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Table 4 Cognitive skills audit as carried out by the specialist panel

From: Rasch scaling procedures for informing development of a valid Fetal Surveillance Education Program multiple-choice assessment

Item Logit Cognitive skill and knowledge
Q20 ID1023 -1.95 Demonstrating a knowledge of fetal heart rate control
Q25 ID1028 -1.91 Demonstrating an understanding of the physiology of fetal heart rate control
Q4 ID1008 -1.52 Application of definition to interpret trace characteristic (baseline fetal heart rate)
Q31 ID1062 -1.46 Knowledge of definition of hyperstimulation (physiology of) as per local guidelines
Q17 ID1020 -1.39 Knowledge of the causes of reduced baseline variability
Q1 ID1002 -1.22 Combine basic trace and physiology information to determine appropriate management decision within clinical context
Q2 ID1006 -1.22 Knowledge of definition of the baseline range as per local guidelines
Q16 ID1019 -1.19 Knowledge of indications for EFM as per local guidelines
Q6 ID1003 -1.16 Knowledge and application of a definition (baseline variability)
Q21 ID1024 -1.11 Recognition of common abnormal trace pattern
Q26 ID1029 -1.10 Recognition of appropriate/inappropriate indications for EFM as per local guidelines
Q30 ID1033 -1.09 Combine basic trace and physiology information to determine appropriate management decision within clinical context
Q12 ID1015 -0.60 Interpretation of CTG trace abnormaility (receptors)
Q28 ID1031 -0.55 Synthesising trace and physiology information to determine appropriate management decision within clinical context
Q23 ID1026 -0.52 Knowledge of CTG trace limitations (sensitivity/specificity)
Q19 ID1022 -0.40 Knowledge of indications (or lack of indications) for EFM as per guidelines
Q34 ID1037 -0.35 Recognising appropriate management for the given circumstance
Q5 ID1009 -0.22 Demonstrating an understanding of the definition of baseline variability
Q22 ID1025 -0.20 Understanding the relative importance of CTG trace characteristics (baseline variability)
Q36 ID1038 -0.16 Identification of correctly paraphrased physiology definition (acceleration)
Q18 ID1021 -0.05 Synthesising trace and physiology information to determine appropriate management decision within clinical context
Q13 ID1016 -0.04 Understanding the relative importance of CTG trace characteristics (baseline variability)
Q11 ID1014 0.29 Application of definition to interpret trace characteristic (baseline fetal heart rate)
Q8 ID1011 0.31 Identification of correctly paraphrased physiology definition (CTG baseline fetal heart rate)
Q40 ID1042 0.33 Recall of definitions of early decelerations
Q3 ID1007 0.44 Application of definitions to trace characteristics (baseline fetal heart rate and baseline variability)
Q7 ID1010 0.55 Synthesising trace and physiology information in relation to the fetal condition
Q10 ID1013 0.55 Synthesising trace and physiology information to determine appropriate management decision within clinical context
Q14 ID1017 0.56 Synthesising trace and physiology information to determine appropriate management decision within clinical context
Q27 ID1030 0.87 Synthesising trace and physiology information in relation to the fetal condition
Q24 ID1027 0.89 Synthesising trace and physiology information to determine fetal wellbeing within the clinical context
Q9 ID1012 1.06 Synthesising trace and physiology information in relation to the fetal condition
Q33 ID1036 1.18 Synthesising trace and physiology information to determine appropriate management decision within clinical context
Q15 ID1018 1.18 Synthesising trace and physiology information to determine appropriate management decision within clinical context
Q37 ID1039 1.40 Synthesising trace and physiology information to determine appropriate management decision within clinical context
Q38 ID1040 1.57 Application of definition to interpret trace characteristic
Q29 ID1055 1.78 Demonstrating a knowledge of the physiology of fetal heart rate control
Q35 ID1001 1.78 Synthesising trace and physiology information to determine appropriate management decision within clinical context
Q39 ID1041 2.23 Synthesising trace and physiology information to determine fetal wellbeing within the clinical context
Q32 ID1035 2.44 Understanding the definition of the baseline fetal heart rate