Parisa Rezaiefar, D. Archibald, Nisha Waqas, S. Humphrey-Murto
{"title":"家庭医学门诊妇女保健程序技能绩效评定工具的研制","authors":"Parisa Rezaiefar, D. Archibald, Nisha Waqas, S. Humphrey-Murto","doi":"10.1370/afm.21.s1.3477","DOIUrl":null,"url":null,"abstract":"Context: Women's health procedures are essential services few family medicine (FM) residents provide upon graduation. Improving training and confirming these skills' acquisition is crucial for safe health care delivery. Objective: The objective of this study was to develop and provide preliminary validity evidence for two performance rating instruments for intrauterine device insertion, endometrial biopsy, punch biopsy of the vulva, and routine pessary care. Study Design: Modified Delphi consensus and descriptive prospective study. Setting: Nine Canadian universities. Participants: Academic family physicians and gynaecologists. Instrument/Intervention: Procedure-specific checklists were developed based on empirical evidence and content expert opinion. Academic family physicians (n=12) and gynecologists (n=4)participated in a modified Delphi to finalize the items for the checklists. Consensus was defined as a priori. A previously validated global rating scale was modified to accommodate women's health procedures in ambulatory settings. Academic family physicians (n=19) piloted the procedure-specific checklists and the global rating scales. They rated two videos (one first-year and one second-year FM resident) performing the four procedures while blinded to their level of training. They also evaluated the ease of use and acceptability of two instruments. Average scores for the procedure-specific checklists and the global rating scales for each procedure were calculated and correlated with the year of training for each procedure. Results: Consensus on items for the final checklists was reached after two rounds of a modified Delphi. Although Procedure-specific checklists' scores did not correlate with the level of training, the global rating scales' scores did. Both instruments received high average overall scores (31/36 ) for ease of use and acceptability for all four procedures. Conclusion: We designed performance rating instruments for four women's health procedures and provided evidence for content validity through rigorous checklist development informed by the literature and a panel of Canadian experts. Piloting the instruments demonstrated validity for the response process, with raters","PeriodicalId":47994,"journal":{"name":"Education and Training","volume":"60 1","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Development of Performance Rating Instruments for Ambulatory Women’s Health Procedural Skills in Family Medicine\",\"authors\":\"Parisa Rezaiefar, D. Archibald, Nisha Waqas, S. Humphrey-Murto\",\"doi\":\"10.1370/afm.21.s1.3477\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Context: Women's health procedures are essential services few family medicine (FM) residents provide upon graduation. Improving training and confirming these skills' acquisition is crucial for safe health care delivery. Objective: The objective of this study was to develop and provide preliminary validity evidence for two performance rating instruments for intrauterine device insertion, endometrial biopsy, punch biopsy of the vulva, and routine pessary care. Study Design: Modified Delphi consensus and descriptive prospective study. Setting: Nine Canadian universities. Participants: Academic family physicians and gynaecologists. Instrument/Intervention: Procedure-specific checklists were developed based on empirical evidence and content expert opinion. Academic family physicians (n=12) and gynecologists (n=4)participated in a modified Delphi to finalize the items for the checklists. Consensus was defined as a priori. A previously validated global rating scale was modified to accommodate women's health procedures in ambulatory settings. Academic family physicians (n=19) piloted the procedure-specific checklists and the global rating scales. They rated two videos (one first-year and one second-year FM resident) performing the four procedures while blinded to their level of training. They also evaluated the ease of use and acceptability of two instruments. Average scores for the procedure-specific checklists and the global rating scales for each procedure were calculated and correlated with the year of training for each procedure. Results: Consensus on items for the final checklists was reached after two rounds of a modified Delphi. Although Procedure-specific checklists' scores did not correlate with the level of training, the global rating scales' scores did. Both instruments received high average overall scores (31/36 ) for ease of use and acceptability for all four procedures. Conclusion: We designed performance rating instruments for four women's health procedures and provided evidence for content validity through rigorous checklist development informed by the literature and a panel of Canadian experts. 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Development of Performance Rating Instruments for Ambulatory Women’s Health Procedural Skills in Family Medicine
Context: Women's health procedures are essential services few family medicine (FM) residents provide upon graduation. Improving training and confirming these skills' acquisition is crucial for safe health care delivery. Objective: The objective of this study was to develop and provide preliminary validity evidence for two performance rating instruments for intrauterine device insertion, endometrial biopsy, punch biopsy of the vulva, and routine pessary care. Study Design: Modified Delphi consensus and descriptive prospective study. Setting: Nine Canadian universities. Participants: Academic family physicians and gynaecologists. Instrument/Intervention: Procedure-specific checklists were developed based on empirical evidence and content expert opinion. Academic family physicians (n=12) and gynecologists (n=4)participated in a modified Delphi to finalize the items for the checklists. Consensus was defined as a priori. A previously validated global rating scale was modified to accommodate women's health procedures in ambulatory settings. Academic family physicians (n=19) piloted the procedure-specific checklists and the global rating scales. They rated two videos (one first-year and one second-year FM resident) performing the four procedures while blinded to their level of training. They also evaluated the ease of use and acceptability of two instruments. Average scores for the procedure-specific checklists and the global rating scales for each procedure were calculated and correlated with the year of training for each procedure. Results: Consensus on items for the final checklists was reached after two rounds of a modified Delphi. Although Procedure-specific checklists' scores did not correlate with the level of training, the global rating scales' scores did. Both instruments received high average overall scores (31/36 ) for ease of use and acceptability for all four procedures. Conclusion: We designed performance rating instruments for four women's health procedures and provided evidence for content validity through rigorous checklist development informed by the literature and a panel of Canadian experts. Piloting the instruments demonstrated validity for the response process, with raters
期刊介绍:
Education + Training addresses the increasingly complex relationships between education, training and employment and the impact of these relationships on national and global labour markets. The journal gives specific consideration to young people, looking at how the transition from school/college to employment is achieved and how the nature of partnerships between the worlds of education and work continues to evolve. The journal explores vocationalism in learning and efforts to address employability within the curriculum, together with coverage of innovative themes and initiatives within vocational education and training. The journal is read by policy makers, educators and academics working in a wide range of fields including education, learning and skills development, enterprise and entrepreneurship education and training, induction and career development. Coverage: Managing the transition from school/college to work New initiatives in post 16 vocational education and training Education-Business partnerships and collaboration Links between education and industry The graduate labour market Work experience and placements The recruitment, induction and development of school leavers and graduates Young person employability and career development E learning in further and higher education Research news Reviews of recent publications.