Department of Biomedical Informatics, Arizona State University, AZ, USA.
J Biomed Inform. 2010 Oct;43(5):661-8. doi: 10.1016/j.jbi.2010.05.016. Epub 2010 May 31.
Orthopedic drilling as a skill demands high levels of dexterity and expertise from the surgeon. It is a basic skill that is required in many orthopedic procedures. Inefficient drilling can be a source of avoidable medical errors that may lead to adverse events. It is hence important to train and evaluate residents in safe environments for this skill. This paper presents a virtual orthopedic drilling simulator that was designed to provide visiohaptic interaction with virtual bones. The simulation provides a realistic basic training environment for orthopedic surgeons. It contains modules to track and analyze movements of surgeons, in order to determine their surgical proficiency. The simulator was tested with senior surgeons, residents and medical students for validation purposes. Through the multi-tiered testing strategy it was shown that the simulator was able to produce a learning effect that transfers to real-world drilling. Further, objective measures of surgical performance were found to be able to differentiate between experts and novices.
骨科钻孔作为一种技能,需要外科医生具备高超的灵巧度和专业知识。这是许多骨科手术中所必需的一项基本技能。效率低下的钻孔可能会导致可避免的医疗失误,从而导致不良事件。因此,在安全的环境中对住院医师进行培训和评估非常重要。本文介绍了一种虚拟骨科钻孔模拟器,该模拟器旨在提供与虚拟骨骼的视触交互。该模拟为骨科医生提供了逼真的基础培训环境。它包含用于跟踪和分析外科医生动作的模块,以确定他们的手术熟练程度。该模拟器已针对高级外科医生、住院医师和医学生进行了测试,以验证其有效性。通过多层次的测试策略表明,该模拟器能够产生一种可以转移到实际钻孔中的学习效果。此外,还发现手术绩效的客观衡量标准能够区分专家和新手。