A universal global rating scale for the evaluation of technical skills in the operating room.

Am J Surg

Department of Surgery, Faculty of Medicine, University of British Columbia, 910 West 10th Avenue, Vancouver, British Columbia, Canada V5Z 4E3.

Published: May 2007

Background: The ideal assessment of technical skills should be defensible and practical. The purpose of this study was to evaluate the utility of a Global Rating Scale (GRS) Assessment tool of resident operating room performance.

Methods: Residents were assessed in the operating room on multiple occasions during a 6-month study period using a 9-item GRS. Data were analyzed to assess scale reliability and sensitivity to year of training. Feasibility was evaluated with a post-study questionnaire.

Results: Seven residents had a total of 32 procedures assessed. One-way analysis of variance (ANOVA) showed that scores increased with year of training (P = .009). Reliability was excellent. (Cronbach's alpha .91). The post-study survey identified feedback and faculty interaction as strengths of this tool, but time constraint was a barrier.

Conclusions: The GRS tool is a valid and reliable method that has the potential to be a practical, useful assessment tool of resident operating room performance.

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http://dx.doi.org/10.1016/j.amjsurg.2007.02.003DOI Listing

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