title: Objective assessment of vaginal surgical skills.
abstract: OBJECTIVE
  To develop and validate an instrument to assess surgical skills during vaginal surgery.
  
  
  METHODS
  Trainees from 2 institutions were directly assessed in the operating room by supervising surgeons while performing a vaginal hysterectomy using the new Vaginal Surgical Skills Index, global rating scale, and visual analogue scale. Trainees were assessed again by the same surgeons 4 weeks after the live surgery and by a blinded outside reviewer using a videotape of the case. Internal consistency, interrater and intrarater reliability, and construct validity were evaluated.
  
  
  RESULTS
  Two hundred twelve evaluations were analyzed on 76 surgeries from 27 trainees. There was good internal consistency, interrater, and intrarater reliability. Vaginal Surgical Skills Index scores correlated with global rating score and visual analog scale scores. Increasing Vaginal Surgical Skills Index scores significantly correlated with year of training and surgical volume with an estimated increase in score of 0.3 per hysterectomy performed.
  
  
  CONCLUSIONS
  The Vaginal Surgical Skills Index is a feasible, reliable, and valid instrument to assess vaginal surgical skills.
authors.affiliation: Obstetrics, Gynecology and Women's Health Institute, Department of Obstetrics and Gynecology, Cleveland Clinic, 9500 Euclid Ave., Cleveland, OH 44195, USA.
authors.forename: Chi Chiung Grace
authors.initials: CC
authors.lastname: Chen
authors.forename: Abner
authors.initials: A
authors.lastname: Korn
authors.forename: Christopher
authors.initials: C
authors.lastname: Klingele
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Barber
authors.forename: Marie Fidela R
authors.initials: MF
authors.lastname: Paraiso
authors.forename: Mark D
authors.initials: MD
authors.lastname: Walters
authors.forename: J Eric
authors.initials: JE
authors.lastname: Jelovsek
mesh_terms: D002983:Clinical Competence; D004503:Education, Medical, Graduate / Q000379:methods*; D005260:Female; D006176:Gynecology / Q000193:education*; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000193:education*; D015588:Observer Variation; D010147:Pain Measurement; D012189:Retrospective Studies; D013337:Students, Medical; D014621:Vagina / Q000601:surgery*; D014743:Videotape Recording