Utility of Modern Arthroscopic Simulator Training Models.
ABSTRACT The purpose of this study was to review the published literature on modern arthroscopic simulator training models to (1) determine the ability to transfer skills learned on the model to the operating room and (2) determine the learning curve required to translate such skills.
A systematic review of all studies using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was performed. Two independent reviewers then analyzed studies deemed appropriate for inclusion. Study data collected included participant demographic characteristics, simulator model, type and number of tasks, method of analysis, and results of training, when available. Given the different methods used in each study, descriptive analysis was performed.
Nineteen studies met the inclusion criteria (9 shoulder, 9 knee, and 1 hip). A total of 465 participants with a mean age of 30 years were evaluated. Twelve studies (63%) compared task performance among participants of different experience levels, with 100% reporting a positive correlation between experience level and simulator performance. Eight studies (42%) evaluated task performance before and after simulator training, with 6 studies showing improvement after training; 1 study noted no difference in performance after 1 hour of training. One study commented on improved operating room performance after simulator training. No studies commented on the number of training sessions needed to translate skills learned on the models to the operating room.
This review suggests that practice on arthroscopic simulators improves performance on arthroscopic simulators. We cannot, however, definitively comment on whether simulator training correlates to an improved skill set in the operating room. Further work is needed to determine the type and number of training sessions needed to translate arthroscopic skills learned on the models to the operating room.
Level IV, systematic review of studies with Level I through IV evidence.
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ABSTRACT: First, editorial commentary: editorial commentary may be educational and may be controversial, but above all else, authors come first. Second, The Spin Move: The Spin Move is effective, cost-effective, and ubiquitous because, while many techniques are specific to a single joint, The Spin Move can be performed as a part of any arthroscopic and related procedure. However, like many advanced procedures, The Spin Move, when poorly executed, entails substantial risk. Preoperative planning is essential, and The Spin Move must be reviewed by inexperienced practitioners, in detailed text, figures tables, and video, at www.arthroscopytechniques.org. Practice makes perfect. Copyright © 2015 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.Arthroscopy The Journal of Arthroscopic and Related Surgery 04/2015; 31(4). DOI:10.1016/j.arthro.2015.02.015 · 3.19 Impact Factor
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ABSTRACT: Changing patterns of health care delivery and the rapid evolution of orthopaedic surgical techniques have made it increasingly difficult for trainees to develop expertise in their craft. Working hour restrictions and a drive towards senior led care demands that proficiency be gained in a shorter period of time whilst requiring a greater skill set than that in the past. The resulting conflict between service provision and training has necessitated the development of alternative methods in order to compensate for the reduction in ‘hands-on’ experience. Simulation training provides the opportunity to develop surgical skills in a controlled environment whilst minimising risks to patient safety, operating theatre usage and financial expenditure. Many options for simulation exist within orthopaedics from cadaveric or prosthetic models, to arthroscopic simulators, to advanced virtual reality and threedimensional software tools. There are limitations to this form of training, but it has significant potential for trainees to achieve competence in procedures prior to real-life practice. The evidence for its direct transferability to operating theatre performance is limited but there are clear benefits such as increasing trainee confidence and familiarity with equipment. With progressively improving methods of simulation available, it is likely to become more important in the ongoing and future training and assessment of orthopaedic surgeons.Journal of Orthopaedic Surgery and Research 12/2014; 9(126). DOI:10.1186/s13018-014-0126-z · 1.58 Impact Factor