A study on the validity of simulation-based assessment of practical skills in transurethral resection of the prostate

Wang Chenghe; Wang Xiaoran; Wang Jiayu; Jiang Guangliang; He Hongchao; Xu Danfeng

doi:10.3760/cma.j.cn116021-20240914-02103

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A study on the validity of simulation-based assessment of practical skills in transurethral resection of the prostate

Medical Simulation Education | 更新时间：2026-02-13

- A study on the validity of simulation-based assessment of practical skills in transurethral resection of the prostate
- Chinese Journal of Medical Education Research Vol. 25, Issue 1, Pages: 51-56(2026)
- 作者机构：
  
  1.上海交通大学医学院附属瑞金医院泌尿外科，上海 200025
  2.阿伯丁大学心理学院，阿伯丁，英国 AB24 3FX
  3.上海交通大学医学院附属瑞金医院医学教育处，上海 200025
- 作者简介：
  
  Wang Jiayu, Email: wjy30541@rjh.com.cn
- 基金信息：
  
  Medical Simulation Education Research Project of National Center for Health Professions Education Development(2021MNYB13)
- DOI：10.3760/cma.j.cn116021-20240914-02103
  CLC： R-4
- Received：14 September 2024，
  
  Published：20 January 2026
- 稿件说明：
移动端阅览
汪成合, 汪晓冉, 王佳玉, 等. 经尿道前列腺电切术实践技能模拟评价效度研究[J]. 中华医学教育探索杂志, 2026, 25(1): 51-56.

Wang Chenghe, Wang Xiaoran, Wang Jiayu, et al. A study on the validity of simulation-based assessment of practical skills in transurethral resection of the prostate[J]. Chinese Journal of Medical Education Research, 2026, 25(1): 51-56.
汪成合, 汪晓冉, 王佳玉, 等. 经尿道前列腺电切术实践技能模拟评价效度研究[J]. 中华医学教育探索杂志, 2026, 25(1): 51-56. DOI： 10.3760/cma.j.cn116021-20240914-02103.

Wang Chenghe, Wang Xiaoran, Wang Jiayu, et al. A study on the validity of simulation-based assessment of practical skills in transurethral resection of the prostate[J]. Chinese Journal of Medical Education Research, 2026, 25(1): 51-56. DOI： 10.3760/cma.j.cn116021-20240914-02103.

摘要

目的

使用经尿道前列腺电切术（transurethral resection of the prostate，TURP）关键技术评价量表对初学者实施经尿道前列腺电切术的行为表现进行打分，旨在为该量表所得成绩的诠释积累效度证据。

方法

收集2023年1月至2024年3月期间，在上海交通大学医学院附属瑞金医院医学模拟中心参加经尿道前列腺电切术模拟培训的学员在培训前后实践技能模拟考核的成绩，各获取90份样本。本研究采用梅西克（Messick）效度框架，收集基于内容、反应过程、内部结构和其他变量的关系、测试后果5个方面的效度证据。

结果

本研究量表的内容效度指数为0.952。评分者间一致性采用Spearman相关系数来衡量，培训前后的总分Spearman相关系数分别为0.993和0.970。量表总分的Cronbach’s

系数在培训前后分别为0.987和0.947。验证性因子分析结果显示：

=1.686、CFI=0.953、TLI=0.939、RMSEA=0.087、SRMR=0.036[CFI即比较拟合指数（comparative fit index）；TLI即塔克-刘易斯指数（Tucker-Lewis index，也称非规范拟合指数）；RMSEA 即近似均方根误差（root mean square error of approximation）；SRMR即标准化均方根残差（standardized root mean square residual）

]

，表明模型拟合度可接受。

结论

本研究为经尿道前列腺电切术实践技能模拟考核积累了效度证据。经尿道前列腺电切术关键技术评价量表是适合用于评价初学者经尿道前列腺电切术技能的工具。

Abstract

Objective

To score the behavioral performance of novices in transurethral resection of the prostate (TURP) using a TURP key skill assessment scale

and to accumulate validity evidence for the interpretation of scores derived from this scale.

Methods

Simulation-based assessment scores of practical skills were collected from 90 trainees

who participated in a simulation-based training on TURP at the Medical Simulation Center of Ruijin Hospital

Shanghai Jiao Tong University School of Medicine from January 2023 to March 2024

before and after training. Messick's framework of validity was used to collect validity evidence for test content

response process

internal structure

relations to other variables

and consequences.

Results

The content validity index of the scale was 0.952. The inter-rater consistency was measured using Spearman correlation coefficients

which were 0.993 and 0.970 for the total scores before and after training

respectively. The Cronbach's

coefficients for the total scale scores were 0.987 and 0.947 before and after training

respectively. The confirmatory factor analysis showed

of 1.686

comparative fit index of 0.953

Tucker-Lewis index of 0.939

root mean square error of approximation of 0.087

and standardized root mean square residual of 0.036

indicating an acceptable model fit.

Conclusions

This study presents validity evidence for simulation-based assessment for TURP practical skills. The TURP key skill assessment scale is a suitable tool for evaluating the TURP skills of novice learners.

