Can we make arthritis surgery better and safer for patients by training surgeons using cadaveric simulation?

Does learning to perform surgery on cadavers lead to better surgeons and safer patients?

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN20431944

Enrollment

Registered

2014-09-03

Start date

2014-09-25

Completion date

Unknown

Last updated

2022-11-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Education and training of surgeons Musculoskeletal Diseases

Interventions

Participants will be randomised to two groups: The CST intervention is a two-day course and will take place on 25/09/2014 at the West Midlands Surgical Training Centre (WMSTC) at the

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Trainee Trauma & Orthopaedic Surgeons in the West Midlands Area who are in their fourth ('Core Training Year 2') or fifth ('Speciality Training Year 3') post-graduate year of clinical practice

Exclusion criteria

Exclusion criteria: Refusal of consent

Design outcomes

Primary

Measure	Time frame
1. Objective Structured Assessment of Technical Skill in Surgery (OSATS). This is a validated tool for assessing technical skill in surgeons. It is completed by a senior surgeon immediately after supervising a trainee performing a procedure. It is generic to all operations and assesses learners across six domains; respect for tissue, time and motion, knowledge and instrument handling, flow of operation, use of assistants and knowledge of this procedure. Each domain is scored on a Likert scale of one to five, with one being the worst and five the best. 2. Generic Operative Supervised Learning Event (GOSLE). This is a new tool developed for assessing technical skill in Trauma & Orthopaedic surgeons, which is undergoing validation (which this trial will contribute towards). The GOSLE is similarly generic to all surgical procedures and completed by a senior surgeon immediately after supervising a trainee. The GOSLE measures the percentage of the procedure performed (in 5% increments), description of the steps performed by the trainee and a global rating assessment of their performance on this occasion. The global rating is on an eight-point scale with attached descriptors and guidance notes, ranging from ?able to assist, with guidance? to ?able to anticipate, avoid and/or resolve common problems'. 3. Procedure Based Assessment (PBA). This is the current gold standard tool used for assessing surgeons-in-training performance. It is procedure-specific, thus the fields on the assessment are different between procedures. The PBA consists of a checklist tool against which performance is scored for different steps of the operation as on ?not observed?, ?unsatisfactory? or ?satisfactory?. The checklist is different for each procedure. There is a global rating scale assessment ranging from zero ? ?insufficient evidence to support a summary judgment?, to four ? ?competent to perform the procedure unsupervised (could deal with complications that aro	—

Measure

Time frame

1. Objective Structured Assessment of Technical Skill in Surgery (OSATS). This is a validated tool for assessing technical skill in surgeons. It is completed by a senior surgeon immediately after supervising a trainee performing a procedure. It is generic to all operations and assesses learners across six domains; respect for tissue, time and motion, knowledge and instrument handling, flow of operation, use of assistants and knowledge of this procedure. Each domain is scored on a Likert scale of one to five, with one being the worst and five the best. 2. Generic Operative Supervised Learning Event (GOSLE). This is a new tool developed for assessing technical skill in Trauma & Orthopaedic surgeons, which is undergoing validation (which this trial will contribute towards). The GOSLE is similarly generic to all surgical procedures and completed by a senior surgeon immediately after supervising a trainee. The GOSLE measures the percentage of the procedure performed (in 5% increments), description of the steps performed by the trainee and a global rating assessment of their performance on this occasion. The global rating is on an eight-point scale with attached descriptors and guidance notes, ranging from ?able to assist, with guidance? to ?able to anticipate, avoid and/or resolve common problems'. 3. Procedure Based Assessment (PBA). This is the current gold standard tool used for assessing surgeons-in-training performance. It is procedure-specific, thus the fields on the assessment are different between procedures. The PBA consists of a checklist tool against which performance is scored for different steps of the operation as on ?not observed?, ?unsatisfactory? or ?satisfactory?. The checklist is different for each procedure. There is a global rating scale assessment ranging from zero ? ?insufficient evidence to support a summary judgment?, to four ? ?competent to perform the procedure unsupervised (could deal with complications that aro

—

Secondary

Measure	Time frame
Surgical self-efficacy questionnaire (SEQ) scores. Participants in the intervention group will be assessed at baseline during the cadaveric simulation training course (25-26th September 2014). Participants in both the intervention and control courses will be assessed during the September 2014-August 2015 training year on each occasion that they perform one of the index study procedures (dynamic hip screw fixation of a femoral neck fracture, hemi-arthroplasty for femoral neck fracture, open reduction-internal fixation of an ankle fracture and lower limb compartment releases). The precise timing of these measurements will vary due to the irregular nature of trauma surgery.	—

Measure

Time frame

Surgical self-efficacy questionnaire (SEQ) scores. Participants in the intervention group will be assessed at baseline during the cadaveric simulation training course (25-26th September 2014). Participants in both the intervention and control courses will be assessed during the September 2014-August 2015 training year on each occasion that they perform one of the index study procedures (dynamic hip screw fixation of a femoral neck fracture, hemi-arthroplasty for femoral neck fracture, open reduction-internal fixation of an ankle fracture and lower limb compartment releases). The precise timing of these measurements will vary due to the irregular nature of trauma surgery.

—

Countries

England, United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 17, 2026