We used a community-based participatory research approach to develop, implement, and evaluate one of the first health curricula for female intimate partner violence (IPV) survivors residing at a transitional housing program. The curriculum comprised 12 workshops that were developed based on the survivors' experiences, needs, and interests. Evaluation participants included 20 of the 37 women who attended at least one workshop, 12 workshop facilitators, and two housing center staff. Participants found the curriculum to be engaging, interactive, and helpful in building a supportive community. Suggestions for curricular improvement as well as opportunities for further research and curricular development are discussed.

Decentralized OCT represents the application of lean process concepts to improve vitreoretinal clinic efficiency. Decentralized OCT reduced both the total wait time and total time in clinic for return patients in a vitreoretinal clinic.

Introduction: Evaluation of surgical competency has important implications for training new surgeons, accreditation, and improving patient outcomes. A method to specifically evaluate dissection performance does not yet exist. This project aimed to design a tool to assess surgical dissection quality.Methods: Delphi method was used to validate structure and content of the dissection evaluation. A multi-institutional and multi-disciplinary panel of 14 expert surgeons systematically evaluated each element of the dissection tool. Ten blinded reviewers evaluated 46 de-identified videos of pelvic lymph node and seminal vesicle dissections during the robot-assisted radical prostatectomy. Interrater variability was calculated using prevalence-adjusted and bias-adjusted kappa. The area under the curve from receiver operating characteristic curve was used to assess discrimination power for overall Dissection Assessment for Robotic Technique (DART) scores as well as domains in discriminating trainees ( 100 robotic cases) from experts (>100).

No abstract

INTRODUCTION AND OBJECTIVE:There is a need for effective surgical competency assessment to ensure safe and efficient transfer of skills to training robotic surgeons. Additionally, competency assessment has important implications for credentialing and improving patient outcomes. This project aimed to develop an objective scoring tool that comprehensively evaluates surgical dissection quality.METHODS: The study was conducted in two phases. During phase 1, development, the Delphi method was used to validate content of Dissection Assessment for Robotic Technique (DART). A multi-institutional and multi-disciplinary (n[12 Urology, n[1 OBGYN, n[1 General Surgery) panel of expert surgeons systematically evaluated each element; those with content validity index (CVI) of ! 0.8 were included in the final product (Figure 1). During phase 2, validation, 10 blinded reviewers evaluated 46 de-identified videos of the pelvic lymph node and seminal vesicle dissection steps during robot-assisted radical prostatectomy. Inter-rater reliability was calculated using prevalenceadjusted and bias-adjusted kappa (PABAK). Expert and trainee surgeons were defined by prior robotic caseload >100 and 100, respectively. Mann-Whitney U test was used to compare between groups.RESULTS: In phase 1, Delphi method achieved content validity in 27/28 elements after 4 rounds. The element that did not reach consensus was use of a 3-point or 5-point scale (CVI[0.64). Most surgeons (93%) agreed that it is important to maximize agreement between raters. In phase 2, the 3-point scale showed greater interrater reliability for each domain as compared with the 5-point scale (PABAK!0.52, !0.38, respectively). When rated on the 3-point scale, total scores between experts and trainees exhibited a significant difference (median 17.2 (IQR 16.9-17.4) vs. 15.7 (14.8-16.3), p<0.001).CONCLUSIONS: DART is an objective and reproducible 3point surgical assessment that effectively differentiates between levels of surgical experience.