{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T04:34:13Z","timestamp":1771562053714,"version":"3.50.1"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003The correction of an anorectal malformation (ARM) is complex and relatively infrequent. Simulation training and subsequent assessment may result in better clinical outcomes. Assessment can be done using a competency assessment tool (CAT). This study aims to develop and validate a CAT for the posterior sagittal anorectoplasty (PSARP) on a simulation model.<\/jats:p><jats:p>\n          Materials and Methods\u2003The CAT-PSARP was developed after consultation with experts in the field. The PSARP was divided into five steps, while tissue and instrument handling were scored separately. Participants of pediatric colorectal hands-on courses in 2019 and 2020 were asked to participate. They performed one PSARP procedure on an ARM simulation model, while being assessed by two objective observers using the CAT-PSARP.<\/jats:p><jats:p>\n          Results\u2003A total of 82 participants were enrolled. A fair interobserver agreement was found for general skills (intraclass correlation coefficient [ICC]\u2009=\u20090.524, p\u2009&lt;\u20090.001), a good agreement for specific skills (ICC\u2009=\u20090.646, p\u2009&lt;\u20090.001), and overall performance (ICC\u2009=\u20090.669, p\u2009&lt;\u20090.001). The experienced group scored higher on all steps (p\u2009&lt;\u20090.001), except for \u201canoplasty (p\u2009=\u20090.540),\u201d compared with an inexperienced group.<\/jats:p><jats:p>\n          Conclusion\u2003The CAT-PSARP is a suitable objective assessment tool for the overall performance of the included steps of the PSARP for repair of an ARM on a simulation model.<\/jats:p>","DOI":"10.1055\/s-0041-1736387","type":"journal-article","created":{"date-parts":[[2021,11,25]],"date-time":"2021-11-25T23:42:43Z","timestamp":1637883763000},"page":"399-407","source":"Crossref","is-referenced-by-count":5,"title":["Validation of a Newly Developed Competency Assessment Tool for the Posterior Sagittal Anorectoplasty"],"prefix":"10.1055","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1674-1546","authenticated-orcid":false,"given":"Maja","family":"Joosten","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Radboud University Medical Center, Nijmegen, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guus M.J.","family":"B\u00f6kkerink","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Princess Maxima Center for Pediatric Oncology, Utrecht, Utrecht, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Sutcliffe","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Leeds Children's Hospital, F Floor, Martin Wing Leeds General Infirmary GT George Street, Leeds, W Yorkshire, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc A.","family":"Levitt","sequence":"additional","affiliation":[{"name":"Department of Surgery, Colorectal and Pelvic Reconstructive Surgery, Children's National Hospital, District of Columbia, Washington, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Diefenbach","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Nationwide Children's Hospital, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos A.","family":"Reck","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Medical University of Vienna, Wien, Wien, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6614-9703","authenticated-orcid":false,"given":"Wilfried","family":"Krois","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Medical University of Vienna, Wien, Wien, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3995-7286","authenticated-orcid":false,"given":"Ivo de","family":"Blaauw","sequence":"additional","affiliation":[{"name":"Department of 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