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PubMed · 7196166

Performance evaluation: continuous lumbar epidural anesthesia skill test.

M Sivarajan·P E Lane·E V Miller·P Liu·G Herr·R Willenkin·P Winter·C A Hardy·M F Mulroy
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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.

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M Sivarajan, P E Lane, E V Miller, P Liu, G Herr, R Willenkin, P Winter, C A Hardy, M F Mulroy. 1981. Performance evaluation: continuous lumbar epidural anesthesia skill test.. https://pubmed.ncbi.nlm.nih.gov/7196166/

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