Abstract

DELFINO, Alejandro; ALTERMATT, Fernando; CORVETTO, Marcia  and  ECHEVERRIA, Ghislaine. Level of correlation in the assessment of tracheal intubation between anaesthesiology staff and residents. FEM (Ed. impresa) [online]. 2016, vol.19, n.2, pp.85-91. ISSN 2014-9840.

Introduction. The medical education has experienced numerous changes. One of these is the use of self-assessment to establish students' progress, even with summative purposes. As far as we know, in our setting there are not studies about the validity and reliability of the use of self-assessment in the educational process. Subjects and methods. The intubations performed during four months by anesthesia residents at Pontificia Universidad Católica de Chile were assessed using the instrument Direct Observation of Procedural Skills (DOPS). Once the patient was intubated, the anesthesia staff in charge of patient's care carried out the resident's assessment and each student performed a self-assessment of the procedure using the same instrument. The level of agreement between staffs and students was established using intraclass correlation (ICC). An opinion survey among the participants about the method was performed. Results. 585 intubations were assessed. 31 students and 30 staff participated in the study. The general ICC was 0.423. The ICC decreased according to the residents' student year reaching the bottom at third year residents with 0.39. All participants were satisfied with the method but they pointed out the lack of previous experience. Conclusions. The agreement between staffs' assessments and students' self-assessment was poor. The lack of participants' experience could affect the results. To properly use self-assessment instruments, they should be implemented in early stages of educational process.

Keywords : Anesthesia residents; DOPS; Medical education; Self-assessment; Tracheal intubation.

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