title: Construct and face validity of the American College of Surgeons/Association of Program Directors in Surgery laparoscopic troubleshooting team training exercise.
abstract: BACKGROUND
  Our aim was to develop an objective scoring system and evaluate construct and face validity for a laparoscopic troubleshooting team training exercise.
  
  
  METHODS
  Surgery and gynecology novices (n = 14) and experts (n = 10) participated. Assessments included the following: time-out, scenario decision making (SDM) score (based on essential treatments rendered and completion time), operating room communication assessment (investigator developed), line operations safety audits (teamwork), and National Aeronautics and Space Administration-Task Load Index (workload).
  
  
  RESULTS
  Significant differences were detected for SDM scores for scenarios 1 (192 vs 278; P = .01) and 3 (129 vs 225; P = .004), operating room communication assessment (67 vs 91; P = .002), and line operations safety audits (58 vs 87; P = .001), but not for time-out (46 vs 51) or scenario 2 SDM score (301 vs 322). Workload was similar for both groups and face validity (8.8 on a 10-point scale) was strongly supported.
  
  
  CONCLUSIONS
  Objective decision-making scoring for 2 of 3 scenarios and communication and teamwork ratings showed construct validity. Face validity and participant feedback were excellent.
authors.affiliation: Department of Surgery, Southwestern Center for Minimally Invasive Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9156, USA.
authors.forename: Nabeel A
authors.initials: NA
authors.lastname: Arain
authors.forename: Deborah C
authors.initials: DC
authors.lastname: Hogg
authors.forename: Rajiv B
authors.initials: RB
authors.lastname: Gala
authors.forename: Ravi
authors.initials: R
authors.lastname: Bhoja
authors.forename: Seifu T
authors.initials: ST
authors.lastname: Tesfay
authors.forename: Erin M
authors.initials: EM
authors.lastname: Webb
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Scott
mesh_terms: D002983:Clinical Competence; D003142:Communication; D003657:Decision Making; D006801:Humans; D010535:Laparoscopy / Q000193:education* / Q000592:standards*; D010348:Patient Care Team; D061214:Patient Safety; D012955:Societies, Medical; D013647:Task Performance and Analysis; D014481:United States