Using the Arthroscopic Surgery Skill Evaluation Tool as a Pass-Fail Examination

Koehler, Ryan; Nicandri, Gregg

doi:10.2106/jbjs.m.00340

Cited by 36 publications

(16 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…28 To date, the ASSET has been validated to assess competency as a pass-fail examination, with competency being defined as a score of 3 or greater on all 8 domains. 29 Besides the knee safety subscore, the training subjects displayed no difference in ASSET composite or subscore values compared with controls. Thus, it is difficult to elucidate whether the observed improvements in ASSET scores are clinically relevant.…”

Section: Discussionmentioning

confidence: 86%

The Effect of Triangulation Simulator Training on Arthroscopy Skills: A Prospective Randomized Controlled Trial

Redondo

Christian

Gowd

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

View full text Add to dashboard Cite

Purpose: To prospectively evaluate the transferability of skills acquired on a low-cost, at-home, nonanatomic triangulation simulation system to cadaveric models. Methods: We randomized 28 medical students into either a simulatortraining group (n ¼ 14) or group with no training (control, n ¼ 14). All subjects were pretested using a standardized checklist of arthroscopic skills on cadaveric knees and shoulders. Training-group subjects practiced on the triangulation simulator for 90 minutes per week for 4 consecutive weeks. Control subjects received no training. All subjects completed a post-test checklist of arthroscopic skills on cadaveric knees and shoulders, as well as 4 training tasks on the simulator. A blinded orthopaedic surgeon evaluated the arthroscopic videos using the Arthroscopic Surgical Skill Evaluation Tool (ASSET) score. Results: Training-group knee and shoulder ASSET scores increased from 12.2 AE 1.85 to 14.6 AE 2.76 (P ¼ .02) and from 14.6 AE 3.5 to 17.9 AE 4.5 (P ¼ .29), respectively. In the control group, knee and shoulder ASSET scores increased from 14.3 AE 3.12 to 14.25 AE 4.67 (P ¼ .99) and from 14.2 AE 2.7 to 17.07 AE 6.7 (P ¼ .58), respectively. There were no significant differences in the mean post-test ASSET scores between the training group and control group for either knee or shoulder arthroscopy. The post-test ASSET safety subscore during knee arthroscopy was significantly higher in the training group (P ¼ .03). The training group was able to complete significantly more simulator tasks compared with controls (P ¼ .003) at post-testing. A significant positive correlation was found between knee arthroscopy performance and the number of tasks completed during simulation post-testing (P ¼ .043). There was no significant correlation between shoulder arthroscopy performance and simulation performance (P ¼ .532). Conclusions: Basic triangulation skills may be acquired by training on a low-cost, at-home, nonanatomic triangulation simulation system, although the degree of transferability and universal joint applicability, as well as the existence of an early ceiling effect in skill development, could not be shown. Level of Evidence: Level II, randomized controlled trial.

show abstract

Section: Discussionmentioning

confidence: 86%

The Effect of Triangulation Simulator Training on Arthroscopy Skills: A Prospective Randomized Controlled Trial

Redondo

Christian

Gowd

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…Although global rating scales (GRS) (Likert scale*) have been previously used as assessment tools, 19,20 they have significant limitations. 21 One of the challenges imposed on subjectively based assessments such as those used with GRSs is that it becomes very difficult to gain an acceptable IRR among blinded assessors.…”

Section: Skill Ratingsmentioning

confidence: 99%

Arthroscopic Rotator Cuff Repair Metrics: Establishing Face, Content, and Construct Validity in a Cadaveric Model

Angelo¹,

Tauro

Pierre

et al. 2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

“…This GRS has been used for other simulator investigations as well. 15,16 However, GRSs have their limitations. 17 In 1932, Likert 18 described a GRS to "assess a range of attitudes."…”

Section: Rating Scalesmentioning

confidence: 99%

Editorial Commentary: Harnessing Surgical Simulation—Saddle up for a Long and Rigorous Ride!

Angelo

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

Arthroscopic simulation tools will assist in the training of skills that are transferrable to the operating room. Success in that endeavor requires the following: relevant outcome metrics rather than surrogate measures of performance, evaluation tools that enable scoring of step and error metrics rather than global rating scales, construct validation of simulators and metrics based on actual performance, development of simulators that not only assess performance but also train additional skills and provide feedback, and a focus first on effective training as opposed to high-fidelity realism.

show abstract

Using the Arthroscopic Surgery Skill Evaluation Tool as a Pass-Fail Examination

Cited by 36 publications

References 12 publications

The Effect of Triangulation Simulator Training on Arthroscopy Skills: A Prospective Randomized Controlled Trial

The Effect of Triangulation Simulator Training on Arthroscopy Skills: A Prospective Randomized Controlled Trial

Arthroscopic Rotator Cuff Repair Metrics: Establishing Face, Content, and Construct Validity in a Cadaveric Model

Editorial Commentary: Harnessing Surgical Simulation—Saddle up for a Long and Rigorous Ride!

Contact Info

Product

Resources

About