{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T17:31:51Z","timestamp":1792603911119,"version":"4.5.0"},"reference-count":20,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2012,9,3]],"date-time":"2012-09-03T00:00:00Z","timestamp":1346630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The establishment of assessment reliability at the level of the individual trainee is an important attribute of assessment methodologies, particularly for doctors who have been failed. This issue is of particular importance for the process of competence assessment in the <jats:styled-content style=\"fixed-case\">USA<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia and <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ew <jats:styled-content style=\"fixed-case\">Z<\/jats:styled-content>ealand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We use data from 19 applicants for higher surgical training in 2008 at the <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>oyal <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ollege of <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>urgeons in <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>reland to compare: (i) the objective structured assessment of technical skills (<jats:styled-content style=\"fixed-case\">OSATS<\/jats:styled-content>) method; and (ii) a procedure\u2010specific checklist to assess surgical technical skills in the excision of a sebaceous cyst task by two experienced senior surgeons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall interrater reliability (<jats:styled-content style=\"fixed-case\">IRR<\/jats:styled-content>) of the <jats:styled-content style=\"fixed-case\">OSATS <\/jats:styled-content>assessment as determined by a correlation coefficient was 0.507 (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> &lt; 0.03) and 0.67 with coefficient alpha, considerably below the accepted 0.8 level of <jats:styled-content style=\"fixed-case\">IRR<\/jats:styled-content>. The checklist's overall <jats:styled-content style=\"fixed-case\">IRR<\/jats:styled-content> was 0.89. Individually, only five (26%) of the <jats:styled-content style=\"fixed-case\">OSATS<\/jats:styled-content> assessments reached the 0.8 level of <jats:styled-content style=\"fixed-case\">IRR<\/jats:styled-content> in contrast to 18 (95%) of the checklist assessments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>We propose binary procedure\u2010based assessment checklists as more reliable assessment instruments with more robust reproducibility.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1445-2197.2012.06236.x","type":"journal-article","created":{"date-parts":[[2012,9,4]],"date-time":"2012-09-04T00:11:49Z","timestamp":1346717509000},"page":"568-573","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Objective structured assessment of technical skills and checklist scales reliability compared for high stakes assessments"],"prefix":"10.1111","volume":"84","author":[{"given":"Anthony G.","family":"Gallagher","sequence":"first","affiliation":[{"name":"School of Medicine University College Cork  Cork Ireland"},{"name":"National Surgical Training Centre Royal College of Surgeons in Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald C.","family":"O'Sullivan","sequence":"additional","affiliation":[{"name":"Cork Cancer Research Centre Biosciences Institute, University College Cork  Cork Ireland"},{"name":"National Surgical Training Centre Royal College of Surgeons in Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald","family":"Leonard","sequence":"additional","affiliation":[{"name":"Otolaryngology \u2013 Head and Neck Surgery University of Connecticut Health Center  Farmington Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan P.","family":"Bunting","sequence":"additional","affiliation":[{"name":"School of Psychology University of Ulster  Derry Northern Ireland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kieran J.","family":"McGlade","sequence":"additional","affiliation":[{"name":"School of Medicine, Dentistry and Biomedical Sciences Queen's University  Belfast Northern Ireland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,9,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1997.02502.x"},{"key":"e_1_2_6_3_1","unstructured":"American Educational Research Association American Psychological Association & National Council on Measurement in Education.Standards for educational and psychological tests 1999."},{"key":"e_1_2_6_4_1","volume-title":"Individual Differences","author":"Cooper C","year":"2002"},{"key":"e_1_2_6_5_1","first-page":"137","article-title":"A 2nd\u2010order factor analysis of the reliability and validity of the 11 plus examination in Northern Ireland","volume":"18","author":"Bunting B","year":"1987","journal-title":"Econ. 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