Kim Hee-June, Kim Dong-Hyun, Kyung Hee-Soo
Department of Orthopaedic Surgery, Kyungpook National University Hospital, Daegu, Korea.
J Orthop Surg (Hong Kong). 2017 Jan;25(1):2309499016684433. doi: 10.1177/2309499016684433.
The purpose of this study was to evaluate the effectiveness of arthroscopic skills training.
A routine diagnostic arthroscopic exercise using a porcine knee was performed. A checklist of 10 tasks was used in the training and the time taken to complete the checklist was evaluated, and the Arthroscopic Surgery Skill Evaluation Tool (ASSET) score was used to score the training and evaluate the practice session. A total of 14 residents attended this training, including five first- and second-year residents, five third- and fourth-year residents, and four orthopedic fellows. The ASSET score and time taken to complete the task checklist were evaluated, and the first and third practice sessions were scored to evaluate the effectiveness of the training.
The mean ASSET score improved from 21.8 in the first practice session to 24.9 in the third session ( p < 0.001); the time taken to complete the task checklist decreased from 242 s in the first practice session to 207.5 s in the third session ( p < 0.001). The ASSET score and the time taken to complete the task improved in all groups between the first and third practice sessions. The degree of improvement in the ASSET score and the time taken to complete the task checklist between the first and third practice sessions in each group were not statistically different among the groups ( p = 0.857, p = 0.263, respectively).
Porcine knees provide good material for residents and young orthopedic surgeons for teaching and training of arthroscopic surgical techniques.
本研究的目的是评估关节镜技术培训的效果。
使用猪膝关节进行常规诊断性关节镜操作练习。培训中使用了一份包含10项任务的清单,并评估完成该清单所需的时间,同时使用关节镜手术技能评估工具(ASSET)对培训进行评分并评估练习过程。共有14名住院医师参加了此次培训,其中包括5名一、二年级住院医师,5名三、四年级住院医师以及4名骨科专科住院医师。对ASSET评分和完成任务清单所需的时间进行评估,并对第一次和第三次练习过程进行评分以评估培训效果。
ASSET平均得分从第一次练习时的21.8分提高到第三次练习时的24.9分(p < 0.001);完成任务清单所需的时间从第一次练习时的242秒减少到第三次练习时的207.5秒(p < 0.001)。在第一次和第三次练习之间,所有组的ASSET评分和完成任务所需的时间均有所改善。各组在第一次和第三次练习之间ASSET评分及完成任务清单所需时间的改善程度在组间无统计学差异(分别为p = 0.857,p = 0.263)。
猪膝关节为住院医师和年轻骨科医生进行关节镜手术技术教学与培训提供了良好的材料。