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Procedural Competence in Internal Medicine Residents: Validity of a Central Venous Catheter Insertion Assessment Instrument
Academic Medicine, 07/29/09
Huang GC et al. – The authors created and experts confirmed a 24–item checklist. Using the Angoff method, the MPS required completion of 10 major and 2 minor criteria for a trainee to show borderline proficiency with CVC insertion under supervision. This MPS was correlated with a global rating of 2 on a 5–point scale. The MPS for competence was 17 major and 5 minor criteria. None of the residents deemed competent on a global rating scale achieved the MPS for competence. The authors were able to create and validate a consensus–driven procedural assessment tool with data–driven standards for basic proficiency and competence that faculty can use to assess residents as they perform CVC insertion.
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