A new instrument to assess physician skill at chest tube insertion: the TUBE-iCOMPT

This 5-domain assessment tool was used to evaluate chest tube insertion performance by learners of various experience using mannequins and live patients. Inter-observer scoring consistency for a single performance was high, and test-retest scoring consistency was high. The instrument stratified scores appropriately by expected level of expertise. Scores were similar regardless of whether insertion was performed on a mannequin or a patient. The authors propose that this validated instrument can be used to assess competency in clinical training.