Shortcut assessment: Can residents’ operative performance be determined in the first five minutes of an operative task?

Performance assessment using sensor technology

“…When analyzing motion data, we have consistently found significant correlations between motion outputs and surgical performance 27‐30 . When evaluating a subset of surgical residents using the LVH simulator, we found that the first 5 min of motion data metrics could predict the final product quality score of the hernia repair 24 .…”

“…Evaluating procedural outcomes also facilitated our cognitive assessment 27 . The final product quality score (FPQS) score consisted of ten different metrics with different point scales.…”

“…Overview of the ten metrics used in grading the final product quality score (FPQS) 27 [Color figure can be viewed at wileyonlinelibrary.com]…”

The what? How? And Who? Of video based assessment

“…26 Advanced engineering technologies such as sensors and motion tracking have been synchronized with video and used to digitize and quantify specific features of expert and novice procedural strategies. 27,28 Differences in operative performance and strategy can be readily identified and linked to specific video segments. 29 In the urologic surgery literature, Hung et al have demonstrated proof of concept that automated measures such as kinematic data from robotic systems can correlate with outcomes and can differentiate even expert from "super-expert" surgeons performing robotic prostatectomy.…”

Learning theories and principles in surgical education and technical learning

“…This is the step during which a surgical trainee refines technique and works on the economy of motion. The surgical simulation focuses on improving the learner's economy of motion as it is related to error reduction and overall performance of an operation 17‐20 . Automation takes place next when the trainee has mastered the task and can perform the actions with minimal cognitive input.…”