A hierarchical task analysis of shoulder arthroscopy for a virtual arthroscopic tear diagnosis and evaluation platform (VATDEP)

Abstract

We have established a hierarchical task analysis and analyzed our performance metrics. We will further use our metrics in our VR simulator for quantitative assessment.

Validity Evidence for Procedure-specific Competence Assessment Tools in Orthopaedic Surgery: A Scoping Review

“…We identified 22 studies using 24 procedure-specific surgical assessment tools (Table 1 ). 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 These tools assessed a variety of orthopaedic surgery procedures, including diagnostic knee arthroscopy and partial meniscectomy, 21 , 31 , 36 arthroscopic hip labral repair, 26 diagnostic shoulder arthroscopy, 21 , 29 arthroscopic rotator cuff repair and labral repair, 15 , 16 , 19 , 22 23 24 25 , 27 open surgical approaches to the shoulder (deltopectoral, lateral deltoid-splitting, and posterior), 28 shoulder arthroplasty, 20 arthroscopic hamstring anterior cruciate ligament reconstruction, 30 open carpal tunnel release, 34 , 35 trigger finger release, 34 percutaneous transforaminal endoscopic diskectomy, 17 and fracture fixation. 18 , 21 , 32 - 34 All tools included a checklist of critical steps that were graded categorically.…”

“… 17 , 22 23 24 25 All but five studies assessed tools in a simulation environment only; of the five, three assessed live operations 21 , 29 and two assessed arthroscopic recordings of operations. 15 , 16 Study participants included residents, fellows, and fellowship-trained attendings. Twenty-one tools were designed to evaluate resident performance, two tools were designed to distinguish between novice and experienced orthopaedic surgeons, 15 , 16 , 22 , 25 and one tool was designed to evaluate spine surgeons learning a new technique.…”

“… 15 , 16 Study participants included residents, fellows, and fellowship-trained attendings. Twenty-one tools were designed to evaluate resident performance, two tools were designed to distinguish between novice and experienced orthopaedic surgeons, 15 , 16 , 22 , 25 and one tool was designed to evaluate spine surgeons learning a new technique. 17 Only two of the studies studying four different tools specified that the tool was intended for formative assessment 20 , 28 ; other studies did not distinguish whether the tool was meant for formative or summative assessment.…”

“… 19 All tools except five were developed by content experts (not specified in five tools). 15 16 17 18 19 20 Fourteen tools (58.3%) underwent the modified Delphi technique for revision.…”

A task and performance analysis of endoscopic submucosal dissection (ESD) surgery

“…Prior to our study, we hypothesized that there may be relation between the task duration and scores from the devised grading metrics. This stems from the common observation of relation noted in the literature that skills and experience level of the surgeon affects the total surgery time, time spent in a task and performance score [32,33]. In order to quantify the relation, we performed Pearson's correlation tests between times and scores.…”