Testing technical skill via an innovative “bench station” examination

Reznick, Richard K.; Regehr, Glenn; MacRae, Helen; Martin, Jeffrey T.; McCulloch, Wendy

doi:10.1016/s0002-9610(97)89597-9

Cited by 920 publications

(634 citation statements)

References 4 publications

Supporting

Mentioning

613

Contrasting

Unclassified

Order By: Relevance

“…Objective structured assessment of technical skill (OSATS) has been used successfully for surgical trainees to test competency in a range of tasks [120,121]. Similar tests have also been developed for skills in anaesthesia such as spinal anaesthesia [122], lumbar epidural anaesthesia [123] and tracheal intubation [124].…”

Section: Learning Curves and Assessmentmentioning

confidence: 99%

Training in airway management

2002

View full text Add to dashboard Cite

show abstract

Section: Learning Curves and Assessmentmentioning

confidence: 99%

Training in airway management

2002

View full text Add to dashboard Cite

show abstract

“…We therefore selected ecological motor tasks, suitable for novice subjects and compatible with the two techniques. These tasks were selected with the collaboration of an expert surgeon, according to their relevance and validity, which had been demonstrated in previous studies [7,22,23]. The five tasks were devised, ranging from basic to more advanced laparoscopic skills.…”

Section: Tasksmentioning

confidence: 99%

“…This study revealed advantages of the da Vinci robotic system, particularly when it was used with the 3D view option. However, only six subjects participated in this study and the chosen tasks were very specific to the robotic system training.Our objective was therefore to study, with more participants, the impact of the da Vinci robotic system on standard and ecological surgical tasks of increasing complexity (ecological in the sense that our tasks were similar to the gestures made by the surgeon in a real situation, for which we used bench models developed and validated in several studies [7,22,23]). To analyse the nature of the benefits brought about by these expensive new technologies precisely, we independently differentiated and studied the influence of the 3D view (afferent component), comparing 2D and 3D view, and the influence of movement freedom restauration (DOFs, efferent component), comparing the classical laparoscopy with the robotic system.…”

mentioning

confidence: 99%

Perceptual and instrumental impacts of robotic laparoscopy on surgical performance

et al. 2007

View full text Add to dashboard Cite

New technologies in surgery are in constant and considerable evolution; they transform the surgeonÕs activity and practice. In laparoscopic surgery, new systems allow the use of two-(2D) or three-dimensional (3D) vision. However, the literature reports contradictory results concerning the benefits of 3D vision: some studies show that better motor performances are obtained with 3D vision [1,8,19,25,26] while others fail to reveal any difference in performance between 2D and 3D vision [5, 6, 12, 20]. In some studies [5], only complex tasks were performed faster and more easily with a 3D view whereas no difference between the use of 2D and 3D views appeared when performing the easiest tasks. The divergence in these results is partially due to the fact that first-generation 3D systems, with their lower resolution, were compared with standard 2D systems [10]. Nowadays, new 3D systems allow a natural bidimensional view and thus suppress the bias observed in previous studies.In this paper, we used a new-generation 3D system, the da Vinci robotic system. This robotic system allows a 3D visualization of the operative field to be gained, restores the degrees of freedom (DOFs) lost in classical laparoscopy, and improves the dexterity of the surgeonÕs hand and wrist. Only one published study [13] has compared the performance obtained using classical laparoscopic techniques and those using this robotic system. This study revealed advantages of the da Vinci robotic system, particularly when it was used with the 3D view option. However, only six subjects participated in this study and the chosen tasks were very specific to the robotic system training.Our objective was therefore to study, with more participants, the impact of the da Vinci robotic system on standard and ecological surgical tasks of increasing complexity (ecological in the sense that our tasks were similar to the gestures made by the surgeon in a real situation, for which we used bench models developed and validated in several studies [7,22,23]). To analyse the nature of the benefits brought about by these expensive new technologies precisely, we independently differentiated and studied the influence of the 3D view (afferent component), comparing 2D and 3D view, and the influence of movement freedom restauration (DOFs, efferent component), comparing the classical laparoscopy with the robotic system.We also studied the impact of the use of the robotic technology on the subjectÕs self-confidence, satisfaction and facility, knowing that these three factors influence both the performance and acceptance of new technology in the operating room [16,17]. To avoid any bias from earlier laparoscopic experience in our comparison between classical and robotic laparoscopic techniques, we only selected medical students without any prior experience in open, minimally invasive or robotically assisted surgery. Materials and methods MaterialsThe da Vinci system consists of two primary components: the surgeonÕs viewing and control console and, a moveable cart with three articulate...

