Construction and validation of a laparoscopic skills assessment system based on entrustable professional activities
10.3760/cma.j.cn116021-20250211-02055
- VernacularTitle:基于置信职业行为的腹腔镜技能考评体系构建与验证
- Author:
Yao LIANG
1
;
Baiwei ZHAO
;
Tang LI
;
Yubao TAN
;
Wan HUANG
;
Kunsong ZHANG
;
Ming KUANG
Author Information
1. 华南恶性肿瘤防治全国重点实验室/广东省恶性肿瘤临床医学研究中心/中山大学肿瘤防治中心胃外科，广州 510060
- Publication Type:Journal Article
- Keywords:
Entrustable professional activities;
Competency-based medical education;
Laparoscopy;
Skills training;
Assessment
- From:
Chinese Journal of Medical Education Research
2025;24(6):751-757
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct and validate a competency-oriented entrustable professional activities (EPAs)-Competency-Milestones system for assessment of laparoscopic skills (ESALS).Methods:A research team composed of 15 members from five medical institutions was established. Taking the Staged Training and Assessment of Laparoscopic Skills program as the basis for EPAs, ESALS was constructed through scoping review and behavioral event interviews and the use of the Kawakita Jiro method. ESALS was applied to evaluate 49 trainees and 10 specialists (including 5 novices and 5 experts) on basic and advanced laparoscopic skills, respectively, in comparison with two other assessment tools—the Training and Assessment of Basic Laparoscopic Techniques (TABLT) and the Global Operative Assessment of Laparoscopic Skills (GOALS). Perform Mann Whitney U test using SPSS 23.0 software, and use Spearman coefficient for correlation analysis.Results:Through reviewing 13 literuature articles and interviewing 10 senior surgeons, the ESALS was developed, comprising 10 EPAs, 8 dimensions of competency characteristics, and 5 entrustable levels. In the basic skills evaluation, the ESALS score was significantly positively correlated with the TABLT score ( R=0.881, P<0.001). In the advanced skills evaluation, significant differences were observed between the novice and expert groups in all the ESALS competency scores (all P<0.05), while no difference was detected in the GOALS score of tissue handling ability. Conclusions:ESALS provides comprehensive evaluation, detailed standards, and precise feedback, with comparable efficacy to conventional tools. Future work should focus on expanding sample size to verify its generalizability and developing an electronic tool to enhance application efficiency.
