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Anesth Analg 1981; 60:543-547
© 1981 International Anesthesia Research Society
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Performance Evaluation

Continuous Lumbar Epidural Anesthesia Skill Test

Murali Sivarajan, MD, Philip E. Lane, MD, Elliott V. Miller, MD, Philip Liu, MD, George Herr, MD, Robert Willenkin, MD, Peter Winter, MD, Charles A. Hardy, MD, and Michael F. Mulroy, MD

Received from the members of the Inter-Hospital Study Group for Anesthesia Education which consists of faculty anesthesiologists from the University of Washington, Seattle; Massachusetts General and Peter Bent Brigham Hospitals in Boston; University of California, Los Angeles; University of California, San Francisco; University of Pittsburgh; and Medical College of Pennsylvania.

Abstract

The evaluation of skills in anesthesiology residents is usually subjective and lacks demonstrable reliability. Therefore, an objective criterion-referenced skill test for measuring performance of continuous lumbar epidural anesthesia was developed. For such a test to be useful, it is necessary to demonstrate agreement among rater-observers. Eight performances of continuous lumbar epidural anesthesia were recorded on video tape and simultaneously rated by nine anesthesiology faculty observers to determine inter-rater reliability. Inter-rater agreement was analyzed by determining coefficient kappa for each item and the entire test. Coefficient kappa for the entire test was 0.82 indicating a high degree of agreement between raters on the performance or nonperformance of various items. Development and utility of skill tests are discussed.

Key Words: EDUCATION: performance evaluation.




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G. R. de Oliveira Filho and L. Schonhorst
The Development and Application of an Instrument for Assessing Resident Competence During Preanesthesia Consultation
Anesth. Analg., July 1, 2004; 99(1): 62 - 69.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1981 by the International Anesthesia Research Society.