - 83

SP - 53

EP - 60

JO - Respiration (English Edition)

JF - Respiration (English Edition)

SN - 0025-7931

IS - 1

ER -

ID: 33150190