{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T20:40:40Z","timestamp":1712263240400},"reference-count":0,"publisher":"Society of Teachers of Family Medicine","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fam Med"],"abstract":"<jats:p>Background and Objectives:\u00a0Improving training and confirming the acquisition of gynecological procedure skills for family physicians (FPs) is crucial for safe health\u00a0care delivery. The objectives of this study were to (a) develop performance rating instruments for four gynecological procedures, and (b) pilot them to provide preliminary validity evidence using modern validity theory.\nMethods:\u00a0Sixteen academic FPs and gynecologists participated in a modified Delphi technique to develop procedure-specific checklists (PSCs) for four procedures: intrauterine device insertion, endometrial biopsy, punch biopsy of the vulva, and routine pessary care. We modified a previously validated global rating scale (GRS) for ambulatory settings. Using prerecorded videos, 19 academic FPs piloted instruments to rate one first-year and one second-year family medicine resident\u2019s performance. They were blinded to the level of training. We compared the mean scores for PSCs and GRS for each procedure using paired samples t tests and Cohen\u2019s\u00a0d\u00a0to estimate effect sizes.\nResults:\u00a0Consensus on items for the final PSCs was reached after two Delphi rounds. PSC and GRS scores were numerically higher for the second-year resident than the first-year resident for every procedure, with statistically significant differences for six of eight comparisons (P&amp;lt;.05). All comparisons demonstrated large effect sizes (Cohen\u2019s\u00a0d&amp;gt;0.8). Both instruments received high scores for ease of use by raters.\nConclusions:\u00a0We developed novel performance rating instruments for four gynecological procedures and provided preliminary validity evidence for their use for formative feedback in a simulation setting. This pilot study suggests that these instruments may facilitate the training and documentation of family medicine trainees\u2019 skills in gynecological procedures.<\/jats:p>","DOI":"10.22454\/fammed.2023.261011","type":"journal-article","created":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T19:15:26Z","timestamp":1694459726000},"page":"234-241","source":"Crossref","is-referenced-by-count":0,"title":["Novel Performance Rating Instruments for Gynecological Procedures in Primary Care: A Pilot Study"],"prefix":"10.22454","volume":"56","author":[{"given":"Parisa","family":"Rezaiefar","sequence":"first","affiliation":[{"name":"Department of Family Medicine, University of Ottawa, Origyns Medical Clinic, Ottawa, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"MD","given":"Nisha","family":"Waqas","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Ottawa, Ottawa, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Archibald","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Humphrey-Murto","sequence":"additional","affiliation":[{"name":"Department of Medicine, Department of Innovation in Medical Education, University of Ottawa, Ottawa, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"9746","published-online":{"date-parts":[[2024,4,4]]},"container-title":["Family Medicine"],"original-title":[],"deposited":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T20:13:01Z","timestamp":1712261581000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.stfm.org\/familymedicine\/2024\/april\/rezaiefar-0466\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,4]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,4]]}},"URL":"https:\/\/doi.org\/10.22454\/fammed.2023.261011","relation":{},"ISSN":["0742-3225","1938-3800"],"issn-type":[{"value":"0742-3225","type":"print"},{"value":"1938-3800","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,4]]}}}