Skinner Anna, Lathan Corinna
AnthroTronix, Inc., Silver Spring, MD, USA.
Stud Health Technol Inform. 2012;173:478-82.
Currently, a need exists for a more comprehensive understanding of the nature of laparoscopic surgical skill acquisition and decay; novel, objective metrics with which to assess these skills over time; and simulation-based training that supports rapid acquisition, longitudinal retention, and targeted retraining for sustainment of these critical and perishable skills. This pilot study examined traditional metrics of laparoscopic surgical skills training, as well as a novel motion tracking metric using an instrumented glove. Data were compared for PreTest, PostTest following training to specified proficiency levels, and ReTest following an 8-10 week retention period, as well as comparison to expert performance. Despite a small number of complete data sets (n=5 novice, n=1 expert), these preliminary results demonstrate a lack of sensitivity of the current manual skills assessment metrics and demonstrate initial technical feasibility for the development of novel objective metrics based on instrumented glove motion tracking data.
目前，需要更全面地了解腹腔镜手术技能的习得与衰退本质；需要新颖、客观的指标来长期评估这些技能；还需要基于模拟的培训，以支持快速习得、长期保持以及针对这些关键且易消逝技能的定向再培训。这项初步研究考察了腹腔镜手术技能培训的传统指标，以及使用仪器手套的新型运动跟踪指标。对预测试、训练至特定熟练水平后的后测试、8 - 10周保留期后的重新测试的数据进行了比较，并与专家表现进行了对比。尽管完整数据集数量较少（n = 5名新手，n = 1名专家），但这些初步结果表明当前手动技能评估指标缺乏敏感性，并证明了基于仪器手套运动跟踪数据开发新型客观指标的初步技术可行性。
