A46 SELF-ASSESSMENT ACCURACY OF TECHNICAL AND NON-TECHNICAL SKILLS IN LIVE COLONOSCOPIES BY NOVICE ENDOSCOPISTS
Notice bibliographique
Résumé
Accurate self-assessment, usually represented by a high agreement between a self-rating and an external-rating, is an important process for skill development. In colonoscopy, skills can be categorized as technical (e.g. scope navigation) or non-technical (e.g. communication). There is a paucity of research examining the accuracy of self-assessment of technical and non-technical skills in colonoscopy among novices. To investigate the accuracy of self-assessment for technical skills and non-technical skills in live colonoscopies among novice endoscopists. Novice endoscopists (performed <50 previous colonoscopies) were recruited. Each participant completed two clinical colonoscopies. Video recordings of each colonoscopy procedure were assessed by an independent expert endoscopist, who was blinded to participant identity. Technical skills were assessed using the Direct Observation of Procedural Skills (DOPS), a procedure-specific assessment tool with good validity evidence. Non-technical skills were assessed using a modification of the Objective Structured Assessment of Non-technical skills (m-OSANTS), which also has good validity evidence. Participants self-assessed their performance immediately following each colonoscopy using the same instruments. Self-assessment accuracy between participant and expert ratings was determined using the intra-class correlation coefficient (ICC1,1) and paired-sample t-tests. Thirty-nine novice endoscopists participated. Agreement between participant and expert ratings as measured by the ICC was 0.36 (95% CI: 0.03–0.62) and 0.32 (95% CI: -0.01–0.59) for technical and non-technical skills, respectively. There was a significant difference between technical skills scores assigned by participants and expert assessors, with a mean difference of -8.56 (p=0.03). There was no significant difference between the non-technical skills scores assigned by participants and expert assessors, with a mean difference of -0.29 (p=0.603). Overall, there was generally poor-to-moderate self-assessment accuracy of novices for technical and non-technical skills. Moreover, novices tended to over-rate their performance, as highlighted by the negative difference scores. However, participants’ scores were not significantly over-rated for non-technical skills. Taken together, these results suggest that self-assessment accuracy among novices for technical and non-technical skills in endoscopy is an area for further development. None
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,010 | 0,045 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».