Journal Article

A tool for training and evaluation of laparoscopic inguinal hernia repair: the Global Operative Assessment of Laparoscopic Skills-Groin Hernia (GOALS-GH)

Kurashima, Yo, Al-Sabah, Salman, Fried, Gerald M., Vassiliou, Melina C., Kaneva, Pepa A., Feldman, Liane S.

2011

Overview

The purpose of this study was to develop an assessment tool specific to laparoscopic inguinal hernia repair (LIHR), and to evaluate its reliability and validity in the operating room (OR) and skills laboratory. The Global Operative Assessment of Laparoscopic Skills–Groin Hernia (GOALS-GH) was developed by surgeon-educators. Participants were assessed in the OR and/or on a physical simulator using GOALS-GH. Interrater reliability, internal consistency, and construct and concurrent validity were evaluated for 23 participants. The interrater reliability of GOALS-GH was >.70 for all raters in the OR and during simulated LIHR. The internal consistency of GOALS-GH items was .97. The mean total GOALS-GH score for experts was significantly higher than for novices in both environments. The correlation between GOALS-GH scores in the OR and simulator was .81 ( P < .01; n = 12). GOALS-GH is an objective, reliable, and valid measure of the skills required to perform LIHR.

• Publisher: Elsevier Inc,Elsevier,Elsevier Limited
• Subject: Assessment / Biological and medical sciences / Clinical Competence / Consistency / Correlation analysis / Curricula / Digestive system. Abdomen / Dissection / Educational Measurement - methods / Endoscopy / Evaluation / General aspects / Hernia / Hernia, Inguinal - surgery / Hernias / Humans / Identification / Inguinal hernia / Investigative techniques, diagnostic techniques (general aspects) / Knowledge / Laboratories / Laparoscopy / Laparoscopy - education / Medical sciences / Models, Anatomic / Reliability analysis / Reproducibility of Results / Simulation / Skills / Surgeons / Surgery / Surgical education / Training