Development and evaluation of a virtual knowledge assessment tool for transanal total mesorectal excision View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2022-05-03

AUTHORS

Hamzeh Naghawi, Johnny Chau, Amin Madani, Pepa Kaneva, John Monson, Carmen Mueller, Lawrence Lee

ABSTRACT

BackgroundTransanal total mesorectal excision (TATME) is difficult to learn and can result in serious complications. Current paradigms for assessing performance and competency may be insufficient. This study aims to develop and provide preliminary validity evidence for a TATME virtual assessment tool (TATME-VAT) to assess the cognitive skills necessary to safely complete TATME dissection.MethodsParticipants from North America, Europe, Japan and China completed the test via an interactive online platform between 11/2019 and 05/2020. They were grouped into expert, experienced and novice surgeons depending on the number of independently performed TATMEs. TATME-VAT is a 24-item web-based assessment evaluating advanced cognitive skills, designed according to a blueprint from consensus guidelines. Eight items were multiple choice questions. Sixteen items required making annotations on still frames of TATME videos (VCT) and were scored using a validated algorithm derived from experts’ responses. Annotation (range 0–100), multiple choice (range 0–100), and overall scores (sum of annotation and multiple-choice scores, normalized to μ = 50 and σ = 10) were reported.ResultsThere were significant differences between the expert, experienced, and novice groups for the annotation (p < 0.001), multiple-choice (p < 0.001), and overall scores (p < 0.001). The annotation (p = 0.439) and overall (p = 0.152) scores were similar between the experienced and novice groups. Annotation scores were higher in participants with 51 or more vs. 30–50 vs. less than 30 cases. Scores were also lower in users with a self-reported recent complication vs. those without.ConclusionsThis study describes the development of an interactive video-based virtual assessment tool for TATME dissection and provides initial validity evidence for its use. More... »

PAGES

551-560

References to SciGraph publications

  • 2013-03-22. A new solution to some old problems: transanal TME in TECHNIQUES IN COLOPROCTOLOGY
  • 2017-04-07. We need more replication research – A case for test-retest reliability in PERSPECTIVES ON MEDICAL EDUCATION
  • 2018-03-22. Transanal total mesorectal excision for rectal cancer: evaluation of the learning curve in TECHNIQUES IN COLOPROCTOLOGY
  • 2017-12-12. St.Gallen consensus on safe implementation of transanal total mesorectal excision in SURGICAL ENDOSCOPY
  • 2018-07-11. Defining the learning curve for transanal total mesorectal excision for rectal adenocarcinoma in SURGICAL ENDOSCOPY
  • 2010-02-26. NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance in SURGICAL ENDOSCOPY
  • 2017-11-06. Measuring Decision-Making During Thyroidectomy: Validity Evidence for a Web-Based Assessment Tool in WORLD JOURNAL OF SURGERY
  • 2016-05-17. Critical concepts and important anatomic landmarks encountered during transanal total mesorectal excision (taTME): toward the mastery of a new operation for rectal cancer surgery in TECHNIQUES IN COLOPROCTOLOGY
  • 2020-09-01. P338: summarizing measures of proficiency in transanal total mesorectal excision—a systematic review in SURGICAL ENDOSCOPY
  • 2017-05-01. Consensus on structured training curriculum for transanal total mesorectal excision (TaTME) in SURGICAL ENDOSCOPY
  • 2016-03-25. First international training and assessment consensus workshop on transanal total mesorectal excision (taTME) in TECHNIQUES IN COLOPROCTOLOGY
  • 2020-02-28. Experience beyond the learning curve of transanal total mesorectal excision (taTME) and its effect on the incidence of anastomotic leak in TECHNIQUES IN COLOPROCTOLOGY
  • 2016-07-13. Measuring intra-operative decision-making during laparoscopic cholecystectomy: validity evidence for a novel interactive Web-based assessment tool in SURGICAL ENDOSCOPY
  • 2016-11-16. Clinical outcomes and case volume effect of transanal total mesorectal excision for rectal cancer: a systematic review in TECHNIQUES IN COLOPROCTOLOGY
  • 2019-03-19. Structured training pathway and proctoring; multicenter results of the implementation of transanal total mesorectal excision (TaTME) in the Netherlands in SURGICAL ENDOSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10151-022-02621-0

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    http://dx.doi.org/10.1007/s10151-022-02621-0

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/35503143


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    30 schema:description BackgroundTransanal total mesorectal excision (TATME) is difficult to learn and can result in serious complications. Current paradigms for assessing performance and competency may be insufficient. This study aims to develop and provide preliminary validity evidence for a TATME virtual assessment tool (TATME-VAT) to assess the cognitive skills necessary to safely complete TATME dissection.MethodsParticipants from North America, Europe, Japan and China completed the test via an interactive online platform between 11/2019 and 05/2020. They were grouped into expert, experienced and novice surgeons depending on the number of independently performed TATMEs. TATME-VAT is a 24-item web-based assessment evaluating advanced cognitive skills, designed according to a blueprint from consensus guidelines. Eight items were multiple choice questions. Sixteen items required making annotations on still frames of TATME videos (VCT) and were scored using a validated algorithm derived from experts’ responses. Annotation (range 0–100), multiple choice (range 0–100), and overall scores (sum of annotation and multiple-choice scores, normalized to μ = 50 and σ = 10) were reported.ResultsThere were significant differences between the expert, experienced, and novice groups for the annotation (p < 0.001), multiple-choice (p < 0.001), and overall scores (p < 0.001). The annotation (p = 0.439) and overall (p = 0.152) scores were similar between the experienced and novice groups. Annotation scores were higher in participants with 51 or more vs. 30–50 vs. less than 30 cases. Scores were also lower in users with a self-reported recent complication vs. those without.ConclusionsThis study describes the development of an interactive video-based virtual assessment tool for TATME dissection and provides initial validity evidence for its use.
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    37 BackgroundTransanal total mesorectal excision
    38 China
    39 ConclusionsThis study
    40 Europe
    41 Japan
    42 MethodsParticipants
    43 North America
    44 ResultsThere
    45 TaTME
    46 advanced cognitive skills
    47 algorithm
    48 annotation
    49 annotation scores
    50 assessment
    51 assessment tool
    52 blueprint
    53 cases
    54 choice
    55 choice questions
    56 cognitive skills
    57 competencies
    58 complications
    59 consensus guidelines
    60 current paradigm
    61 development
    62 differences
    63 dissection
    64 evaluation
    65 evidence
    66 excision
    67 experts
    68 frame
    69 group
    70 guidelines
    71 initial validity evidence
    72 interactive online platform
    73 items
    74 knowledge assessment tool
    75 mesorectal excision
    76 multiple choice
    77 multiple-choice questions
    78 novice group
    79 novice surgeons
    80 number
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    82 overall score
    83 paradigm
    84 participants
    85 performance
    86 platform
    87 preliminary validity evidence
    88 questions
    89 recent complications
    90 response
    91 scores
    92 serious complications
    93 significant differences
    94 skills
    95 study
    96 surgeons
    97 test
    98 tool
    99 total mesorectal excision
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    101 use
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    107 schema:name Development and evaluation of a virtual knowledge assessment tool for transanal total mesorectal excision
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