Assessing operative skill

Darzi, Ara; Smith, Simon; Taffinder, N

doi:10.1136/bmj.318.7188.887

Cited by 311 publications

(86 citation statements)

References 9 publications

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“…It was showed also that surgeons trained in VR systems could obtain better results (Gallagher et al, 1999) when compared to others trained by traditional methods. Additionally, the assessment of psychomotor skills in VR systems that include haptic devices can quantify surgical dexterity with objective metrics (Darzi et al, 1999). Thus, VR systems for training can be used to provide metrics to a proficiency criterion of learning (Darzi et al, 1999;Gallagher et al, 2005).…”

Section: Assessment Methodologiesmentioning

confidence: 99%

“…Additionally, the assessment of psychomotor skills in VR systems that include haptic devices can quantify surgical dexterity with objective metrics (Darzi et al, 1999). Thus, VR systems for training can be used to provide metrics to a proficiency criterion of learning (Darzi et al, 1999;Gallagher et al, 2005). Due to those reasons, McCloy & Stone (2001) pointed out the assessment of psychomotor skills as the future of medical teaching and training.…”

Section: Assessment Methodologiesmentioning

confidence: 99%

See 1 more Smart Citation

Development of a Medical Training System with Integration of Users' Assessment

Moraes¹,

Machado²

2010

Virtual Reality

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Section: Assessment Methodologiesmentioning

confidence: 99%

Section: Assessment Methodologiesmentioning

confidence: 99%

Development of a Medical Training System with Integration of Users' Assessment

Moraes¹,

Machado²

2010

Virtual Reality

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“…One of the earliest and most elegant approaches to the measurement of surgical skill/performance derived from the observation that talented surgeons had ''good hands,'' a qualitative assessment of performance. Darzi's group at Imperial College London developed the Imperial College Surgical Assessment Device (ICSAD), which they have used to quantify surgical performance and, by inference, skill [5][6][7]. In their paper, Mason et al [8] have reviewed the published evidence as it relates to motion analysis and the assessment of surgical performance.…”

Section: Measurement and Motion Analysis: The Value Of Hand Trackingmentioning

confidence: 99%

Measuring surgical skill: a rapidly evolving scientific methodology

2013

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Minimally invasive surgery (MIS): understanding human performanceThe adoption and spread of MIS has forced the surgical profession to investigate why the learning and practice of MIS challenged otherwise proficient surgeons and posed considerable difficulties for the novice or trainee. It has also forced surgery and medicine to develop a better understanding of the factors that can and do compromise operator learning and performance [1, 2]. These developments in turn fostered better insights into the processes of learning surgical procedures (the learning curve) and stimulated the development of tools [3] and measurement strategies [4] that helped to supplant the Halstedian training paradigm (i.e., that of learning from exposure to a large volume of clinical cases). Much of the knowledge and expertise necessary to facilitate this process already existed in the findings of more than a century of research in psychology and the behavioral sciences. Surprisingly, surgery and medicine seemed unaware of this body of research despite the fact that other high-skills domains had already drawn upon and helped develop this body of knowledge (e.g., aviation, space flight).Human performance, whether in aviation, space flight, nuclear surety or surgery, is correctly characterized as a complex and dynamic interplay between the related human factors of sensation, perception, cognition, and kinesthetic. Each of these factors impacts on psychomotor performance and learning. The fact that they are not directly observable is a major obstacle to developing a comprehensive understanding of these factors. Usually their effect(s) can only be inferred from observations on performance outcomes. However, the aviation and space communities have developed entire industries around the quantitative measurement and understanding of these human attributes and how they impact on operator performance under different high-risk situations. They even use ''near accidents'' or ''near misses'' as occasions for learning rather than as a punishment. In-depth and detailed analysis of such events is used to recreate them and to develop strategies for anticipating, avoiding, or coping with them in the future. Pilots and aviators are then made aware of the findings and solutions. Measurement and motion analysis: the value of hand trackingThe MIS revolution forced the surgical community to develop a similar scientific understanding of performance through quantitative metrics and analytics; however, by comparison to the aviation and space sectors, this enterprise in surgery (and medicine) is in its infancy. There are, however, encouraging signs that this understanding and use of it are growing, particularly for MIS and image-guided interventions. One of the earliest and most elegant approaches to the measurement of surgical skill/performance derived from the observation that talented surgeons

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“…Thus, it poses research challenges in teasing out aspects of MAS surgical expertise and in understanding underlying skills so as to aid in developing training regimes. The need to objectively assess surgical skills has been well documented 1,2,3 . Some of the research investigating such skill development has entailed eye tracking.…”

Section: Introductionmentioning

confidence: 99%

“…Minimal Access Surgery (MAS) is of particular interest to the medical imaging domain as (1) it is in increasing use, (2) comprises viewing a 2D or 3D display and (3) involves complex visual and ergonomic factors. Thus, it poses research challenges in teasing out aspects of MAS surgical expertise and in understanding underlying skills so as to aid in developing training regimes.…”

Section: Introductionmentioning

confidence: 99%