Numerous medical training institutions have found that integrating simulation into their curriculum both improves training outcomes and ultimately supports better patient care.
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Trainees with regular access to a simulator reach defined proficiency levels faster, meaning that they get into the OR sooner.
- Residents first trained on a simulator take less time to complete procedures once they are in the OR - and make fewer errors.
Residents enter the OR having already mastered the basics and can focus on learning more complex skills.
Validation of virtual reality arthroscopy simulator relevance in characterising experienced surgeons
Tronchot A, Berthelemy J, Thomazeau H, Huaulmé A, Walbron P, Sirveaux F, Jannin P.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.
Module-Based Arthroscopic Knee Simulator Training Improves Technical Skills in Naive Learners: A Randomized Trial
Beaudoin A, Larrivée S, McRae S, Leiter J, Stranges G.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.
The Diagnostic Arthroscopy Skill Score (DASS): a reliable and suitable assessment tool for arthroscopic skill training
Anetzberger H, Becker R, Eickhoff H, Seibert FJ, Döring B, Haasters F, Mohr M, Reppenhagen S.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.
Active vs Passive Haptic Feedback Technology in Virtual Reality Arthroscopy Simulation: Which is Most Realistic?
Vaghela KR, Trockels A, Carobene M.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.
The ASSET Global Rating Scale is a Valid and Reliable Adjunct Measure of Performance on a Virtual Reality Simulator for Hip Arthroscopy
Bishop M, Ode G, Hurwit D, Zmugg S, Rauck R, Nguyen J, Ranawat A.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.
Cadaver versus Simulator Based Arthroscopic Training in Shoulder Surgery
Gazi Huri, Mert Ruşen Gülşen, Ece Belen Karmiş, Doğaç KaragüvenThere 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
Surgical Games: A Simulation-Based Structured Assessment of Orthopedic Surgery Resident Technical Skills
Blevins J, Felix K, Ling D, Sculco P, McCarthy M, Demetracopoulos C, Ranawat A, Fufa D.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)
Simulation-based Arthroscopic Skills Using a Spaced Retraining Schedule Reduces Short-term Task Completion Time and Camera Path Length
Li Wei, M.D. Zhang Kai-Jun Yao Shun Xie Xiaobo, M.D. Han Weiyu, Ph.D. Xiong Wei-Bin, M.D. Tian Jing, M.D.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.
Virtual Reality Simulator Improves the Acquisition of Basic Arthroscopy Skills in First-year Orthopedic Surgery Residents
Walbron P, Common H, Thosazeau H, Hosseini K, Peduzzi L, Bulaid Y, Sirvequx F.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
Cychosz C, Khazi Z, Karam M, Duchman K, Willey M, Westermann R.To assess the face, content and construct validity of a virtual reality hip arthroscopy simulator (ArthroS™, VirtaMed AG, Schlieren, Switzerland)
Validation of the Hip Arthroscopy Module of the VirtaMed Virtual Reality Arthroscopy Trainer
Gallagher K, Bahadori S, Antonis J, Immins T, Wainwright TW, Middleton R.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
Baumann, Q., Hardy, A., Courage, O., Lacombes, P., Accadbled, F., European Paediatric Orthopaedic Society Sports Study Group, Junior French Arthroscopic Society.Investigates the hypothesis that a theoretical and practical training course improves the scores achieved on an arthroscopy simulator task.
Validation of a Virtual Reality–Based Hip Arthroscopy Simulator
Bauer D, Wieser K, Aichmair A, Zingg P, Dora C, Rahm STo 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
Yari S, Jandhyala C, Sharareh B, Athiviraham A, Shybut T.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 on a Virtual Reality Simulator to Advance Knee and Shoulder Arthroscopic Motor Skills.
Rahm S, Wieser K, Bauer DE, Waibel FWA, Meyer DC, Gerber C, and Fucentese SF.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.
Virtual Reality Surgical Simulation for Arthroscopy Training
Robert A. PedowitzThere is little doubt that the medical profession stands at a major crossroads with regards to the fundamental structure of surgical education. Although the apprenticeship model has been used for centuries, we are rapidly moving toward a new era of proficiencybased education. This transition is motivated by several important factors, including greater emphasis upon patient safety, increased focus on educational efficacy, and a shift toward objectively measured performance outcomes (i.e., demonstration of clinical proficiency). At the same time, the paradigm shift is challenged by limitations imposed by trainee work hour restrictions and by the initial investments and ongoing expenses associated with implementation of new training paradigms.
Which Global Rating Scale? A Comparison of the ASSET, BAKSSS, and IGARS for the Assessment of Simulated Arthroscopic Skills.
Middleton RM, Baldwin MJ, Akhtar K, Alvand A, Rees JLBACKGROUND: 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.
Validation of the updated ArthroS simulator: face and construct validity of a passive haptic virtual reality simulator with novel performance metrics
Patrick Garfjeld Roberts, Paul Guyver, Mathew Baldwin, Kash Akhtar, Abtin Alvand, Andrew J. Price, Jonathan L. ReesPurpose: To assess the construct and face validity of ArthroS, a passive haptic VR simulator. A secondary aim was to evaluate the novel performance metrics produced by this simulator.
Knee, Shoulder, and Fundamentals of Arthroscopic Surgery Training: Validation of a Virtual Arthroscopy Simulator
Josef N. Tofte, Brian O. Westerlind, Kevin D. Martin, Brian L. Guetschow, Bastián Uribe-Echevarria, Chamnanni Rungprai, Phinit PhisitkulPurpose: 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.
Comparison Of Three Virtual Reality Arthroscopic Simulators As Part Of An Orthopedic Residency Educational Curriculum
Kevin D Martin, DO, MAJ, MC, Craig C Akoh, MD, Annunziato Amendola, MD, Phinit Phisitkul, MDOrthopedic 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.