Simulation Training
Conditions
Brief summary
Comparison of success rates of novice surgeons to attain proficiency in basic arthroscopy skills after receiving prior training with different simulation systems.
Detailed description
A non-anatomic set of training modules utilizing cigar boxes was developed at our institution to instruct residents in the basics of knee arthroscopy. Twenty-four medical students with no prior arthroscopic or laparoscopic experience were enrolled as subjects. Sixteen subjects were randomized to participate in four hours of either the cigar box arthroscopy trainer (CBAT) or a previously validated anatomic knee arthroscopy trainer (AKAT). The remaining eight subjects served as controls (CO). All subjects underwent a one-hour formalized training session provided by our orthopaedic sports faculty. Subjects' skills were assessed by one of two faculty members through repeated attempts at performing a diagnostic knee arthroscopy on a cadaveric specimen. Objective scores were given using the Basic Arthroscopic Knee Skill Scoring System. Total cost differences were also calculated.
Interventions
OTHERNon-Anatomic Arthroscopy Simulation
Knee arthroscopy training using Cigar Box Arthroscopy Trainer
OTHERAnatomic Arthroscopy Simulation
Knee arthroscopy training using Anatomic Knee Arthroscopy Trainer
OTHERPre-assesment education
Reading material and lecture with only still images about performing diagnostic knee arthroscopy
Sponsors
University of Arizona
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* First or Second year medical student with no prior arthroscopy or laparoscopy training.
Exclusion criteria
* Having previously received education in arthroscopy or laparoscopy or handled these instruments.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success rate in reaching a level of minimum proficiency | 1 hour | Subjects were told to perform serial knee arthroscopic examinations on a cadaveric specimen over one hour. Evaluators used a validated objective scoring system to assess performance and which subjects were able to attain a level of minimum proficiency. |
Secondary
| Measure | Time frame |
|---|---|
| Number of attempts to reach minimum proficiency | 1 Hour |
Outcome results
None listed