Video assessment of basic surgical trainees' operative skills

Driscoll, P; Paisley, Anna; Paterson-Brown, Simon

doi:10.1016/j.amjsurg.2007.09.044

Cited by 57 publications

(36 citation statements)

References 30 publications

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“…This is consistent with previous findings for video-assisted assessment and the use of DOPS in daily practice [24][25][26][27]. Qualitative investigations using stakeholder feedback have produced mixed results of DOPS feasibility and acceptability [26][27][28][29].…”

Section: Discussionsupporting

confidence: 79%

Psychometric evaluation of a direct observation of procedural skills assessment tool for ultrasound‐guided regional anaesthesia

et al. 2014

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SummaryAssessment tools must be investigated for reliability, validity and feasibility before being implemented. In 2013, the Australian and New Zealand College of Anaesthetists introduced workplace-based assessments, including a direct observation of a procedural skills assessment tool. The objective of this study was to evaluate the psychometric properties of this assessment tool for ultrasound-guided regional anaesthesia. Six experts assessed 30 video-recorded trainee performances of ultrasound-guided regional anaesthesia. Inter-rater reliability, assessed using absolute agreement intraclass correlation coefficients, varied from 0.10 to 0.49 for the nine individual nine-point scale items, and was 0.25 for a 'total score' of all items. Internal consistency was measured by correlation between 'total score' and 'overall performance' scale item (r = 0.68, p < 0.001). Construct validity was demonstrated by the 'total score' correlating with trainee experience (r = 0.51, p = 0.004). The mean time taken to complete assessments was 6 min 35 s.

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Section: Discussionsupporting

confidence: 79%

Psychometric evaluation of a direct observation of procedural skills assessment tool for ultrasound‐guided regional anaesthesia

et al. 2014

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“…3 The need for a simulation-based training program arose when surgeons found that their skills in open surgery did not transfer to the newer domain of laparoscopy. 8 Principles of laparoscopic surgery became the subject of extensive research. Gallagher et al 9 identified a set of special skills that were deemed essential to perform a laparoscopic procedure: (i) depth perception: the ability to perform 3D maneuvers with a 2D view; (ii) adjustment to fulcrum effect: to resolve the conflict between visual and proprioceptive feedback; (iii) hand-eye coordination; (iv) bimanual manipulation; (v) handling of laparoscopic instruments; and (vi) ambidexterity: The ability to use both left and right hands with equal ease.…”

Section: Discussionmentioning

confidence: 99%

Smartphone/Tablet-based Laparoscopy Simulation System: A Low-cost Training Module for Beginners in Minimally Invasive Surgery

Saxena¹

2016

WJOLS

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Laparoscopic surgery is a well-established domain of surgery and it has become essential for surgical practitioners to be well versed in the technique. It has a steep learning curve which exists because of a number of additional skills required for a successful transition from open surgery to minimally invasive procedures. Hence, it is desirable that a trainee should practice laparoscopy upon simulation devices before attempting an actual procedure on a patient. Two types of simulators are currently available in the market: box type and virtual reality type. The major limitation in their use is the cost factor involved. These simulators are relatively expensive, which the trainees in developing countries can ill afford. My efforts were directed at developing a low-cost simulator that is easy to assemble, requires minimal investment, and helps in improving depth perception and ambidexterity at the same time. I devised a simulation system based on smartphone/tablet. These gadgets (smartphone/tablet) are easily available everywhere at a reasonable cost. In the apparatus devised by me, the rear camera of a smartphone works as a laparoscopic camera and its screen works as the monitor. Light-emitting diode flash of the device functions as the light source. The smartphone has to be attached to a specially designed box fitted with accessories to perform various tasks. The practice sessions can be recorded and used for monitoring and evaluation by experts. A satisfactory level of elementary laparoscopy training can be imparted at a lower cost using smartphone-based simulation system.

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“…Video tutorials have shown to hasten skills acquisition, teach error avoidance strategies, and help develop reflective practice in trainees [14][15][16][17]. Additionally, video assessment can distinguish between individuals with great differences in experience, but subtle variations evidently will not appear [3].…”

Section: Video Assessmentmentioning

confidence: 99%

Can both residents and chief physicians assess surgical skills?

et al. 2012

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Residents and chief physicians generated similar performance scores when assessing operations using a laparoscopic procedure-specific assessment scale, and they could distinguish performance levels between the surgeons. They matched the assessment score of our expert on the intermediate operation. We conclude that a procedure-specific assessment scale can be used by both residents and chief physicians when giving formative feedback.

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Video assessment of basic surgical trainees' operative skills

Cited by 57 publications

References 30 publications

Psychometric evaluation of a direct observation of procedural skills assessment tool for ultrasound‐guided regional anaesthesia

Psychometric evaluation of a direct observation of procedural skills assessment tool for ultrasound‐guided regional anaesthesia

Smartphone/Tablet-based Laparoscopy Simulation System: A Low-cost Training Module for Beginners in Minimally Invasive Surgery

Can both residents and chief physicians assess surgical skills?

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