Validity: what does it mean for competency-based assessment in obstetrics and gynecology?

Abstract:

:Validity refers to an evidence-based claim about the trustworthiness of decisions made from context-specific performance data. Validity requirements for competency-based assessments in obstetrics and gynecology have not been defined in the literature. We explain why validity is intrinsic to any discussion about competency assessment and provide a model for obstetrics and gynecology programs to use in determining the essential validity evidence for various forms of assessments. The implications of decisions made from assessment results influence the requisite level and precision of validity evidence. Although validity evidence is essential, it is also flexibly tied to the implications of decisions made from assessment results and not all assessments require the same degree of validity. We propose a model for considering validity, and build a discussion around specific assessment examples targeting progressive levels of expertise along the training continuum.

journal_name

Am J Obstet Gynecol

authors

Andreatta PB,Marzano DA,Curran DS

doi

10.1016/j.ajog.2011.01.061

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

384.e1-6

issue

5

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(11)00154-2

journal_volume

204

pub_type

杂志文章
  • Attenuated proestrous luteinizing hormone surges in middle-aged rats are associated with decreased pituitary luteinizing hormone-beta messenger ribonucleic acid expression.

    abstract:OBJECTIVE:This study determined whether attenuated preovulatory luteinizing hormone surges in aging rats are associated with a decrease in pituitary luteinizing hormone content or luteinizing hormone beta-messenger ribonucleic acid expression on proestrus. STUDY DESIGN:Blood samples were taken every 90 minutes from 1:...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(11)91405-7

    authors: Hogg BB,Matt DW,Sayles TE

    更新日期:1992-08-01 00:00:00

  • Shear stress may stimulate release and action of nitric oxide in the human fetal-placental vasculature.

    abstract:OBJECTIVE:Our purpose was to determine the effect of perfusate flow or viscosity on release and action of nitric oxide in the human fetal-placental vasculature in vitro. STUDY DESIGN:Cotyledons from normal term placentas were perfused with Hanks' buffered saline solution gassed with 95% oxygen and 5% carbon dioxide, p...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(95)90327-5

    authors: Wieczorek KM,Brewer AS,Myatt L

    更新日期:1995-09-01 00:00:00

  • Psychological correlates of differential infertility diagnosis in an in vitro fertilization program.

    abstract::We describe a study designed to assess the role of infertility diagnosis in differentiating participants in an in vitro fertilization program on psychological variables. Three hundred forty-eight in vitro fertilization candidates representative of five diagnostic categories (tubal problems, endometriosis, male factor,...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(88)90229-3

    authors: Shatford LA,Hearn MT,Yuzpe AA,Brown SE,Casper RF

    更新日期:1988-05-01 00:00:00

  • The value of fetal fibronectin in cervical and vaginal secretions and of ultrasonographic examination of the uterine cervix in predicting premature delivery for patients with preterm labor and intact membranes.

    abstract:OBJECTIVE:We compared the diagnostic performances of fetal fibronectin assay of cervical and vaginal secretions and of transvaginal ultrasonographic evaluation of the uterine cervix in the prediction of preterm delivery of patients presenting with preterm labor and intact membranes. STUDY DESIGN:One hundred eight pati...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(96)70020-0

    authors: Rizzo G,Capponi A,Arduini D,Lorido C,Romanini C

    更新日期:1996-11-01 00:00:00

  • Effect of tracheal occlusion on peripheric pulmonary vessel muscularization in a fetal rabbit model for congenital diaphragmatic hernia.

    abstract:OBJECTIVE:This study was undertaken to evaluate the effects on peripheric pulmonary vessel muscularization by tracheal occlusion (TO) performed at different gestational ages in fetal rabbits with surgically induced diaphragmatic hernia. STUDY DESIGN:In 23 New Zealand white does, both ovarian end fetuses underwent surg...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2004.01.006

    authors: Roubliova XI,Verbeken EK,Wu J,Vaast P,Jani J,Deprest JA

    更新日期:2004-09-01 00:00:00

  • Effects of recombinant human relaxin on pregnant rat uterine artery and myometrium in vitro.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the effects of recombinant human relaxin on the uterine artery and myometrial contractility in pregnant rats. STUDY DESIGN:Uterine artery and myometrial rings from mid and term pregnant rats were used. Relaxin effect was studied on phenylephrine-induced contraction i...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2003.454

    authors: Longo M,Jain V,Vedernikov YP,Garfield RE,Saade GR

    更新日期:2003-06-01 00:00:00

  • Pituitary responses to synthetic corticotropin-releasing hormone: absence of modulatory effects by estrogen and progestin.

