title: Design and validation of the Regional Anaesthesia Procedural Skills Assessment Tool.
abstract: The aim of this study was to create and evaluate the validity, reliability and feasibility of the Regional Anaesthesia Procedural Skills tool, designed for the assessment of all peripheral and neuraxial blocks using all nerve localisation techniques. The first phase was construction of a 25-item checklist by five regional anaesthesia experts using a Delphi process. This checklist was combined with a global rating scale to create the tool. In the second phase, initial validation by 10 independent anaesthetists using a test-retest methodology was successful (Cohen kappa ≥ 0.70 for inter-rater agreement, scores between test to retest, paired t-test, p > 0.12). In the third phase, 70 clinical videos of trainees were scored by three blinded international assessors. The RAPS tool exhibited face validity (p < 0.026), construct validity (p < 0.001), feasibility (mean time to score < 3.9 min), and overall reliability (intraclass correlation coefficient 0.80 (95% CI 0.67-0.88)). The Regional Anaesthesia Procedural Skills tool used in this study is a valid and reliable assessment tool to score the performance of trainees for regional anaesthesia.
authors.affiliation: Liverpool Hospital, Sydney, New South Wales, Australia.
authors.forename: A
authors.initials: A
authors.lastname: Chuan
authors.affiliation: Macquarie University, Sydney, New South Wales, Australia.
authors.forename: P L
authors.initials: PL
authors.lastname: Graham
authors.affiliation: St Vincent's Hospital, Melbourne, Victoria, Australia.
authors.forename: D M
authors.initials: DM
authors.lastname: Wong
authors.affiliation: St Vincent's Hospital, Melbourne, Victoria, Australia.|University of Melbourne, Melbourne, Victoria, Australia.
authors.forename: M J
authors.initials: MJ
authors.lastname: Barrington
authors.affiliation: Virginia Mason Medical Centre, Seattle, Washington, USA.
authors.forename: D B
authors.initials: DB
authors.lastname: Auyong
authors.affiliation: Middlemore Hospital, Auckland, New Zealand.
authors.forename: A J D
authors.initials: AJ
authors.lastname: Cameron
authors.affiliation: Changi General Hospital, Singapore.
authors.forename: Y C
authors.initials: YC
authors.lastname: Lim
authors.affiliation: Liverpool Hospital, Sydney, New South Wales, Australia.
authors.forename: L
authors.initials: L
authors.lastname: Pope
authors.affiliation: Liverpool Hospital, Sydney, New South Wales, Australia.
authors.forename: B
authors.initials: B
authors.lastname: Germanoska
authors.affiliation: Macquarie University, Sydney, New South Wales, Australia.
authors.forename: K
authors.initials: K
authors.lastname: Forrest
authors.affiliation: University of Melbourne, Melbourne, Victoria, Australia.
authors.forename: C F
authors.initials: CF
authors.lastname: Royse
mesh_terms: D000776:Anesthesiology / Q000193:education*; D057189:Checklist; D002983:Clinical Competence; D004521:Educational Measurement; D006801:Humans; D009407:Nerve Block / Q000379:methods*