PDF(Pubmed)
Abstract：
UNASSIGNED: This study aimed to develop and validate the OSABSS (Objective Structured Assessment of Basic Surgical Skills), a modified Objective Structured Clinical Examination (OSCE), to assess basic surgical skills in residents.
UNASSIGNED: A developmental study conducted in two phases. Basic skills were identified through literature review and gap analysis. The OSABSS was then designed as a modified OSCE.
UNASSIGNED: This study took place at Alborz University of Medical Sciences in Iran.
UNASSIGNED: The OSABSS was created using Harden\'s OSCE (Objective Structured Clinical Examination) methodology. Scenarios, checklists, and station configurations were developed through expert panels. The exam was piloted and implemented with residents as participants and faculty as evaluators.
UNASSIGNED: 32 surgical residents in gynecology, general surgery, orthopedics, and neurosurgery participated. 22 faculty members were evaluators.
UNASSIGNED: The primary outcome was OSABSS exam scores. Secondary outcomes were written exam scores, and national residency entrance ranks.
UNASSIGNED: The mean OSABSS score was 16.59 ± 0.19 across all stations. Criterion validity was demonstrated through correlations between OSABSS scores, written scores and entrance ranks. Reliability was high, with a Cronbach\'s alpha of 0.87. No significant inter-rater score differences were found.
UNASSIGNED: The rigorous OSABSS development process produced an exam demonstrating strong validity and reliability for assessing basic surgical skills. The comprehensive station variety evaluates diverse technical and non-technical competencies. Further research should expand participant samples across surgical disciplines.
UNASSIGNED: A developmental study conducted in two phases. Basic skills were identified through literature review and gap analysis. The OSABSS was then designed as a modified OSCE.
UNASSIGNED: This study took place at Alborz University of Medical Sciences in Iran.
UNASSIGNED: The OSABSS was created using Harden\'s OSCE (Objective Structured Clinical Examination) methodology. Scenarios, checklists, and station configurations were developed through expert panels. The exam was piloted and implemented with residents as participants and faculty as evaluators.
UNASSIGNED: 32 surgical residents in gynecology, general surgery, orthopedics, and neurosurgery participated. 22 faculty members were evaluators.
UNASSIGNED: The primary outcome was OSABSS exam scores. Secondary outcomes were written exam scores, and national residency entrance ranks.
UNASSIGNED: The mean OSABSS score was 16.59 ± 0.19 across all stations. Criterion validity was demonstrated through correlations between OSABSS scores, written scores and entrance ranks. Reliability was high, with a Cronbach\'s alpha of 0.87. No significant inter-rater score differences were found.
UNASSIGNED: The rigorous OSABSS development process produced an exam demonstrating strong validity and reliability for assessing basic surgical skills. The comprehensive station variety evaluates diverse technical and non-technical competencies. Further research should expand participant samples across surgical disciplines.
摘要：
■本研究旨在开发和验证OSABSS（基本手术技能的客观结构化评估），改良的客观结构化临床检查(OSCE)，评估居民的基本手术技能。
■分两个阶段进行的发育研究。通过文献综述和差距分析确定基本技能。OSABSS随后被设计为经过修改的OSCE。
■这项研究在伊朗Alborz医科大学进行。
■OSABSS是使用Harden的OSCE（客观结构化临床检查）方法创建的。情景,清单,和车站配置是通过专家小组开发的。该考试由居民作为参与者和教师作为评估者进行试点和实施。
■32名妇科外科住院医师，普外科,骨科,和神经外科参与。22名教职员工是评估员。
■主要结果是OSABSS考试成绩。次要结果是笔试成绩，和国家居住权入口等级。
■所有站点的平均OSABSS评分为16.59±0.19。通过OSABSS分数之间的相关性证明了标准有效性，书面分数和入学排名。可靠性高,克朗巴赫的阿尔法为0.87。没有发现评分者之间的显着差异。
■严格的OSABSS开发过程产生了一个考试，证明了评估基本手术技能的强大有效性和可靠性。综合站品种评估不同的技术和非技术能力。进一步的研究应该扩大跨外科学科的参与者样本。
■分两个阶段进行的发育研究。通过文献综述和差距分析确定基本技能。OSABSS随后被设计为经过修改的OSCE。
■这项研究在伊朗Alborz医科大学进行。
■OSABSS是使用Harden的OSCE（客观结构化临床检查）方法创建的。情景,清单,和车站配置是通过专家小组开发的。该考试由居民作为参与者和教师作为评估者进行试点和实施。
■32名妇科外科住院医师，普外科,骨科,和神经外科参与。22名教职员工是评估员。
■主要结果是OSABSS考试成绩。次要结果是笔试成绩，和国家居住权入口等级。
■所有站点的平均OSABSS评分为16.59±0.19。通过OSABSS分数之间的相关性证明了标准有效性，书面分数和入学排名。可靠性高,克朗巴赫的阿尔法为0.87。没有发现评分者之间的显着差异。
■严格的OSABSS开发过程产生了一个考试，证明了评估基本手术技能的强大有效性和可靠性。综合站品种评估不同的技术和非技术能力。进一步的研究应该扩大跨外科学科的参与者样本。