    abstract::To determine if the activity of the adrenocorticotropic hormonal-adrenal axis is modulated in part by estrogens and progestins, we have compared pituitary and adrenal responses to corticotrophin-releasing hormone in normal women during the early follicular, late follicular, and midluteal phases of the menstrual cycle ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(87)80229-6

    authors: Liu JH,Rasmussen DD,Rivier J,Vale W,Yen SS

    更新日期:1987-12-01 00:00:00

  • Evaluation of sonography in the initial assessment of the gynecologic patient.

    abstract::Although the importance of sonography in modern obstetrics is undisputed, its role in the evaluation of the patient with gynecologic disease is less clear. We evaluated the role of pelvic sonography in the initial assessment of gynecologic patients. Standardized pelvic sonography was performed on patients scheduled to...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(84)90241-2

    authors: O'Brien WF,Buck DR,Nash JD

    更新日期:1984-07-15 00:00:00

  • Emerging infectious disease outbreaks: old lessons and new challenges for obstetrician-gynecologists.

    abstract:OBJECTIVE:The purpose of this study was to summarize 3 recent high-profile infectious disease threats that have affected the United States: severe acute respiratory syndrome, West Nile virus, and anthrax. STUDY DESIGN:A systematic review was conducted with the use of Medline searches, searches of the Centers for Disea...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajog.2005.06.062

    authors: Jamieson DJ,Ellis JE,Jernigan DB,Treadwell TA

    更新日期:2006-06-01 00:00:00

  • The association between pregnancy processes, preterm delivery, low birth weight, and postpartum depressions--the need for interdisciplinary integration.

    abstract::Pregnancy and peripartum/perinatal periods are characterized by significant biologic as well as psychosocial processes and changes that influence the 2 individuals at focus (mother and fetus), as well as their interactions with the immediate environment. Multiple intertwined pathologic pregnancy processes (hormonal, b...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajog.2005.02.103

    authors: Halbreich U

    更新日期:2005-10-01 00:00:00

  • Value of observation of fetal breathing activity in antenatal assessment of high-risk pregnancy.

    abstract::While observation of fetal breathing movements has been used in fetal assessment, quantitative parameters (percent time spent in breathing [incidence], breath rate, or breath rate variability) have not been adequately evaluated as predictive tools. We examined 283 patients with high-risk pregnancies between 32 and 42 ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(89)90112-9

    authors: Devoe LD,Ruedrich DA,Searle NS

    更新日期:1989-01-01 00:00:00

  • Validation of serum biomarkers for detection of early- and late-stage endometrial cancer.

    abstract:OBJECTIVE:The objective of this study was to determine the efficacy of 3 previously described ovarian cancer serum biomarkers (apolipoprotein-1 [ApoA-I], prealbumin [TTR], transferrin [TF]) in the detection of endometrioid and papillary serous adenocarcinoma of the endometrium. STUDY DESIGN:ApoA-I, TTR, and TF levels ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2009.07.049

    authors: Farias-Eisner G,Su F,Robbins T,Kotlerman J,Reddy S,Farias-Eisner R

    更新日期:2010-01-01 00:00:00

  • Placental transfer of sulindac and its active sulfide metabolite in humans.

    abstract:OBJECTIVE:Our aim was to investigate whether the human placenta is permeable to sulindac or its active sulfide metabolite. STUDY DESIGN:Nine pregnant patients (median gestational age [range]: 31.8 [24.3 to 36.4] weeks) were given a 200 mg oral dose of sulindac 5.5 (4.4 to 6.7) hours before 18 intravascular transfusion...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/0002-9378(95)90016-0

    authors: Kramer WB,Saade G,Ou CN,Rognerud C,Dorman K,Mayes M,Moise KJ Jr

    更新日期:1995-03-01 00:00:00

  • Long-term outcome of MR-guided focused ultrasound treatment and laparoscopic myomectomy for symptomatic uterine fibroid tumors.

    abstract:BACKGROUND:Fibroid tumors are the most common benign tumors in women of reproductive age. Treatment is usually indicated for those who are symptomatic, with different techniques being used. OBJECTIVE:The purpose of this study was to compare the long-term outcome of laparoscopic myomectomy with magnetic resonance-guide...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2018.09.002

    authors: Mohr-Sasson A,Machtinger R,Mashiach R,Nir O,Inbar Y,Maliyanker N,Goldenberg M,Rabinovici J

    更新日期:2018-10-01 00:00:00

  • Paternal leukocyte alloimmunization as a treatment for hemolytic disease of the newborn in a rabbit model.

