Beoordeling van klinische en chirurgische vaardigheden:

Objective

To measure interobserver agreement in the Mini-clinical evaluation exercise (mini-CEX; Dutch translation) and the Objective structured assessment of technical skills (OSATS) in a clinical teaching setting.

Design

Prospective.

Methods

5 patient consultations and 4 surgical procedures performed by 7 surgical residents were recorded on video and DVD and presented to 8 surgeons, who independently assessed the consultations and surgical procedures using the standard mini-CEX and standard OSATS forms. The intraclass correlation (ICC) was calculated; an ICC value of > 0.75 was considered acceptable reliability.

Results

A total of 536 items were scored (7 items per mini-CEX and 8 items per OSATS). Numerous mini-CEX items displayed a wide range (1-8 on a 9-point scale); OSATS showed a range of 1-5 on a 5-pointscale. The ICC of the mini-CEX was 0.92 (95% CI: 0.86-0.95), the ICC of the OSATS was 0.54 (95% CI: 0.26-0.74).

Conclusion

This small pilot study demonstrated high interobserver correlation for the assessment of surgical resident competence using the mini-CEX. The OSATS, an important testing instrument for surgical disciplines, showed a low interobserver correlation.