关键词

Keywords

references

Cornu JN , Gacci M , Hashim H , et al . EAU guidelines on management of non-neurogenic male lower urinary tract symptoms (LUTS), incl . benign prostatic obstruction (BPO) [M ] . EAU Guidelines Office, Arnhem, the Netherlands : Edition Presented at the Annual EAU Congress , 2023 .

孙国锋，张弋，于澄钒，等 . 前列腺电切模拟机表面效度和内容效度研究 [J ] . 中华外科杂志， 2012 ， 50 （ 2 ）： 157 - 160 . DOI: 10.3760/cma.j.issn.0529-5815.2012.02.015 http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2012.02.015 .

王佳玉，何竑超，江哲涵，等 . 基于Delphi-AHP法构建经尿道前列腺切除手术关键技术评价量表 [J ] . 中国毕业后医学教育， 2023 ， 7 （ 7 ）： 551 - 554， 570 . DOI: 10.3969/j.issn.2096-4293.2023.07.010 http://dx.doi.org/10.3969/j.issn.2096-4293.2023.07.010 .

左超，杨昆霖，李志存，等 . “双沟双环法”经尿道铥激光前列腺剜除术单一术者学习曲线分析 [J ] . 中华医学杂志， 2023 ， 103 （ 20 ）： 1563 - 1567 . DOI: 10.3760/cma.j.cn112137-20230212-00198 http://dx.doi.org/10.3760/cma.j.cn112137-20230212-00198 .

张洁，李亚男 . 《国际汉语教师证书》考试的效度研究 [J ] . 华文教学与研究， 2020 （ 2 ）： 64 - 70 . DOI: 10.16131/j.cnki.cn44-1669/g4.2020.02.009 http://dx.doi.org/10.16131/j.cnki.cn44-1669/g4.2020.02.009 .

刘庆思 . 考试的构念界定及验证探析 [J ] . 中国考试， 2018 （ 10 ）： 30 - 34 . DOI: 10.19360/j.cnki.11-3303/g4.2018.10.007 http://dx.doi.org/10.19360/j.cnki.11-3303/g4.2018.10.007 .

AERA , APA , NCME . Standards for educational and psychological testing [M ] . Washington, DC : AERA , 2014 : 26 - 31 .

史静琤，莫显昆，孙振球 . 量表编制中内容效度指数的应用 [J ] . 中南大学学报（医学版）， 2012 ， 37 （ 2 ）： 49 - 52 . DOI: 10.3969/j.issn.1672-7347.2012.02.007 http://dx.doi.org/10.3969/j.issn.1672-7347.2012.02.007 .

苏丽敏，何慧爽 . 基于区间数的Spearman秩相关系数的多属性决策方法 [J ] . 统计与决策， 2019 ， 35 （ 6 ）： 51 - 53 . DOI: 10.13546/j.cnki.tjyjc.2019.06.011 http://dx.doi.org/10.13546/j.cnki.tjyjc.2019.06.011 .

王佳玉，叶庭均，黎健，等 . 膝关节镜实践技能模拟器考核的效度研究：来自三家三甲医院的多中心研究 [J ] . 中国毕业后医学教育， 2022 ， 6 （ 6 ）： 610 - 613， 619 . DOI: 10.3969/j.issn.2096-4293.2022.06.024 http://dx.doi.org/10.3969/j.issn.2096-4293.2022.06.024 .

Chen P , Li F , Wu C . Research on intrusion detection method based on pearson correlation coefficient feature selection algorithm [J ] . J Phys Conf Ser , 2021 , 1757 ( 1 ): 012054 . DOI: 10.1088/1742-6596/1757/1/012054 http://dx.doi.org/10.1088/1742-6596/1757/1/012054 .

Xu L , Li J , Yin L , et al . Examining the structure of difficulties in emotion regulation scale with Chinese population: a bifactor approach [J ] . Int J Environ Res Public Health , 2021 , 18 ( 8 ): 4208 . DOI: 10.3390/ijerph18084208 http://dx.doi.org/10.3390/ijerph18084208 .

张弋，朱鹤柳，金顺，等 . 虚拟模拟器在经尿道前列腺切除术培训中的有效性评价 [J ] . 中华泌尿外科杂志， 2011 ， 32 （ 7 ）： 486- 489. DOI: 10.3760/cma.j.issn.1000-6702.2011.07.015 http://dx.doi.org/10.3760/cma.j.issn.1000-6702.2011.07.015 .

邱智，张小东 . 前列腺电切模拟机在泌尿外科教学的应用和效果评价 [J ] . 中国病案， 2014 ， 15 （ 11 ）： 71 - 72 . DOI: 10.3969/j.issn.1672-2566.2014.11.035 http://dx.doi.org/10.3969/j.issn.1672-2566.2014.11.035 .

马琳，纪志刚 . 从传统手术教学到泌尿外科手术技能三阶段培训体系的建立 [J ] . 国际外科学杂志， 2021 ， 48 （ 9 ）： 583 - 586 . DOI: 10.3760/cma.j.cn115396-20210915-00365 http://dx.doi.org/10.3760/cma.j.cn115396-20210915-00365 .

Holmboe ES ， Durning SJ ， Hawkins E . 临床胜任力评价实用指南 [M ] . 张抒扬，主译. 北京：北京大学医学出版社， 2021 ： 12 - 13 .

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