medigraphic.com
ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2017, Number 1

<< Back Next >>

An Med Asoc Med Hosp ABC 2017; 62 (1)

Reference values for diagnostic knee arthroscopy in a virtual reality simulator

Arroyo BC, Torres GA, Romo RR, Ruiz SJO

Language: Spanish
References: 26
Page: 22-29
PDF size: 201.10 Kb.


ABSTRACT

Background: Current changes and restrictions in residency programs have driven investigation in surgical simulators in an attempt to make up for the practical deficiencies encountered by orthopedic residents all over the world. In the United States and the United Kingdom, simulation has been incorporated to residency programs as a mandatory part of motor surgical training since 2013. The ABC Medical Center acquired a virtual reality arthroscopic simulator with haptic feedback in 2015 for the development of motor skills. There is no standardized training program with arthroscopic simulators that has been validated for the moment. Objective: The objective of this study was to establish standard reference values for diagnostic arthroscopy with and without a probe in the virtual reality simulator ARTHRO MentorTM for residents and treating physicians at our hospital. Material and methods: Eighteen residents and twenty staff members participated in this study. All participants completed three a set of exercises diagnostic knee arthroscopy on a set path with and without a probe in the ARTHRO MentorTM virtual reality arthroscopy simulator. The variables analyzed in this study were all measured and reported by the simulator. These were: time to complete the task, distance traveled by the arthroscope and the probe, roughness while using the arthroscope and the probe, and overall task score. Results: Reference values were established for residents and treating physicians for diagnostic knee arthroscopy with and without a probe in the virtual reality simulator. Conclusion: The established values will be considered a basal reference to evaluate improvement of motor skills of residents with a formal training program using the virtual reality arthroscopy simulator.


REFERENCES

  1. Hodgins JL, Veillette C. Arthroscopic proficiency: methods in evaluating competency. BMC Med Educ. 2013; 13: 61.

  2. Unalan PC, Akan K, Orhun H, Akgun U, Poyanli O, Baykan A et al. A basic arthroscopy course based on motor skill training. Knee Surg Sports Traumatol Arthrosc. 2010; 18 (10): 1395-1399.

  3. Stirling ER, Lewis TL, Ferran NA. Surgical skills simulation in trauma and orthopaedic training. J Orthop Surg Res. 2014; 9: 126.

  4. Rosen KR. The history of medical simulation. J Crit Care. 2008; 23 (2): 157-166.

  5. Hui Y, Safir O, Dubrowski A, Carnahan H. What skills should simulation training in arthroscopy teach residents? A focus on resident input. Int J Comput Assist Radiol Surg. 2013; 8 (6): 945-953.

  6. Akhtar K, Sugand K, Wijendra A, Standfield NJ, Cobb JP, Gupte CM. Training safer surgeons: How do patients view the role of simulation in orthopaedic training? Patient Saf Surg. 2015; 9: 11.

  7. Dougherty PJ. CORR curriculum-orthopaedic education: faculty development begins at home. Clin Orthop Relat Res. 2014; 472 (12): 3637-3643.

  8. Coughlin RP, Pauyo T, Sutton JC 3rd, Coughlin LP, Bergeron SG. A validated orthopaedic surgical simulation model for training and evaluation of basic arthroscopic skills. J Bone Joint Surg Am. 2015; 97 (17): 1465-1471.

  9. Martin KD, Patterson DP, Cameron KL. Arthroscopic training courses improve trainee arthroscopy skills: a simulation-based prospective trial. Arthroscopy. 2016; 32 (11): 2228-2232.

  10. Niitsu H, Hirabayashi N, Yoshimitsu M, Mimura T, Taomoto J, Sugiyama Y et al. Using the Objective Structured Assessment of Technical Skills (OSATS) global rating scale to evaluate the skills of surgical trainees in the operating room. Surg Today. 2013; 43 (3): 271-275.

