Psychomotor testing predicts rate of skill acquisition for proficiency-based laparoscopic skills training

Stefanidis, Dimitrios; Korndorffer, James R.; Black, F. William; Dunne, J. Bruce; Sierra, Rafael J.; Touchard, Cheri L.; Rice, David A.; Markert, Ronald J.; Kastl, Peter R.; Scott, Daniel J.

doi:10.1016/j.surg.2006.04.002

Cited by 134 publications

(114 citation statements)

References 38 publications

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“…The different VR simulators identified for this review are shown in Table 5 , [64][65][66][67][68][69][70][71][72][73][74][75][76][77]. VR simulators can be differenced by the way they make use of their didactic resources (Fig.…”

Section: Tracking Systems In Virtual Reality Simulatorsmentioning

confidence: 99%

Methods and Tools for Objective Assessment of Psychomotor Skills in Laparoscopic Surgery

García

Sánchez-González

Lamata

et al. 2011

Journal of Surgical Research

132

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Training and assessment paradigms for laparoscopic surgical skills are evolving from traditional mentortrainee tutorship towards structured, more objective and safer programs. Accreditation of surgeons requires reaching a consensus on metrics and tasks used to assess surgeons' psychomotor skills. Ongoing development of tracking systems and software Solutions has allowed for the expansión of novel training and assessment means in laparoscopy. The current challenge is to adapt and include these systems within training programs, and to exploit their possibilities for evaluation purposes. This paper describes the state of the art in research on measuring and assessing psychomotor laparoscopic skills. It gives an overview on tracking systems as well as on metrics and advanced statistical and machine learning techniques employed for evaluation purposes. The later ones have a potential to be used as an aid in deciding on the surgical competence level, which is an important aspect when accreditation of the surgeons in particular, and patient safety in general, are considered. The prospective of these methods and tools make them complementary means for surgical assessment of motor skills, especially in the early stages of training. Successful examples such as the Fundamentáis of Laparoscopic Surgery should help drive a paradigm change to structured curricula based on objective parameters. These may improve the accreditation of new surgeons, as 1 To whom correspondence and reprint requests should be addressed at Bioengineering and Telemedicine Centre (GBT), ETSI Telecomunicación, Universidad Politécnica de Madrid (UPM). Avda Complutense, 30, 28040, Madrid, Spain. E-mail: ioropesa@gbt.tfo. upm.es. well as optimize their already overloaded training schedules.

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Section: Tracking Systems In Virtual Reality Simulatorsmentioning

confidence: 99%

Methods and Tools for Objective Assessment of Psychomotor Skills in Laparoscopic Surgery

García

Sánchez-González

Lamata

et al. 2011

Journal of Surgical Research

132

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“…The final aim of laparoscopy course is to enhance the competency and performance of the participants in the operating theatre. 17,18 Our study did not address this issue. This is an important area that needs to be further studied in our setting so as to evaluate the effect of our courses on the daily clinical practice in the United Arab Emirates.…”

Section: Limitations Of Our Studymentioning

confidence: 90%

Gynaecological laparoscopy courses in the United Arab Emirates

Elbiss¹,

George²,

Sidky³

et al. 2013

Afr H. Sci.

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Background: Laparoscopic surgery is important for gynaecological practice and became the method of choice for many gynaecological procedures having advantages over open surgery. Objective: To report our modified teaching methods, and evaluation of the gynaecological laparoscopy courses in United Arab Emirates. Methods: Fifty five participants attended four 3-full day comprehensive hands-on gynaecological laparoscopic skills courses. Non-expensive dry/wet models have been developed for teaching. All participants were evaluated at the end of the course through MCQs and practical laparoscopic exercises. All participants filled out a questionnaire reflecting their opinion on various aspects of the course at its completion. Ethical approval has been received by Research and Ethics Committee of Al Ain Medical District, Al-Ain, UAE. Results: Fourteen participants had no laparoscopic experience, 35 had experience at level I and six had experience at level II. There was a statistically significant difference of the MCQ mark between the three levels of experience (p = 0.05, Kruskal Wallis test) but not for the practical part, p = 0.9, Kruskal Wallis test). The courses were highly valued having an overall average rating of 3.8 out of 4. Conclusions: A multimodality non expensive course for teaching gynaecological laparoscopy was highly successful in United Arab Emirates. Models used may be useful for training gynaecological laparoscopy in developing countries. The long term effects of our courses on clinical practice have yet to be evaluated.

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“…In this regard, patient-focused simulation can yield benefits both for the patient and for the colposcopist during the early learning phase [17]. We believe that selection of trainees for accreditation may assume significance in the future; one criterion for selection could be visuo-spatial aptitude as this can reliably predict psychomotor performance [18,19]. Better selection of candidates may improve the outcome for patients while the trainee is under direct supervision in the early stages of learning and minimize treatment failure rates among this patient population.…”

Section: Discussionmentioning

confidence: 99%

LLETZ Specimen Fragmentation: Impact on Diagnosis, Outcome, and Implications for Training

Bharathan

Sagoo

Subramaniam

et al. 2013

J Obstet Gynecol India

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Purpose This study was designed to assess fragmentation of Large loop excision of the transformation zone (LLETZ) specimens, its influence on short-term cytological outcome, and the risk factors for specimen fragmentation, as we well as trainee performance on clinical outcome. Method This retrospective study was performed at a cancer center. Women who underwent LLETZ for suspected high-grade cervical intra-epithelial neoplasia (CIN) over a 5-year period were included. Patients were identified through a regional database. Data were obtained from hospital and regional databases. Fisher's exact test was used.Results 75 % of all specimens were obtained intact. When the LLETZ specimen was intact, 89 % of smear tests were reported as negative, against 86 % when the specimen was fragmented. Fragmentation was significantly associated with high-grade smear results at 6 months. Trainee status was significantly related to specimen fragmentation. Conclusion Fragmentation of LLETZ specimens is associated with an increased likelihood of obtaining a highgrade smear at 6 months post treatment. Enhancing the colposcopy training may help improve clinical outcome.

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Psychomotor testing predicts rate of skill acquisition for proficiency-based laparoscopic skills training

Cited by 134 publications

References 38 publications

Methods and Tools for Objective Assessment of Psychomotor Skills in Laparoscopic Surgery

Methods and Tools for Objective Assessment of Psychomotor Skills in Laparoscopic Surgery

Gynaecological laparoscopy courses in the United Arab Emirates

LLETZ Specimen Fragmentation: Impact on Diagnosis, Outcome, and Implications for Training

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