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Title: Design and validation of the Regional Anaesthesia Procedural Skills Assessment Tool
Authors: Chuan Alwin
Graham Petra
Wong Daniel
Barrington Michael
Auyong David
Cameron Andrew
Lim Yean Chin
Pope Linda
Germanoska Billie
Forrest Kirsty
Royse Colin F
Keywords: regional Anaesthesia
Medical Education
nerve block/methods
clinical competence
Issue Date: 2015
Source: 70(12):1401-1411
Abstract: The aim of this study was to create and evaluate the validity, reliability and feasibility of the Regional Anaesthesia Procedural Skills tool, designed for the assessment of all peripheral and neuraxial blocks using all nerve localisation techniques. The first phase was construction of a 25-item checklist by five regional anaesthesia experts using a Delphi process. This checklist was combined with a global rating scale to create the tool. In the second phase, initial validation by 10 independent anaesthetists using a test–retest methodology was successful (Cohen kappa ≥ 0.70 for interrater agreement, scores between test to retest, paired t-test, p > 0.12). In the third phase, 70 clinical videos of trainees were scored by three blinded international assessors. The RAPS tool exhibited face validity (p < 0.026), construct validity (p < 0.001), feasibility (mean time to score < 3.9 min), and overall reliability (intraclass correlation coefficient 0.80 (95% CI 0.67–0.88)). The Regional Anaesthesia Procedural Skills tool used in this study is a valid and reliable assessment tool to score the performance of trainees for regional anaesthesia
DOI: 10.1111/anae.13266
ORCID: 0000-0003-4356-6525
PubMed URL:
Journal Title: Anaesthesia
Type: Journal Article
Affiliates: Liverpool Hospital, Sydney
Study/Trial: Clinical Trial
Appears in Collections:Scholarly and Clinical

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