Establishing a minimum passing score for the rating scale in simulation training for surfactant administration using the LISA procedure

Abstract Introduction In a previous study, a rating scale for simulation training on surfactant administration using the LISA (Less Invasive Surfactant Administration) procedure was developed and validated. Our objective was to determine a minimum passing score for this rating scale to use it so tha...

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Main Authors: Hélène Rostoker, Bernard Guillois, Amaya Caradec, Clément Chollat
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-06778-8
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author Hélène Rostoker
Bernard Guillois
Amaya Caradec
Clément Chollat
author_facet Hélène Rostoker
Bernard Guillois
Amaya Caradec
Clément Chollat
author_sort Hélène Rostoker
collection DOAJ
description Abstract Introduction In a previous study, a rating scale for simulation training on surfactant administration using the LISA (Less Invasive Surfactant Administration) procedure was developed and validated. Our objective was to determine a minimum passing score for this rating scale to use it so that it could be used for normative and certifying evaluation. Methods The LISA scale comprises 8 categories and 25 items. It was developed and agreed upon by a panel of 12 LISA procedure experts, and subsequently validated through simulation sessions involving 40 learners. Two independent assessors evaluated these 40 simulations. The Cronbach’s alpha score for this scale is 0.72, the R-squared value is 0.99, and the intra-class correlation coefficient is 0.92. Three different methods were employed to establish the minimum passing score: the Angoff method, the Borderline group method, and the Contrasting Group method. For the Angoff method, we enlisted 5 experts from the panel who developed the rating scale. In the Borderline Group method, the two assessors evaluated the 40 simulations following the prescribed methodology. For the Contrasting Group method, the outcomes of various simulation sessions were analyzed. Results Using the Angoff method, the minimum passing score was determined to be 35 out of 50, equivalent to 70.6% (standard deviation: 15.8%). Employing the Borderline Group method yielded a minimum passing score of 31.70 out of 50, i.e., 63.4%. Finally, utilizing the Contrasting Group method, the minimum passing score was found to be 33 out of 50, or 66%. Conclusion The three methods employed resulted in varying minimum passing scores. A higher score is likely to ensure enhanced safety and quality of patient care, while also facilitating the learner’s progression in simulator training. We recommend considering a minimum passing score of 35 out of 50.
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spelling doaj-art-c37e320f66924ef79d83cffca2bfee892025-08-20T02:16:34ZengBMCBMC Medical Education1472-69202025-02-012511710.1186/s12909-025-06778-8Establishing a minimum passing score for the rating scale in simulation training for surfactant administration using the LISA procedureHélène Rostoker0Bernard Guillois1Amaya Caradec2Clément Chollat3Sorbonne Université, Department of Neonatal Paediatrics, Trousseau Hospital, APHPMedical School, Caen Normandie UniversityP2ULSE, APHP Center, Trousseau Hospital, Sorbonne UniversitySorbonne Université, Department of Neonatal Paediatrics, Trousseau Hospital, APHPAbstract Introduction In a previous study, a rating scale for simulation training on surfactant administration using the LISA (Less Invasive Surfactant Administration) procedure was developed and validated. Our objective was to determine a minimum passing score for this rating scale to use it so that it could be used for normative and certifying evaluation. Methods The LISA scale comprises 8 categories and 25 items. It was developed and agreed upon by a panel of 12 LISA procedure experts, and subsequently validated through simulation sessions involving 40 learners. Two independent assessors evaluated these 40 simulations. The Cronbach’s alpha score for this scale is 0.72, the R-squared value is 0.99, and the intra-class correlation coefficient is 0.92. Three different methods were employed to establish the minimum passing score: the Angoff method, the Borderline group method, and the Contrasting Group method. For the Angoff method, we enlisted 5 experts from the panel who developed the rating scale. In the Borderline Group method, the two assessors evaluated the 40 simulations following the prescribed methodology. For the Contrasting Group method, the outcomes of various simulation sessions were analyzed. Results Using the Angoff method, the minimum passing score was determined to be 35 out of 50, equivalent to 70.6% (standard deviation: 15.8%). Employing the Borderline Group method yielded a minimum passing score of 31.70 out of 50, i.e., 63.4%. Finally, utilizing the Contrasting Group method, the minimum passing score was found to be 33 out of 50, or 66%. Conclusion The three methods employed resulted in varying minimum passing scores. A higher score is likely to ensure enhanced safety and quality of patient care, while also facilitating the learner’s progression in simulator training. We recommend considering a minimum passing score of 35 out of 50.https://doi.org/10.1186/s12909-025-06778-8SimulationNeonatologyLISARating scaleMinimum rating score
spellingShingle Hélène Rostoker
Bernard Guillois
Amaya Caradec
Clément Chollat
Establishing a minimum passing score for the rating scale in simulation training for surfactant administration using the LISA procedure
BMC Medical Education
Simulation
Neonatology
LISA
Rating scale
Minimum rating score
title Establishing a minimum passing score for the rating scale in simulation training for surfactant administration using the LISA procedure
title_full Establishing a minimum passing score for the rating scale in simulation training for surfactant administration using the LISA procedure
title_fullStr Establishing a minimum passing score for the rating scale in simulation training for surfactant administration using the LISA procedure
title_full_unstemmed Establishing a minimum passing score for the rating scale in simulation training for surfactant administration using the LISA procedure
title_short Establishing a minimum passing score for the rating scale in simulation training for surfactant administration using the LISA procedure
title_sort establishing a minimum passing score for the rating scale in simulation training for surfactant administration using the lisa procedure
topic Simulation
Neonatology
LISA
Rating scale
Minimum rating score
url https://doi.org/10.1186/s12909-025-06778-8
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