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An argument-based validation study of the fundamentals of laparoscopic surgery (FLS) program

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Abstract

Background

The Fundamentals of Laparoscopy Surgery (FLS) program was launched over 15 years ago. Since then, there has been an exponential rise in advancements of laparoscopy and its uses. In response, we conducted an argument-based validation study of FLS. The purpose of this paper is to exemplify this approach to validation for surgical education researchers using FLS as an illustrative case.

Methods

The argument-based approach to validation involves three key actions: (1) develo** interpretation and use arguments; (2) research; and (3) building a validity argument. Drawing from the validation study of FLS each step is exemplified.

Results

Qualitative and quantitative data sources from the FLS validity examination study provided evidence that both supported claims, but also generated backing for rebuttals. Some of the key findings were synthesized in a validity argument to illustrate its structure.

Discussion

The argument-based validation approach described numerous advantages over other validation approaches: (1) it is endorsed by the foundational documents in assessment and evaluation research; (2) its specific language of claims, inferences, warrants, assumptions and rebuttals provides a systematic and unified way to communicate both the processes and outcomes of validation; and (3) the use of logic reasoning in building the validity document clearly delineates the relationship between evidence and the inferences made to support desired uses and interpretations from assessments.

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Funding

This research was funded by a grant by the Society of the American Gastrointestinal and Endoscopic Surgeons (SAGES).

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Correspondence to Maryam Wagner.

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Disclosures

Allan Okrainec has received honoraria for speaking and teaching with Medtronic and Ethicon. Maryam Wagner, Carlos Gomez-Garibello, Neal Seymour and Melina Vassiliou have no relevant conflicts of interest or financial ties to disclose.

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Wagner, M., Gomez-Garibello, C., Seymour, N. et al. An argument-based validation study of the fundamentals of laparoscopic surgery (FLS) program. Surg Endosc 37, 5351–5357 (2023). https://doi.org/10.1007/s00464-023-10020-1

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