The Advanced Dundee Endoscopic Psychomotor Tester (ADEPT) objectifying subjective psychomotor test performance

Abstract

Surgeons cannot correctly predict their standardized individual test result on ADEPT. Performance on ADEPT reflects innate psychomotor ability along with improvement over runs. Surgeons are ambivalent in assessing the validity of ADEPT, irrespective of personal performance.

The learning curve on the Xitact LS 500 laparoscopy simulator: profiles of performance

“…It is known that surgical skills-and in particular the complex psychomotor skills needed for endoscopic surgery-are in part innate and in part learned through extensive repetitive practice of a procedure [18]. Recent advances in virtual reality (VR) technology have led to the development of VR surgical skills simulators.…”

Cyber visual training as a new method for the mastery of endoscopic surgery

“…Other useful indices are accuracy and task completion. The Advanced Dunndee Endoscopic Psycomoto Tester (ADEPT) systen and McGill Innanimate System for Training and Evaluation of Laparoscopic Skills (MISTELS) program were developed for this purpose [4,21]. These scores can be used to distinguish master surgeons from junior surgeons [5,16].…”

“…To make it easier to acquire these techniques, more efficient training methods are urgently needed. Many basic technical methods for this trainings have been described [16,17,19,21,23]. However, there is a perilous gap between the level of expertise attained by acquiring the basic techniques and the actual level needed for clinical practice.…”

Construct validity

“…Surgical skills, and in particular, complex psychomotor skills as needed in laparoscopic surgery, are in part innate, and can in part be learned from extensive, repetitive practice [25]. Although many skills and traits are needed to be a competent surgeon, the element of technical competence is eminent.…”