{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:40:28Z","timestamp":1792813228834,"version":"4.5.0"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":281,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content>Video\u2010based assessment is increasingly used to evaluate operative performance, but pass\u2013fail outcomes alone provide limited information on the technical components associated with the decision. This study aimed to clarify item\u2010level scoring patterns and latent technical domains underlying pass\u2013fail decisions in the colorectal Endoscopic Surgical Skill Qualification examination.<\/jats:styled-content>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content>This secondary item\u2010level analysis used the colorectal ESSQS examination dataset of the Japan Society for Endoscopic Surgery from 2020 to 2024. The final application\u2010level pass\u2013fail decision was the primary outcome, and each primary reviewer evaluation was the unit of analysis. Item scores were standardized as proportions of the version\u2010specific maximum. Univariable logistic regression, multivariable generalized linear mixed\u2010effects models, and exploratory factor analysis were performed<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content>A total of 1945 applications yielded 3890 reviewer\u2010level observations, with a final pass rate of 33.2%. Items related to operative field exposure, cooperation with assistants, dissection\u2010plane recognition, workflow planning, vascular control, and transection\/anastomosis were most strongly associated with the outcome. Exploratory factor analysis identified seven clinically interpretable domains; operative field exposure and team coordination, dissection\u2010plane recognition, vessel management and lymphadenectomy, and transection\/anastomosis were most strongly associated with the final decision.<\/jats:styled-content>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content>Pass\u2013fail decisions in the colorectal ESSQS examination were characterized by both general endoscopic competencies and colorectal procedure\u2010specific technical components. Item\u2010 and domain\u2010level<\/jats:styled-content>\n                      <jats:styled-content>analyses describe the internal structure of the rubric; application to individualized feedback would require improved inter\u2010reviewer reliability and further validation, and the findings may inform reviewer calibration and refinement of video\u2010based skill assessment.<\/jats:styled-content>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70389","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T03:44:55Z","timestamp":1791603895000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Item\u2010Level Scoring Profiles and Technical Domains in the Colorectal Endoscopic Surgical Skill Qualification Examination"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8641-8197","authenticated-orcid":false,"given":"Suguru","family":"Hasegawa","sequence":"first","affiliation":[{"name":"Colorectal Section, Technical Review Committee, Japan Society for Endoscopic Surgery (JSES), Department of Surgery Fukuoka University Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroya","family":"Kuroyanagi","sequence":"additional","affiliation":[{"name":"Technical Review Committee, JSES, Department of Gastrointestinal Surgery Toranomon Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5404-5317","authenticated-orcid":false,"given":"Junichiro","family":"Kawamura","sequence":"additional","affiliation":[{"name":"Colorectal Section, Technical Review Committee, JSES, Department of Surgery Kindai University Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7885-2276","authenticated-orcid":false,"given":"Yusuke","family":"Kinugasa","sequence":"additional","affiliation":[{"name":"Certification System Committee, JSES, Department of Gastrointestinal Surgery Institute of Science Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2924-6701","authenticated-orcid":false,"given":"Kazutaka","family":"Obama","sequence":"additional","affiliation":[{"name":"Surgical Data Science Committee, JSES, Department of Gastrointestinal Surgery Kyoto University Graduate School of Medicine  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuko","family":"Kitagawa","sequence":"additional","affiliation":[{"name":"President, JSES, Department of Surgery Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1300625"},{"issue":"2","key":"e_1_2_10_3_1","first-page":"273","article-title":"Objective Structured Assessment of Technical Skill (OSATS) for Surgical Residents","volume":"84","author":"Martin J. 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