Validation of an operating room immersive microlaryngoscopy simulator

Abstract

This study is the first reported study of a high-fidelity microlaryngoscopy simulator with task-specific rating tools. Use of these tools is recommended within otolaryngology training programs, with the global rating assessment for use as a frequently used feedback tool, and the checklist assessment as a confirmatory evaluation of competency at transitions of professional training.

Assessing Technical Competence in Surgical Trainees

“…125 In the reviewed literature and in other publications, most definitions have embedded within them a minimum standard needed to be safe and/or the ability to perform the operation independently without help. 31,35,45,48,51,53,55,56,[58][59][60][61][62]64,87,103,[105][106][107]109,110,[113][114][115] Surgical competence has been described as a collection of skill, knowledge, and judgment required to complete new or familiar tasks incorporating both technical and nontechnical (ie, clinical problem solving) components. [119][120][121] Furthermore, operative competence builds on this definition but also includes a surgeon's experience and opportunities to form a broader, more universal domain.…”

“…31,35,45,48,51,53,55,56,[58][59][60][61][62]64,87,103,[105][106][107]109,110,[113][114][115] Differentiating competence from proficiency in the reviewed literature demonstrated that a proficient performer is one who approaches expertise and is thus at an advanced stage compared with a competent performer. 56,62,66,67,69,73,75,76,78-80,82-84,87-89,92-94, 96,97,100,113,116 …”

“…48 The platforms also utilized recorded assessments on procedures performed on standardized bench models via an open 65,67 approach or live assessments performed on standardized bench models via an open or endoscopic approach. 52,57,59,61,64,66 Finally, 1 study assessed live performance on a virtual reality simulator. 63 Copyright © 2014 Wolters Kluwer Health, Inc.…”

“…The combined approach included studies in General Surgery, [47][48][49][50] Gynecology, 35 Ophthalmology, 51 Orthopedics, 52,53 Vascular Surgery, 36,54,55 and Otolaryngology. [56][57][58][59][60][61][62][63][64] A few of the studies 65-69 evaluated the technical competence of categorical or preliminary residents from various specialties performing basic tasks (ie, skin suturing) or generic procedures (ie, chest tube insertion). Two studies evaluated the technical competence of categorical or preliminary residents from various specialties performing complex tasks 70,71 (laparoscopic cholecystectomy, end-to-end vascular anastomosis).…”

A validation study on the use of intra‐operative video recording as an objective assessment tool for core ENT surgery

“…To ensure this study was both valid and feasible, we selected a total group study number of 30 in line with recent publications on assessment of surgical skills . However, we acknowledge that to detect a large effect size of Cohen (0.4) with a power of 80%, a total sample size of 66 (22 participants per group) would be required.…”