    abstract:OBJECTIVE:The purpose of this study was to evaluate maternal alloimmunization to paternal leukocytes as a treatment for hemolytic disease of the fetus/newborn in a rabbit model. STUDY DESIGN:Twelve does and paired red blood cell-incompatible bucks underwent the experimental protocol. Fetal hematologic parameters that ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.126960

    authors: Whitecar PW,Farb R,Subramanyam L,Dorman K,Balu RB,Moise KJ Jr

    更新日期:2002-10-01 00:00:00

  • The development of a retroperitoneal dissection model.

    abstract::Knowledge of ureteric anatomy is essential for ureteric injury prevention in laparoscopic gynecologic surgery. Rates of injury increase with limited surgical experience and reduced surgical volume. Currently, there are no low-fidelity or high-fidelity simulation models for teaching and practicing ureteric dissection. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2017.07.004

    authors: Yousuf AA,Frecker H,Satkunaratnam A,Shore EM

    更新日期:2017-10-01 00:00:00

  • Long-term survival after chemotherapy for advanced epithelial ovarian carcinoma.

    abstract::Four hundred twenty-nine patients were entered into four prospective randomized clinical studies between January 1, 1973, and July 1, 1979. The records of 395 of these were analyzed to determine the proportion of patients surviving 48 months after therapy initiation. Ninety-six patients (24%) were living at 48 months,...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/0002-9378(84)90543-x

    authors: Wharton JT,Edwards CL,Rutledge FN

    更新日期:1984-04-01 00:00:00

  • Diet-treated gestational diabetes mellitus: comparison of early vs routine diagnosis.

    abstract:OBJECTIVE:The purpose of this study was to compare pregnancy outcomes in women with diet-treated gestational diabetes mellitus (GDM) that was diagnosed at < 24 weeks of gestation to those women who received the diagnosis at > or = 24 weeks of gestation. STUDY DESIGN:This was a retrospective cohort study of 2596 women ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2007.11.049

    authors: Hawkins JS,Lo JY,Casey BM,McIntire DD,Leveno KJ

    更新日期:2008-03-01 00:00:00

  • Immunolocalization of the vasoconstrictor endothelin in human endometrium during the menstrual cycle and in umbilical cord at birth.

    abstract:OBJECTIVE:Our objective was to determine the localization of immunoreactive endothelin in human cyclic endometrium and in umbilical cord during normal delivery and after cesarean section. STUDY DESIGN:Fixed dated endometrial tissue (n = 41) and umbilical cord (n = 6) were subjected to immunohistochemistry with an anti...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(11)91652-4

    authors: Salamonsen LA,Butt AR,Macpherson AM,Rogers PA,Findlay JK

    更新日期:1992-07-01 00:00:00

  • Cardiac autonomic modulation in normal, high-risk, and in vitro fertilization pregnancies during the first trimester.

    abstract:OBJECTIVES:The purpose of this study was to test the adaptation of autonomic modulation of heart rate in high-risk or in vitro fertilization (IVF) pregnancies during the first trimester. STUDY DESIGN:Thirty-three pregnant women were studied between 6.0 and 12.5 weeks of gestation and were divided into three groups: no...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(03)00896-2

    authors: Antonazzo P,Cetin I,Tarricone D,Lombardi F,Pardi G

    更新日期:2004-01-01 00:00:00

  • Metabolomic analysis for first-trimester trisomy 18 detection.

    abstract:OBJECTIVE:The purpose of this study was to determine whether nuclear magnetic resonance-based metabolomic markers in first-trimester maternal serum can detect fetuses with trisomy 18. STUDY DESIGN:This was a study of pregnancies between 11 weeks and 13 weeks 6 days' gestation. We analyzed 30 cases of trisomy 18 and a ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2013.03.028

    authors: Bahado-Singh RO,Akolekar R,Chelliah A,Mandal R,Dong E,Kruger M,Wishart DS,Nicolaides K

    更新日期:2013-07-01 00:00:00

  • Evaluation of the fetal assessment score in pregnancies at risk for intrauterine hypoxia.

    abstract:OBJECTIVE:Our purpose was to define the diagnostic value of a new fetal assessment score that is based on each of the components of the Apgar score. STUDY DESIGN:A fetal assessment score was established to study the main fetal vital functions: (1) cardiovascular (heart rate, color of the skin in the Apgar score), now ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(93)90618-s

    authors: Arabin B,Snyjders R,Mohnhaupt A,Ragosch V,Nicolaides K

    更新日期:1993-09-01 00:00:00

  • Influence of labor on fetoplacental adrenomedullin concentrations.