  11. Gardner AK, Scott DJ, Pedowitz RA, Sweet RM, Feins RH, Deutsch ES et al. Best practices across surgical specialties relating to simulation-based training. Surgery. 2015; 158 (5): 1395-1402.

  12. Hiemstra E, Kolkman W, Wolterbeek R, Trimbos B, Jansen FW. Value of an objective assessment tool in the operating room. Can J Surg. 2011; 54 (2): 116-122.

  13. Koehler RJ, Amsdell S, Arendt EA, Bisson LJ, Braman JP, Butler A et al. The Arthroscopic Surgical Skill Evaluation Tool (ASSET). Am J Sports Med. 2013; 41 (6): 1229-1237.

  14. Camp CL, Krych AJ, Stuart MJ, Regnier TD, Mills KM, Turner NS. Improving resident performance in knee arthroscopy: a prospective value assessment of simulators and cadaveric skills laboratories. J Bone Joint Surg Am. 2016; 98 (3): 220-225.

  15. Middleton RM, Baldwin MJ, Akhtar K, Alvand A, Rees JL. Which global rating scale? A comparison of the ASSET, BAKSSS, and IGARS for the assessment of simulated arthroscopic skills. J Bone Joint Surg Am. 2016; 98 (1): 75-81.

  16. Jacobsen ME, Andersen MJ, Hansen CO, Konge L. Testing basic competency in knee arthroscopy using a virtual reality simulator: exploring validity and reliability. J Bone Joint Surg Am. 2015; 97 (9): 775-781.

  17. Martin KD, Belmont PJ, Schoenfeld AJ, Todd M, Cameron KL, Owens BD. Arthroscopic basic task performance in shoulder simulator model correlates with similar task performance in cadavers. J Bone Joint Surg Am. 2011; 93 (21): e1271-e1275.

  18. Garfjeld-Roberts P, Guyver P, Baldwin M, Akhtar K, Alvand A, Price AJ et al. Validation of the updated ArthroS simulator: face and construct validity of a passive haptic virtual reality simulator with novel performance metrics. Knee Surg Sports Traumatol Arthrosc. 2016.

  19. Howells NR, Gill HS, Carr AJ, Price AJ, Rees JL. Transferring simulated arthroscopic skills to the operating theatre: a randomised blinded study. J Bone Joint Surg Br. 2008; 90 (4): 494-499.

  20. Boutefnouchet T, Laios T. Transfer of arthroscopic skills from computer simulation training to the operating theatre: a review of evidence from two randomised controlled studies. SICOT J. 2016; 2: 4.

  21. Bergfeld JA. Issues with accreditation and certification of orthopaedic surgery fellowships. J Bone Joint Surg Am. 1998; 80 (12): 1833-1836; discussion 46-50.

  22. Kalraiya A, Buddhdev P. The TROJAN project: creating a customized international orthopedic training program for junior doctors. Orthop Rev (Pavia). 2015; 7 (1): 5750.

  23. Pitts D, Rowley DI, Sher JL. Assessment of performance in orthopaedic training. J Bone Joint Surg Br. 2005; 87 (9): 1187-1191.

  24. van den Dobbelsteen JJ, Karahan M, Akgün U. Theory on psychomotor learning applied to arthroscopy. In: Karahan M, Kerkhoffs MMJG, Randelli P, Tuijthof JMG, editors. Effective training of arthroscopic skills. Berlin, Heidelberg: Springer Berlin Heidelberg; 2015. p. 17-32.

  25. Rebolledo BJ, Hammann-Scala J, Leali A, Ranawat AS. Arthroscopy skills development with a surgical simulator: a comparative study in orthopaedic surgery residents. Am J Sports Med. 2015; 43 (6): 1526-1529.

  26. Jackson WF, Khan T, Alvand A, Al-Ali S, Gill HS, Price AJ et al. Learning and retaining simulated arthroscopic meniscal repair skills. J Bone Joint Surg Am. 2012; 94 (17): e132.




2020     |     www.medigraphic.com