Journal article
Development and Validation of a Shave Biopsy Training Checklist
Family medicine, Vol.57(4), pp.268-275
04/03/2025
DOI: 10.22454/FamMed.2025.615731
PMCID: PMC12147697
PMID: 40272869
Abstract
Background and Objectives: Residencies train residents in procedures and assess their competency, but existing assessment tools have demonstrated poor reliability and have not been validated. Methods: This mixed-methods study validated a shave biopsy checklist with family medicine and dermatology faculty at two academic centers. In each phase of the study, teaching faculty scored a video-recorded simulated procedure using the checklist, and investigators assessed content validity, interrater reliability, and accuracy. Results: In focus groups of nine family medicine and dermatology faculty, 16 of 18 checklist items met or surpassed 80% interrater reliability. Overall checklist reliability was 74%. Focus group surveys initially revealed insufficient content validity. Lowest performing items were removed, and then the follow-up content validity index (0.76) surpassed the required threshold (0.62). Twenty-one of 70 family medicine faculty completed a final survey, which showed a content validity index of 0.63, surpassing the required threshold of 0.42. Twelve of 70 family medicine faculty viewed and scored a simulated video-recorded procedure. Overall interrater reliability was 91% (Cohen’s d=1.36). Fourteen of 16 checklist items demonstrated greater than or equal to 90% interrater reliability. Accuracy analysis revealed 67.9% correct responses in focus groups and 84.9% in final testing (simple t test, P<.001, Cohen’s d=1.4). Conclusions: This rigorously validated checklist demonstrates appropriate content validity, interrater reliability, and accuracy. Findings support use of this shave biopsy checklist as an objective mastery standard for medical education and as a tool for formative assessment of procedural competency.
Details
- Title: Subtitle
- Development and Validation of a Shave Biopsy Training Checklist
- Creators
- Alicia Ludden-Schlatter - University of MissouriStephanie Bunt - Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IAKate DuChene Hanrahan - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Family medicine, Vol.57(4), pp.268-275
- DOI
- 10.22454/FamMed.2025.615731
- PMID
- 40272869
- PMCID
- PMC12147697
- NLM abbreviation
- Fam Med
- ISSN
- 0742-3225
- eISSN
- 1938-3800
- Publisher
- Society of Teachers of Family Medicine
- Language
- English
- Electronic publication date
- 02/05/2025
- Date published
- 04/03/2025
- Academic Unit
- Family and Community Medicine
- Record Identifier
- 9984791075302771
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