    abstract:OBJECTIVE:Circulating adrenomedullin is increased in pregnancy, and placental and fetal membranes participate significantly in its secretion. Recent studies have suggested a potential role for this peptide in the regulation of fetoplacental circulation and placental hormonal secretion. Because adrenomedullin acts also ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2001.117189

    authors: Di Iorio R,Marinoni E,Letizia C,Alò P,Villaccio B,Poverini R,Cosmi EV

    更新日期:2001-09-01 00:00:00

  • Comparative studies of 30 micrograms ethinyl estradiol combined with gestodene and desogestrel on blood coagulation, fibrinolysis, and platelets.

    abstract::An association between an increase in the incidence of thromboembolic disease and the use of combined oral contraceptives has been shown by several epidemiologic studies. Evidence of the vascular complications of oral contraceptives suggests that venous thromboembolism correlates with estrogen dosage and arterial comp...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0002-9378(90)90596-y

    authors: Daly L,Bonnar J

    更新日期:1990-07-01 00:00:00

  • Fetal breathing movements and the nonstress test in high-risk pregnancies.

    abstract::Three hundred ninety-eight observations of fetal breathing movements (FBM) and the nonstress test (NST) were made in 223 patients. The presence of FBM was noted in a significantly higher proportion of tests with a reactive NST (88%) than a nonreactive NST (67%). Conversely, a significantly higher proportion of tests w...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(79)90442-3

    authors: Manning FA,Platt LD,Sipos L,Keegan KA Jr

    更新日期:1979-10-15 00:00:00

  • Factors associated with an increased risk of prevalent and incident grade III cervical intraepithelial neoplasia and invasive cervical cancer among women with Papanicolaou tests classified as grades I or II cervical intraepithelial neoplasia.

    abstract:OBJECTIVE:Women with Papanicolaou tests classified as cervical intraepithelial neoplasia grade I or II are treated conservatively in many countries. However, these women are at an increased risk of having underlying prevalent and incident grade III cervical intraepithelial neoplasia and invasive cancer. This study was ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.118918

    authors: Petry KU,Böhmer G,Iftner T,Davies P,Brummer O,Kühnle H

    更新日期:2002-01-01 00:00:00

  • Plasma of pregnant and preeclamptic women activates monocytes in vitro.

    abstract:OBJECTIVE:The objective of the study was to test the hypothesis that factors circulating in the plasma of pregnant women and women with preeclampsia activate monocytes. STUDY DESIGN:Blood samples were taken from patients with early-onset severe preeclampsia (n = 9), healthy pregnant women (n = 9), and healthy nonpregn...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2007.12.013

    authors: Faas MM,Donker RB,van Pampus MG,Huls AM,Salomons J,de Vos P,Aarnoudse JG

    更新日期:2008-07-01 00:00:00

  • Sinusoidal fetal heart rate pattern: its definition and clinical significance.

    abstract::A review was made of the available literature on the sinusoidal heart rate (SHR) pattern. A specific definition of SHR was made in order to elucidate its clinical significance. According to this definition 41 tracings from 23 publications were classified as being either true SHR, equivocal, or a heart rate pattern oth...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/0002-9378(82)90789-x

    authors: Modanlou HD,Freeman RK

    更新日期:1982-04-15 00:00:00

  • Pregnancy enhances cocaine-induced stimulation of uterine contractions in the chronically instrumented rat.

    abstract:OBJECTIVE:Our purpose was to test whether cocaine stimulates uterine activity in nonpregnant and pregnant rats. STUDY DESIGN:The carotid artery and jugular vein were chronically catheterized, and a microballoon probe was inserted into the uterine cavity of 15 pregnant and 14 nonpregnant female rats. Conscious animals ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(96)70273-9

    authors: Nakahara K,Iso A,Chao CR,Cooper TB,Morishima HO

    更新日期:1996-07-01 00:00:00

  • Evaluation and management of complications from synthetic mesh after pelvic reconstructive surgery: a multicenter study.

    abstract:OBJECTIVE:The purpose of this study was to describe the evaluation and management of synthetic mesh-related complications after surgery for stress urinary incontinence (SUI) and/or pelvic organ prolapse (POP). STUDY DESIGN:We conducted a multicenter, retrospective analysis of women who attended 4 US tertiary referral ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ajog.2013.10.012

    authors: Abbott S,Unger CA,Evans JM,Jallad K,Mishra K,Karram MM,Iglesia CB,Rardin CR,Barber MD

    更新日期:2014-02-01 00:00:00