Peak and ceiling effects in final-product analysis of mastoidectomy performance
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Peak and ceiling effects in final-product analysis of mastoidectomy performance. / West, N; Konge, L; Cayé-Thomasen, P; Sørensen, M S; Andersen, Steven A W.
In: Journal of Laryngology and Otology, Vol. 129, No. 11, 11.2015, p. 1091-6.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Peak and ceiling effects in final-product analysis of mastoidectomy performance
AU - West, N
AU - Konge, L
AU - Cayé-Thomasen, P
AU - Sørensen, M S
AU - Andersen, Steven A W
PY - 2015/11
Y1 - 2015/11
N2 - BACKGROUND: Virtual reality surgical simulation of mastoidectomy is a promising training tool for novices. Final-product analysis for assessing novice mastoidectomy performance could be limited by a peak or ceiling effect. These may be countered by simulator-integrated tutoring.METHODS: Twenty-two participants completed a single session of self-directed practice of the mastoidectomy procedure in a virtual reality simulator. Participants were randomised for additional simulator-integrated tutoring. Performances were assessed at 10-minute intervals using final-product analysis.RESULTS: In all, 45.5 per cent of participants peaked before the 60-minute time limit. None of the participants achieved the maximum score, suggesting a ceiling effect. The tutored group performed better than the non-tutored group but tutoring did not eliminate the peak or ceiling effects.CONCLUSION: Timing and adequate instruction is important when using final-product analysis to assess novice mastoidectomy performance. Improved real-time feedback and tutoring could address the limitations of final product based assessment.
AB - BACKGROUND: Virtual reality surgical simulation of mastoidectomy is a promising training tool for novices. Final-product analysis for assessing novice mastoidectomy performance could be limited by a peak or ceiling effect. These may be countered by simulator-integrated tutoring.METHODS: Twenty-two participants completed a single session of self-directed practice of the mastoidectomy procedure in a virtual reality simulator. Participants were randomised for additional simulator-integrated tutoring. Performances were assessed at 10-minute intervals using final-product analysis.RESULTS: In all, 45.5 per cent of participants peaked before the 60-minute time limit. None of the participants achieved the maximum score, suggesting a ceiling effect. The tutored group performed better than the non-tutored group but tutoring did not eliminate the peak or ceiling effects.CONCLUSION: Timing and adequate instruction is important when using final-product analysis to assess novice mastoidectomy performance. Improved real-time feedback and tutoring could address the limitations of final product based assessment.
KW - Computer Simulation
KW - Educational Measurement
KW - Feedback
KW - Humans
KW - Learning Curve
KW - Mastoid
KW - Osteotomy
KW - Simulation Training
KW - User-Computer Interface
U2 - 10.1017/S0022215115002364
DO - 10.1017/S0022215115002364
M3 - Journal article
C2 - 26391052
VL - 129
SP - 1091
EP - 1096
JO - The Journal of laryngology and otology. Supplement
JF - The Journal of laryngology and otology. Supplement
SN - 0144-2945
IS - 11
ER -
ID: 161700126