Objective Assessment of Knot-Tying Proficiency With the Fundamentals of Arthroscopic Surgery Training Program Workstation and Knot Tester

Pedowitz, Robert A.; Nicandri, Gregg; Angelo, Richard L.; Ryu, Richard K.N.; Gallagher, Anthony G.

doi:10.1016/j.arthro.2015.06.021

Cited by 63 publications

(76 citation statements)

References 31 publications

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“…Even for experienced arthroscopic surgeons, knot quality is inconsistent, with a substantial percentage of inadequate knots observed when tested objectively. 1,2 Obvious solutions include effective training paradigms, repeated benchtop practice, and fastidious attention to technical consistency during arthroscopic surgery. An alternative strategy is development of fixation methods and surgical techniques that do not rely on arthroscopic knot tying for construct biomechanical performance.…”

Section: See Related Article On Page 2954mentioning

confidence: 99%

Editorial Commentary: What’s Knot to Like? In the Biomechanics Laboratory, Knotless Shoulder Anchors Hold Their Own

Pedowitz

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: See Related Article On Page 2954mentioning

confidence: 99%

Editorial Commentary: What’s Knot to Like? In the Biomechanics Laboratory, Knotless Shoulder Anchors Hold Their Own

Pedowitz

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Research into clinical skills would suggest a critical role for ‘continual practice’ and maximising training time to reach an ‘appropriate’ level of performance [3]. Simulation-based training has demonstrated that skills can be acquired as well as measured without the need to ‘learn on real patients’ [4, 5]. Many healthcare tasks and procedures can be simulated using computer technology for training purposes and provide novices with a way to improve or maintain their skills [6–8].…”

Section: Introductionmentioning

confidence: 99%

Wearable technology-based metrics for predicting operator performance during cardiac catheterisation

et al. 2019

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IntroductionUnobtrusive metrics that can auto-assess performance during clinical procedures are of value. Three approaches to deriving wearable technology-based metrics are explored: (1) eye tracking, (2) psychophysiological measurements [e.g. electrodermal activity (EDA)] and (3) arm and hand movement via accelerometry. We also measure attentional capacity by tasking the operator with an additional task to track an unrelated object during the procedure.MethodsTwo aspects of performance are measured: (1) using eye gaze and psychophysiology metrics and (2) measuring attentional capacity via an additional unrelated task (to monitor a visual stimulus/playing cards). The aim was to identify metrics that can be used to automatically discriminate between levels of performance or at least between novices and experts. The study was conducted using two groups: (1) novice operators and (2) expert operators. Both groups made two attempts at a coronary angiography procedure using a full-physics virtual reality simulator. Participants wore eye tracking glasses and an E4 wearable wristband. Areas of interest were defined to track visual attention on display screens, including: (1) X-ray, (2) vital signs, (3) instruments and (4) the stimulus screen (for measuring attentional capacity).ResultsExperts provided greater dwell time (63% vs 42%, p = 0.03) and fixations (50% vs 34%, p = 0.04) on display screens. They also provided greater dwell time (11% vs 5%, p = 0.006) and fixations (9% vs 4%, p = 0.007) when selecting instruments. The experts’ performance for tracking the unrelated object during the visual stimulus task negatively correlated with total errors (r = − 0.95, p = 0.0009). Experts also had a higher standard deviation of EDA (2.52 µS vs 0.89 µS, p = 0.04).ConclusionsEye tracking metrics may help discriminate between a novice and expert operator, by showing that experts maintain greater visual attention on the display screens. In addition, the visual stimulus study shows that an unrelated task can measure attentional capacity.Trial registration This work is registered through clinicaltrials.gov, a service of the U.S. National Health Institute, and is identified by the trial reference: NCT02928796.

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“…For example, the Fundamentals of Arthroscopic Surgery Training (FAST) program is a collaborative initiative between the Arthroscopy Association of North America and the American Academy of Orthopaedic Surgeons. 15 The FAST program allows task deconstruction and assessment of basic arthroscopic skills. In addition, the Arthroscopic Surgery Skill Evaluation Tool (ASSET) has been developed as a video-based assessment of technical skill that is suitable to evaluate multiple procedures in both the simulation laboratory and operative theater.…”

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confidence: 99%

Proficiency-Based Training Using Simulator-Based Tools Could be Validated for Certification of Surgical Procedural Proficiency

Hohmann¹,

Brand²,

Rossi³

et al. 2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Objective Assessment of Knot-Tying Proficiency With the Fundamentals of Arthroscopic Surgery Training Program Workstation and Knot Tester

Cited by 63 publications

References 31 publications

Editorial Commentary: What’s Knot to Like? In the Biomechanics Laboratory, Knotless Shoulder Anchors Hold Their Own

Editorial Commentary: What’s Knot to Like? In the Biomechanics Laboratory, Knotless Shoulder Anchors Hold Their Own

Wearable technology-based metrics for predicting operator performance during cardiac catheterisation

Proficiency-Based Training Using Simulator-Based Tools Could be Validated for Certification of Surgical Procedural Proficiency

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