title: GOALS-incisional hernia: a valid assessment of simulated laparoscopic incisional hernia repair.
abstract: The Global Operative Assessment of Laparoscopic Skills (GOALS) is a valid and reliable measure of basic, non-procedure-specific laparoscopic skills. GOALS-incisional hernia (GOALS-IH) was developed to evaluate performance of laparoscopic incisional hernia repair (LIHR). The purpose of this study was to assess the validity and reliability of GOALS-IH during LIHR simulation. GOALS-IH assesses 7 domains with a maximum score of 35. A total of 12 experienced surgeons and 10 novices performed LIHR on the Surgical Abdominal Wall simulator. Performance was assessed by a trained observer and by self-assessment using GOALS-IH, basic GOALS and a visual analog scale (VAS) for overall competence. Both interrater reliability and internal consistency were high (.76 and .95 respectively). Experienced surgeons had higher mean GOALS-IH scores than novices (32.3 ± 2 versus 22.7 ± 5). There was excellent correlation between GOALS-IH and other measures of performance (GOALS r = .93 and VAS r = .93). GOALS-IH is easy to use, valid and reliable for assessment of simulated LIHR.
authors.affiliation: Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University, Montreal, Quebec, Canada.
authors.forename: Marilou
authors.initials: M
authors.lastname: Vaillancourt
authors.forename: Iman
authors.initials: I
authors.lastname: Ghaderi
authors.forename: Pepa
authors.initials: P
authors.lastname: Kaneva
authors.forename: Melina
authors.initials: M
authors.lastname: Vassiliou
authors.forename: Nicoleta
authors.initials: N
authors.lastname: Kolozsvari
authors.forename: Ivan
authors.initials: I
authors.lastname: George
authors.forename: F Erica
authors.initials: FE
authors.lastname: Sutton
authors.forename: F Jacob
authors.initials: FJ
authors.lastname: Seagull
authors.forename: Adrian E
authors.initials: AE
authors.lastname: Park
authors.forename: Gerald M
authors.initials: GM
authors.lastname: Fried
authors.forename: Liane S
authors.initials: LS
authors.lastname: Feldman
mesh_terms: D002983:Clinical Competence; D003162:Competency-Based Education; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D007396:Internship and Residency; D010535:Laparoscopy / Q000193:education*; D008297:Male; D008953:Models, Anatomic; D015588:Observer Variation; D015203:Reproducibility of Results; D012647:Self-Assessment