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Ten hours of simulator training in arthroscopy are insufficient to reach the target level based on the Diagnostic Arthroscopic Skill Score
Our data have demonstrated that arthroscopic skills can be taught effectively on a simulator, but a 10-h course is not sufficient to reach the target level set by experienced arthroscopists. However, learning progress can be monitored more objectively during simulator training than in the operating room, and simulation may partially replace the current practice of arthroscopic training.
- Anetzberger H, Reppenhagen S, Eickhoff H, Seibert FJ, Döring B, Haasters F, Mohr M, Becker R. Ten hours of simulator training in arthroscopy are insufficient to reach the target level based on the Diagnostic Arthroscopic Skill Score. Knee Surg Sports Traumatol Arthrosc. 2022 Apr;30(4):1471-1479. doi: 10.1007/s00167-021-06648-y.
Surgical simulation training should become a mandatory part of orthopaedic education
This study suggests that surgical simulation training is well accepted and even demanded among surgical residents as an alternative training solution able to address some of the limitations and challenges of the current one-to-one apprenticeship model. There is a wide variation among the residents regarding the number of training hours required, underscoring the need for structured performance-based simulator training.
- Seil R, Hoeltgen C, Thomazeau H, Anetzberger H, Becker R. Surgical simulation training should become a mandatory part of orthopaedic education. J Exp Orthop. 2022 Feb 28;9(1):22. doi: 10.1186/s40634-022-00455-1.
The Diagnostic Arthroscopy Skill Score (DASS): a reliable and suitable assessment tool for arthroscopic skill training
The results of this study indicate good validity and reliability of DASS for the assessment of the surgical performance of diagnostic knee arthroscopy during simulator training. Standardized training is recommended before arthroscopy surgery is considered in patients.
Validation of Virtual Reality Arthroscopy Simulator Relevance in Characterising Experienced Surgeons
Virtual reality (VR) simulation is particularly suitable for learning arthroscopy skills. Despite significant research, one drawback often outlined is the difficulty in distinguishing performance levels (Construct Validity) in experienced surgeons. Therefore, it seems adequate to search new methods of performance measurements using probe trajectories instead of commonly used metrics.
Cadaver versus Simulator Based Arthroscopic Training in Shoulder Surgery
There are few studies that compare the cadaver dissections with the medical simulators in means of talent improvement. Therefore, the aim of this study is to find out if using cadaver dissections is still the golden standard for surgical training or using the medical simulators in surgery could replace cadaver dissections
The ASSET Global Rating Scale is a Valid and Reliable Adjunct Measure of Performance on a Virtual Reality Simulator for Hip Arthroscopy
The purpose of this study is to further evaluate the construct validity and interobserver reliability of a hip arthroscopy virtual simulator using the Arthroscopic Surgery Skill Evaluation Tool (ASSET) global rating scale.
Module-Based Arthroscopic Knee Simulator Training Improves Technical Skills in Naive Learners: A Randomized Trial
Module-based simulation training provides additional training time and improves technical skills in naive health science students. It is hoped that this effect can be preserved and applied to junior resident developing in a busy residency program.
Active vs Passive Haptic Feedback Technology in Virtual Reality Arthroscopy Simulation: Which is Most Realistic?
Virtual Reality (VR) simulators are playing an increasingly prominent role in orthopaedic training and education. Face-validity - the degree to which reality is accurately represented - underpins the value of a VR simulator as a learning tool for trainees. Despite the importance of tactile feedback in arthroscopy, there is a paucity for evidence regarding the role of haptics in VR arthroscopy simulator realism.
Simulation-based Arthroscopic Skills Using a Spaced Retraining Schedule Reduces Short-term Task Completion Time and Camera Path Length
The aim of this study was to investigate whether acquiring basic knee arthroscopic skills via a spaced retraining schedule could prevent skills deterioration and achieve further skills improvement.
Surgical Games: A Simulation-Based Structured Assessment of Orthopedic Surgery Resident Technical Skill
We describe the development and implementation of a timed, multitask, station-based Surgical Games to evaluate orthopedic resident surgical skills. (ArthroS™, VirtaMed AG, Schlieren, Switzerland)
Virtual Reality Simulator Improves the Acquisition of Basic Arthroscopy Skills in First-year Orthopedic Surgery Residents
Arthroscopy training using a virtual reality (VR) simulator is said to improve the training of orthopedic surgery residents, although it has never been evaluated in a large representative population of first-year residents.
