Correcting for Rater Effects in Operating Room Surgical Skills Assessment.

ABSTRACT:

Objective

To estimate and adjust for rater effects in operating room surgical skills assessment performed using a structured rating scale for nasal septoplasty.

Methods

We analyzed survey responses from attending surgeons (raters) who supervised residents and fellows (trainees) performing nasal septoplasty in a prospective cohort study. We fit a structural equation model with the rubric item scores regressed on a latent component of skill and then fit a second model including the rating surgeon as a random effect to model a rater-effects-adjusted latent surgical skill. We validated this model against conventional measures including the level of expertise and post-graduation year (PGY) commensurate with the trainee's performance, the actual PGY of the trainee, and whether the

SUBMITTER: Chou R 

PROVIDER: S-EPMC11245371 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature