SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations

TY - JOUR

T1 - SBAR M&M

T2 - a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations

AU - Mitchell, Erica L.

AU - Lee, Dae Y.

AU - Arora, Sonal

AU - Kwong, Karen L.

AU - Liem, Timothy K.

AU - Landry, Gregory L.

AU - Moneta, Gregory L.

AU - Sevdalis, Nick

PY - 2012/1

Y1 - 2012/1

N2 - BACKGROUND: The Surgical Morbidity and Mortality (M&M) conference is considered the golden hour of surgical education. However, evaluation methods for ensuring that quality M&M presentations efficiently contribute to resident education have not been clearly defined. To provide surgical trainees with the skills required to present a quality M&M presentation it is essential to have a robust tool to measure presentation skill and guide formative feedback.METHODS: A prospective observational study was conducted to develop an assessment tool for M&M conference. Literature review and expert consensus provided content for tool development. The tool, created using the situation, background, assessment, and recommendation format, was refined successively based on assessor feedback and assessed for reliability (internal consistency, interassessor reliability) and construct validity.RESULTS: Three successive iterations of the tool were developed. Internal consistency and interassessor reliability improved from the first to third versions. A trend also was shown for increasing construct validity with the third iteration of the tool.CONCLUSIONS: A psychometrically robust assessment tool based on the situation, background, assessment, and recommendation format was developed and validated to identify and improve the overall quality and educational value of the surgical M&M conference.

AB - BACKGROUND: The Surgical Morbidity and Mortality (M&M) conference is considered the golden hour of surgical education. However, evaluation methods for ensuring that quality M&M presentations efficiently contribute to resident education have not been clearly defined. To provide surgical trainees with the skills required to present a quality M&M presentation it is essential to have a robust tool to measure presentation skill and guide formative feedback.METHODS: A prospective observational study was conducted to develop an assessment tool for M&M conference. Literature review and expert consensus provided content for tool development. The tool, created using the situation, background, assessment, and recommendation format, was refined successively based on assessor feedback and assessed for reliability (internal consistency, interassessor reliability) and construct validity.RESULTS: Three successive iterations of the tool were developed. Internal consistency and interassessor reliability improved from the first to third versions. A trend also was shown for increasing construct validity with the third iteration of the tool.CONCLUSIONS: A psychometrically robust assessment tool based on the situation, background, assessment, and recommendation format was developed and validated to identify and improve the overall quality and educational value of the surgical M&M conference.

KW - Surgical morbidity and mortality conference

KW - Surgical M&M conference

KW - Morbidity and mortality conference

KW - Morbidity and mortality presentations

KW - Assessment tool

KW - Assessment instrument

KW - Educational value

KW - SBAR

U2 - 10.1016/j.amjsurg.2011.07.008

DO - 10.1016/j.amjsurg.2011.07.008

M3 - Article

SN - 0002-9610

VL - 203

SP - 26

EP - 31

JO - American Journal of Surgery

JF - American Journal of Surgery

IS - 1

ER -