Objective assessment of vaginal surgical skills

Chi Chiung Grace Chen, Abner Korn, Christopher Klingele, Matthew D. Barber, Marie Fidela R. Paraiso, Mark D. Walters, J. Eric Jelovsek

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Objective: To develop and validate an instrument to assess surgical skills during vaginal surgery. Study Design: Trainees from 2 institutions were directly assessed in the operating room by supervising surgeons while performing a vaginal hysterectomy using the new Vaginal Surgical Skills Index, global rating scale, and visual analogue scale. Trainees were assessed again by the same surgeons 4 weeks after the live surgery and by a blinded outside reviewer using a videotape of the case. Internal consistency, interrater and intrarater reliability, and construct validity were evaluated. Results: Two hundred twelve evaluations were analyzed on 76 surgeries from 27 trainees. There was good internal consistency, interrater, and intrarater reliability. Vaginal Surgical Skills Index scores correlated with global rating score and visual analog scale scores. Increasing Vaginal Surgical Skills Index scores significantly correlated with year of training and surgical volume with an estimated increase in score of 0.3 per hysterectomy performed. Conclusion: The Vaginal Surgical Skills Index is a feasible, reliable, and valid instrument to assess vaginal surgical skills.

Original languageEnglish (US)
Pages (from-to)79.e1-79.e8
JournalAmerican journal of obstetrics and gynecology
Issue number1
StatePublished - Jul 2010
Externally publishedYes


  • global rating scale
  • reliability
  • surgical skills evaluation
  • vaginal surgery
  • validity

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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