Orthopaedic Residents' Transfer of Knee Arthroscopic Abilities from the Simulator to the Operating Room

Ledermann, Gerardo; Rodrigo, A; Besa, Pablo; Irarrázaval, Sebastián

doi:10.5435/jaaos-d-19-00245

Cited by 17 publications

(19 citation statements)

References 28 publications

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“…The descriptive characteristics of the included studies are listed in Table 1 . The majority of arthroscopic skills testing was performed in simulated environments, including a simulator [ 21–38 ], cadaver [ 33 , 37 , 39–44 ] and animal model [ 45 ], and five studies [ 32 , 38 , 46–48 ] were performed on patients. Of the included studies, participants mainly involved medical students, orthopaedic residents, surgeons and experts.…”

Section: Resultsmentioning

confidence: 99%

“…Six types of GRS were reported in the eligible studies, and an Injury Grading Index Performance Scale (IGI)[ 42 ] fulfilled the inclusion criteria. The most commonly used GRS for assessment was the Arthroscopic Surgical Skill Evaluation Tool (10 studies) [ 32 , 33 , 36–40 , 43 , 45 , 46 ], followed by Basic Arthroscopy Knee Skill Scoring System (three studies) [ 21 , 35 , 44 ] and the other GRS were reported only in one study each [ 26 , 33 , 41 , 48 ]. Descriptions of studies using checklists or GRS are summarized in Table 3 .…”

Section: Resultsmentioning

confidence: 99%

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The frequency of assessment tools in arthroscopic training: a systematic review

et al. 2022

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Background Multiple assessment tools are used in arthroscopic training and play an important role in feedback. However, it is not fully recognized as to the standard way to apply these tools. Our study aimed to investigate the use of assessment tools in arthroscopic training and determine whether there is an optimal way to apply various assessment tools in arthroscopic training. Methods A search was performed using PubMed, Embase and Cochrane Library electronic databases for articles published in English from January 2000 to July 2021. Eligible for inclusion were primary research articles related to using assessment tools for the evaluation of arthroscopic skills and training environments. Studies that focussed only on therapeutic cases, did not report outcome measures of technical skills, or did not mention arthroscopic skills training were excluded. Results A total of 28 studies were included for review. Multiple assessment tools were used in arthroscopic training. The most common objective metric was completion time, reported in 21 studies. Technical parameters based on simulator or external equipment, such as instrument path length, hand movement, visual parameters and injury, were also widely used. Subjective assessment tools included checklists and global rating scales (GRS). Among these, the most commonly used GRS was the Arthroscopic Surgical Skill Evaluation Tool (ASSET). Most of the studies combined objective metrics and subjective assessment scales in the evaluation of arthroscopic skill training Conclusions Overall, both subjective and objective assessment tools can be used as feedback for basic arthroscopic skill training, but there are still differences in the frequency of application in different contexts. Despite this, combined use of subjective and objective assessment tools can be applied to more situations and skills and can be the optimal way for assessment. Level of Evidence Level III, systematic review of level I to III studies. Key messages Both subjective and objective assessment tools can be used as feedback for basic arthroscopic skill training. Combined use of subjective and objective assessment tools can be applied to more situations and skills and can be the optimal way for assessment.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The frequency of assessment tools in arthroscopic training: a systematic review

et al. 2022

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“…Simulation, and meta-analysis of simulation, has been carried out in other aspects of cardiothoracic surgery, for example, bronchoscopy 3 , 12 . Simulation has also shown to be useful in real-life scenarios, with a study by Ledermann and co-workers evaluating junior orthopaedic residents, demonstrating that when trainees use a low-fidelity simulator to perform an arthroscopic partial meniscectomy, their score in the Arthroscopic Surgical Skill Evaluation Tool improved in real-life patients 25 .…”

Section: Discussionmentioning

confidence: 99%

Objective improvement with coronary anastomosis simulation training: meta-analysis

et al. 2022

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Background Coronary artery anastomosis training and assessment are vital for patient safety and for conferring a prognostic benefit. A systematic review and meta-analysis were performed to analyse the impact of simulation on coronary anastomosis proficiency in terms of time taken and skill score. Methods This review was conducted in accordance with PRISMA guidelines, searching PubMed, Embase and Cochrane databases on 10 October 2020, using the terms ‘Coronary anastomosis simulation’ or ‘vascular anastomosis simulation’ and ‘anastomosis simulation’. Studies included had objective measurement of scores of before and after simulation. Meta-analysis was performed using RevMan, version 5.4 (Cochrane Library). Results From a pool of 1687 articles, 12 articles evaluating the use of simulation in teaching coronary anastomosis were identified, with objective scores at baseline and after simulation. The 12 papers included 274 subjects. Data on 223 subjects could be extracted for analysis in performing coronary anastomosis in a simulated environment. Eight trials evaluated improvement in time and 12 trials evaluated performance using an objective evaluation score. In comparison with no formal simulation training, simulation was associated with improved skill in a five-point scale (standardized mean difference 1.68 (95 per cent c.i. 1.23 to 2.13; P < 0.001)) and time (mean difference 205.9 s (95 per cent c.i. 133.62 to 278.18; P < 0.001)) in trials included in the meta-analysis. Furthermore, novice cardiothoracic surgeons benefited more from simulation as regards time improvement compared with senior cardiothoracic surgeons (293 versus 120 s improvement; P = 0.003). Fidelity of simulator did not have a significant effect on rates of improvement. Conclusion Simulation-based training in coronary anastomosis is associated with improved time efficiency and overall performance in comparison with no intervention. Further studies are necessary to determine the optimum timing of trainees progressing from simulation training to live operating.

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“…8 Diferentes laboratorios de habilidades quirúrgicas desarrollados en distintas instituciones han tenido resultados positivos en la formación de especialistas. 9,10 En el caso de Ortopedia y Traumatología, el rol de la simulación como forma de aprendizaje tiene cada vez mayor evidencia, [11][12][13][14] siendo particularmente relevante para los residentes jóvenes quienes muchas veces no se sienten cómodos en el escenario real o tienen poco acceso a estos escenarios para desarrollar sus competencias. 15,16 Con el propósito de disminuir los riesgos dentro del pabellón y asegurar un aprendizaje de competencias prácticas, nacen los programas intensivos de adquisición de habilidades básicas.…”

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