Validation of a Dry Model for Assessing the Performance of Arthroscopic Hip Labral Repair

Phillips, Lisa; Cheung, Jeffrey J. H.; Whelan, Daniel B.; Murnaghan, M. Lucas; Chahal, Jas; Theodoropoulos, John; Ogilvie-Harris, Darrell; MacNiven, Ian; Dwyer, Tim

doi:10.1177/0363546517696316

Cited by 27 publications

(27 citation statements)

References 16 publications

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“…The studies were broadly split into 3 categories: studies measuring the impact of a simulation training intervention (26 studies 6 - 31 ), studies assessing the construct validity of a simulator designed for training surgeons (42 studies 32 - 73 ), and studies validating an assessment tool (37 studies 74 - 110 ) (see Appendix Tables 1 and 2, column 1). Of the included studies, 60% assessed arthroscopic skill involving the knee (34 studies) 6 , 8 , 9 , 13 , 15 , 17 , 19 , 31 - 33 , 36 , 38 , 39 , 41 , 42 , 47 , 48 , 54 - 56 , 63 , 74 , 75 , 77 - 83 , 86 , 87 , 89 , 91 , the shoulder (25 studies) 7 , 12 , 15 , 16 , 18 , 20 , 37 , 40 , 44 , 45 , 49 , 51 , 53 , 54 , 56 , 63 , 76 , 77 , 81 , 82 , 88 , 90 - 92 , 110 , the hip (3 studies) 43 , 50 , 85 , the ankle (1 study) 14 , and basic general arthroscopic skills (6 studies)…”

Section: Resultsmentioning

confidence: 99%

“…They are generalizable between procedures and can be used to assess complex procedures when there is >1 accepted method. They can discriminate between competent and expert performance, and there are many studies demonstrating their content 17 , 96 and concurrent validity 17 , 77 , 85 , 96 , 98 , 103 and their reliability 17 , 37 , 66 , 96 . They require expert surgeon evaluators and are more time-consuming to administer, and may be susceptible to assessor bias, as domains of assessment such as instrument handling and respect for tissue are inherently quite subjective.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of Tools Used in Assessing Technical Skills and Operative Competence in Trauma and Orthopaedic Surgical Training

et al. 2020

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Background: Robust assessment of skills acquisition and surgical performance during training is vital to ensuring operative competence among orthopaedic surgeons. A move to competency-based surgical training requires the use of tools that can assess surgical skills objectively and systematically. The aim of this systematic review was to describe the evidence for the utility of assessment tools used in evaluating operative performance in trauma and orthopaedic surgical training. Methods: We performed a comprehensive literature search of MEDLINE, Embase, and Google Scholar databases to June 2019. From eligible studies we abstracted data on study aim, assessment format (live theater or simulated setting), skills assessed, and tools or metrics used to assess surgical performance. The strengths, limitations, and psychometric properties of the assessment tools are reported on the basis of previously defined utility criteria. Results: One hundred and five studies published between 1990 and 2019 were included. Forty-two studies involved open orthopaedic surgical procedures, and 63 involved arthroscopy. The majority (85%) were used in the simulated environment. There was wide variation in the type of assessment tools in used, the strengths and weaknesses of which are assessor and setting-dependent. Conclusions: Current technical skills-assessment tools in trauma and orthopaedic surgery are largely procedure-specific and limited to research use in the simulated environment. An objective technical skills-assessment tool that is suitable for use in the live operative theater requires development and validation, to ensure proper competency-based assessment of surgical performance and readiness for unsupervised clinical practice. Clinical Relevance: Trainers and trainees can gain further insight into the technical skills assessment tools that they use in practice through the utility evidence provided.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Analysis of Tools Used in Assessing Technical Skills and Operative Competence in Trauma and Orthopaedic Surgical Training

et al. 2020

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“…As the surgeons became more accomplished with basic techniques, more advanced skills were required to address more challenging problems resulting new and different complications [ 10 ]. The use of a dry model arthroscopic simulation to assess the performance of arthroscopic hip labral repair has been shown to be both valid and reliable and may aide in tailoring these numbers and the recommended case volume by experts in this survey to an individual and his/her operative skills [ 11 ]. Of note, lateral positioning produced longer procedure times and worse performance scores among trainees performing hip preservation on a simulator [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

The education and training of future hip preservation surgeons: aggregate recommendations of high-volume surgeons

Chen

Steffes

Laseter

et al. 2018

Journal of Hip Preservation Surgery

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Hip preservation is one of the fastest growing subspecialties in orthopaedic surgery. Surgical training recommendations and guidelines in this field are lacking. To survey high volume hip preservation surgeons regarding their perspectives on the current and future training of surgeons entering their field, a cross-sectional survey of 16 high-volume hip preservation surgeons was conducted to gather perspectives and opinions on the most appropriate education of future hip preservation surgeons. All participants completed the survey in person and anonymously. Of the surveyed surgeons, the mean career hip preservation volume was 1031.25 cases (250 to >3000) with an average annual volume of 162.08 cases (75–400). The average number of hip arthroscopy cases necessary to competently perform joint access is 19, labral repair is 34, acetabuloplasty/femoroplasty are 54, labral reconstruction is 101 and capsular closure/plication is 53. Fifty-six percent of the surgeons believe mid-career surgeons who have never performed hip preservation surgery should not adopt it as part of their practice. The mean optimal number of cases recommended was 128 hip arthroscopies during a dedicated hip preservation fellowship and 67 hip arthroscopies during a sports medicine fellowship. Surgeons with an interest in hip preservation careers, should strongly consider a 12-month dedicated hip preservation fellowship that provides exposure to at least 128 cases, including open and arthroscopic techniques, hip arthroplasty, and research opportunities. Mid-career surgeons should be cautious about adopting hip preservation into their practice if they have not had prior adequate training.

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“…Only a few articles in the published literature are about simulators in hip surgery. 3,[19][20][21][22] Frank et al 23 reviewed articles on arthroscopic simulation and included 25 articles about arthroscopic knee joint simulators, 19 on the shoulder joint, 3 articles on both knee and shoulder joint, 3 articles about arthroscopic hip simulators and 1 article about the ankle joint. Hip arthroscopy is a difficult procedure with a steep learning curve.…”

Section: Simulationmentioning

confidence: 99%

Teaching hip surgery to orthopaedic residents: what’s new?

2020

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Purpose: The purpose of this study is to provide an overview of the published literature on the existing educational methods used to teach surgical skills, with a specific focus on hip surgery, to orthopaedic residents. Methods: A total of 31 articles were selected from a PubMed literature search on the topic of teaching surgical skills to orthopaedic residents, and 9 articles on hip surgery are included in this review. Results: Although several methods are included in the published literature to teach orthopaedic residents, only arthroscopy of the knee and shoulder joint is well described. Hip arthroscopy has a steeper learning curve and thus the use of simulation training as a complementary teaching method is even more important. Conclusions: Currently, open surgery skills for joint arthroplasty are largely acquired by apprenticeship learning. Simulation training in the form of virtual reality could contribute to better performance of residents, decreasing operation time and improving patient safety.

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Validation of a Dry Model for Assessing the Performance of Arthroscopic Hip Labral Repair

Cited by 27 publications

References 16 publications

Analysis of Tools Used in Assessing Technical Skills and Operative Competence in Trauma and Orthopaedic Surgical Training

Analysis of Tools Used in Assessing Technical Skills and Operative Competence in Trauma and Orthopaedic Surgical Training

The education and training of future hip preservation surgeons: aggregate recommendations of high-volume surgeons

Teaching hip surgery to orthopaedic residents: what’s new?

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