show abstract

“…In orthopaedics, objective structured clinical examinations have been used to determine the ability of residents to manage clinical problems [15] and to assess their communication and management skills [14]. The ability to perform technical procedures will always be best assessed in the operating room but it can be difficult to standardize surgical procedures [33], manage time restraints [16], and ensure optimal patient safety and clinical outcomes [26]. For these reasons, simulation increasingly is being used to provide opportunities for residents to perform procedures independently, demonstrate knowledge and skills deficits, and commit errors before actually performing surgery on patients in the operating room [2,7,8,13,21,26].…”

Section: Introductionmentioning

confidence: 99%

Cognitive and Psychomotor Entrustable Professional Activities: Can Simulators Help Assess Competency in Trainees?

Dwyer

Wadey

Archibald

et al. 2016

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background An entrustable professional activity describes a professional task that postgraduate residents must master during their training. The use of simulation to assess performance of entrustable professional activities requires further investigation. Questions/purposes (1) Is simulation-based assessment of resident performance of entrustable professional activities reliable? (2) Is there evidence of important differences between Postgraduate Year (PGY)-1 and PGY-4 residents when performing simulated entrustable professional activities? Methods Three entrustable professional activities were chosen from a list of competencies: management of the patient for total knee arthroplasty (TKA); management of the patient with an intertrochanteric hip fracture; and management of the patient with an ankle fracture. Each assessment of entrustable professional activity was 40 minutes long with three components: preoperative management of a patient (history-taking, examination, image interpretation); performance of a technical procedure on a sawbones model; and postoperative management of a patient (postoperative orders, management of complications). Residents were assessed by six faculty members who used checklists based on a modified Delphi technique, an overall global rating scale as well as a previously validated global rating scale for the technical procedure component of each activity. Nine PGY-1 and nine PGY-4 residents participated in our simulated assessment. We assessed reliability by calculating the internal consistency of the mean global rating for each activity as well as the interrater reliability between the faculty assessment and The institution of one or more of the authors (TD, MN) has received, during the study period, funding from a Core Competency Innovation Grant from the OMeGA Medical Grants Association. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and informed consent for participation in the study was obtained. This work was performed at the University of Toronto, Toronto, Ontario, Canada. Clinical Orthopaedics and Related Research ®A Publication of The Association of Bone and Joint Surgeons® blinded review of videotaped encounters. We sought evidence of a difference in performance between PGY-1 and PGY-4 residents on the overall global rating scale for each station of each entrustable professional activity. Results The reliability (Cronbach's a) for the hip fracture activity was 0.88, it was 0.89 for the ankle fracture activity, and it was 0.84 for the TKA activity. A strong correlation was seen between blinded observer video review and faculty scores (mean 0.87 [0.07], p \ 0.001). For the hip fracture entrustable professional activity, the PGY-4 group had a hi...

show abstract

Testing technical skill via an innovative “bench station” examination

Cited by 920 publications

References 4 publications

Training in airway management

Training in airway management

Perceptual and instrumental impacts of robotic laparoscopy on surgical performance

Cognitive and Psychomotor Entrustable Professional Activities: Can Simulators Help Assess Competency in Trainees?

Contact Info

Product

Resources

About