Validation of a Novel Hip Arthroscopy Simulator: Establishing Construct Validity
To assess the face, content and construct validity of a virtual reality hip arthroscopy simulator (ArthroS™, VirtaMed AG, Schlieren, Switzerland)
Lessons Taught by a Knee Arthroscopy Simulator About Participants in a European Arthroscopy Training Programme
Investigates the hypothesis that a theoretical and practical training course improves the scores achieved on an arthroscopy simulator task.
Validation of the Hip Arthroscopy Module of the VirtaMed Virtual Reality Arthroscopy Trainer
To assess the face, content and construct validity of a virtual reality hip arthroscopy simulator (ArthroS™, VirtaMed AG, Schlieren, Switzerland)
Validation of a Virtual Reality–Based Hip Arthroscopy Simulator
To assess construct and face validity of a novel virtual reality–based hip arthroscopy simulator using the previously validated Arthroscopic Surgery Skills Evaluation Tool (ASSET), metric parameters, and a questionnaire.
Efficacy of an Arthroscopic Virtual Based Simulator for Orthopedic Surgery Residents by Year in Training
Determine the utility of the ArthroS™ arthroscopic simulator for orthopedic trainees based on their level of training (to determine at what point in training the simulator offers the most benefit for trainees).
Efficacy of standardized training for arthroscopic motor skills
Most studies demonstrated, that training on a virtual reality based arthroscopy simulator leads to an improvement of technical skills in orthopaedic surgery. However, how long and what kind of training is optimal for young residents is unknown. In this study we tested the efficacy of a standardized, competency based training protocol on a validated virtual reality based knee- and shoulder arthroscopy simulator.
Knee, Shoulder, and Fundamentals of Arthroscopic Surgery Training: Validation of a Virtual Arthroscopy Simulator
Purpose: To validate the knee, shoulder, and virtual Fundamentals of Arthroscopic Training (FAST) modules on a virtual arthroscopy simulator via correlations with arthroscopy case experience and postgraduate year.
Validation of a virtual reality-based simulator for shoulder arthroscopy
This study was to determine face and construct validity of a new virtual reality-based shoulder arthroscopy simulator which uses passive haptic feedback.
Asymmetry in Dominant / Non-Dominant Hand Performance Differentiates Novices from Experts on an Arthroscopy Virtual Reality Serious Game
Safe and effective arthroscopic surgery requires ambidextrous motor skills. The current study examined dominant versus non-dominant hand performance on a virtual reality serious game in a group of expert arthroscopic surgeons (n=15) compared to a group of orthopedic surgery residents (n=10).
Comparison Of Three Virtual Reality Arthroscopic Simulators As Part Of An Orthopedic Residency Educational Curriculum
Orthopedic education continues to move towards evidence-based curriculum in order to comply with new residency accreditation mandates. There are currently three high fidelity arthroscopic virtual reality (VR) simulators available, each with multiple instructional modules and simulated arthroscopic procedures. The aim of the current study is to assess face validity, defined as the degree to which a procedure appears effective in terms of its stated aims, of three available VR simulators.
Which Global Rating Scale? A Comparison of the ASSET, BAKSSS, and IGARS for the Assessment of Simulated Arthroscopic Skills
With the move to competency-based models of surgical training, a number of assessment methods have been developed. Of these, global rating scales have emerged as popular tools, and several are specific to the assessment of arthroscopic skills. Our aim was to determine which one of a group of commonly used global rating scales demonstrated superiority in the assessment of simulated arthroscopic skills.
Evaluation of a virtual-reality-based simulator using passive haptic feedback for knee arthroscopy
Simulator training in orthopaedics is still in its infancy. The aim of this study is to determine face and construct validity of a new virtual reality simulator (VirtaMed ArthroS™) for diagnostic and therapeutic knee arthroscopy by analysis of simulator metrics of participants with varying arthroscopy experience.