dc.contributor.author |
Yap, Elaine LC |
|
dc.contributor.author |
Vandal, Alain C |
|
dc.contributor.author |
Williamson, Jonathan P |
|
dc.contributor.author |
Nguyen, Phan |
|
dc.contributor.author |
Colt, Henri |
|
dc.coverage.spatial |
Switzerland |
|
dc.date.accessioned |
2023-02-22T23:25:42Z |
|
dc.date.available |
2023-02-22T23:25:42Z |
|
dc.date.issued |
2022-09-09 |
|
dc.identifier.citation |
(2022). Respiration: international journal of thoracic medicine, 101(11), 1-16. |
|
dc.identifier.issn |
0025-7931 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/62991 |
|
dc.description.abstract |
<h4>Background</h4>Competency using radiologic images for bronchoscopic navigation is presumed during subspecialty training, but no assessments objectively measure combined knowledge of radiologic interpretation and ability to maneuver a bronchoscope into peripheral airways.<h4>Objectives</h4>The objectives of this study were (i) to determine whether the Bronchoscopy-Radiology Skills and Tasks Assessment Tool (BRadSTAT) discriminates between bronchoscopists of various levels of experience and (ii) to improve construct validity using study findings.<h4>Methods</h4>BRadSTAT contains 10 questions that assess chest X-ray and CT scan interpretation using multiple images per question and 2 technical skill assessments. After administration to 33 bronchoscopists (5 Beginners, 9 Intermediates, 10 Experienced, and 9 Experts), discriminative power was strengthened using differential weighting on CT-related questions, producing the BRadSTAT-CT score. Cut points for both scores were determined via cross-validation.<h4>Results</h4>Mean BRadSTAT scores for Beginner, Intermediate, Experienced, and Expert were 74 (±13 SD), 78 (±14), 86 (±9), and 88 (±8), respectively. Statistically significant differences were noted between Expert and Beginner, Expert and Intermediate, and Experienced and Beginner (all p ≤ 0.05). Mean BRadSTAT-CT scores for Beginner, Intermediate, Experienced, and Expert were 63 (±14), 74 (±15), 82 (±13), and 90 (±9), respectively, all statistically significant (p ≤ 0.03). Cut points for BRadSTAT-CT had lower sensitivity but greater specificity and accuracy than for BRadSTAT.<h4>Conclusion</h4>BRadSTAT represents the first validated assessment tool measuring knowledge and skills for bronchoscopic access to peripheral airways, which discriminates between bronchoscopists of various experience levels. Refining BRadSTAT produced the BRadSTAT-CT, which had higher discriminative power. Future studies should focus on their usefulness in competency-based bronchoscopy programs. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Karger Publishers |
|
dc.relation.ispartofseries |
Respiration; international review of thoracic diseases |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc/4.0/ |
|
dc.subject |
Bronchoscopy |
|
dc.subject |
Competency-based assessment tool |
|
dc.subject |
Radiologic interpretation |
|
dc.subject |
Humans |
|
dc.subject |
Clinical Competence |
|
dc.subject |
Radiology |
|
dc.subject |
Clinical Research |
|
dc.subject |
1102 Cardiorespiratory Medicine and Haematology |
|
dc.title |
Development of a Bronchoscopy-Radiologic Skills and Task Assessment Tool (BRadSTAT): A Tool for Evaluating the Radiological Skills of Bronchoscopists with Different Experience. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1159/000526011 |
|
pubs.issue |
11 |
|
pubs.begin-page |
1 |
|
pubs.volume |
101 |
|
dc.date.updated |
2023-01-12T03:07:21Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
36088910 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/36088910 |
|
pubs.end-page |
16 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Journal Article |
|
pubs.elements-id |
920158 |
|
pubs.org-id |
Science |
|
pubs.org-id |
Statistics |
|
dc.identifier.eissn |
1423-0356 |
|
dc.identifier.pii |
000526011 |
|
pubs.record-created-at-source-date |
2023-01-12 |
|
pubs.online-publication-date |
2022-09-09 |
|