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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