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首页> 外文期刊>Surgical Endoscopy >Feasibility of remote administration of the Fundamentals of Laparoscopic Surgery (FLS) skills test.
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Feasibility of remote administration of the Fundamentals of Laparoscopic Surgery (FLS) skills test.

机译：腹腔镜手术基础知识（FLS）技能测试的远程管理的可行性。

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Fundamentals of Laparoscopic Surgery (FLS) certification testing currently is offered at accredited test centers or at select surgical conferences. Maintaining these test centers requires considerable investment in human and financial resources. Additionally, it can be challenging for individuals outside North America to become FLS certified. The objective of this pilot study was to assess the feasibility of remotely administering and scoring the FLS examination using live videoconferencing compared with standard onsite testing.This parallel mixed-methods study used both FLS scoring data and participant feedback to determine the barriers to feasibility of remote proctoring for the FLS examination. Participants were tested at two accredited FLS testing centers. An official FLS proctor administered and scored the FLS exam remotely while another onsite proctor provided a live score of participants' performance. Participant feedback was collected during testing. Interrater reliabilities of onsite and remote FLS scoring data were compared using intraclass correlation coefficients (ICCs). Participant feedback was analyzed using modified grounded theory to identify themes for barriers to feasibility.The scores of the remote and onsite proctors showed excellent interrater reliability in the total FLS (ICC 0.995, CI [0.985-0.998]). Several barriers led to critical errors in remote scoring, but most were accompanied by a solution incorporated into the study protocol. The most common barrier was the chain of custody for exam accessories.The results of this pilot study suggest that remote administration of the FLS has the potential to decrease costs without altering test-taker scores or exam validity. Further research is required to validate protocols for remote and onsite proctors and to direct execution of these protocols in a controlled environment identical to current FLS test administration.
机译：当前，腹腔镜手术（FLS）认证测试的基础知识在认可的测试中心或某些外科手术会议上提供。维护这些测试中心需要大量的人力和财力投资。此外，对于北美以外的个人来说，要获得FLS认证可能会带来挑战。这项试验性研究的目的是评估通过现场视频会议与标准现场测试相比较对FLS考试进行远程管理和评分的可行性。这项并行的混合方法研究使用FLS评分数据和参与者反馈来确定远程进行可行性的障碍指导FLS考试。参加者在两个获得认可的FLS测试中心进行了测试。一名正式的FLS督导员远程管理FLS考试并为其打分，而另一位现场督导员则为参与者的表现提供实时评分。在测试过程中收集了参与者的反馈。使用类内相关系数（ICC）比较现场和远程FLS评分数据的评估者间可靠性。使用改进的扎根理论分析了参与者的反馈意见，以找出阻碍可行性的主题。远程和现场督导员的分数在总FLS中显示出出色的间质可靠性（ICC 0.995，CI [0.985-0.998]）。若干障碍导致了远程评分的严重错误，但大多数障碍都伴随着一种纳入研究方案的解决方案。最常见的障碍是考试配件的监管链。这项初步研究的结果表明，FLS的远程管理有可能在不改变考试成绩或考试有效性的情况下降低成本。需要进一步的研究来验证用于远程和现场监理者的协议，并在与当前FLS测试管理相同的受控环境中指导这些协议的执行。

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