Keith Kevin, Hansen Danielle M, Johannessen Molly Ann
J Am Osteopath Assoc. 2018 Oct 1;118(10):667-672. doi: 10.7556/jaoa.2018.146.
Arthroscopy is one of the most common procedures performed by orthopedic surgeons. Virtual reality (VR) simulation in general surgery residency training has been increasing over the past decade, but it has seen little use in the field of orthopedic surgery.
To determine osteopathic orthopedic surgery residents' perceived value of having access to a VR simulator before performing an arthroscopic procedure on a live patient.
A survey was developed and sent to all US osteopathic orthopedic surgery residency programs to be disseminated to all of their current residents. The survey consisted of 12 questions, which included Likert-type scale responses and yes or no responses.
Fifty-eight residents out of approximately 507 responded. Forty-one of 57 respondents (72%) were in year 1 of residency when they performed their first arthroscopy, and 53 of 57 (93%) were not very comfortable when they performed their first arthroscopy. With respect to VR simulator exposure, approximately 31of 51 (61%) reported no exposure to a VR simulator, and 40 of 50 (80%) reported that their program did not provide a skills laboratory where they could practice arthroscopy. Of 50 respondents, 37 (74%) believed that a skills laboratory was important, 28 (56%) believed that a resident should perform 1 to 10 arthroscopies in a skills laboratory before performing one in the operating room, 34 (60%) believed that skills acquired in a skills laboratory would transfer to the operating room, and 33 (66%) agreed that every residency program should provide a skills laboratory. However, 29 (58%) believed that a skills laboratory would not improve patient safety.
Osteopathic orthopedic surgery residents indicated that they would benefit from the addition of an arthroscopic skills laboratory with a VR simulator. Furthermore, they believed that the skills learned in the skills laboratory would transfer to the operating room and would increase their comfort level with the procedure.
关节镜检查是骨科医生最常开展的手术之一。在过去十年中，虚拟现实（VR）模拟在普通外科住院医师培训中的应用不断增加，但在骨外科领域的应用却很少。
确定整骨疗法骨科住院医师在对活体患者进行关节镜手术前使用VR模拟器的感知价值。
设计了一项调查，并发送给美国所有整骨疗法骨科住院医师培训项目，以便分发给其所有在职住院医师。该调查包括12个问题，其中包括李克特量表式回答以及是或否的回答。
约507名住院医师中有58人做出回应。57名受访者中有41人（72%）在进行首次关节镜检查时处于住院医师第1年，57人中有53人（93%）在进行首次关节镜检查时不太自信。关于VR模拟器的接触情况，51人中有约31人（61%）报告未接触过VR模拟器，50人中有40人（80%）报告其所在项目未提供可进行关节镜检查练习的技能实验室。在50名受访者中，37人（74%）认为技能实验室很重要，28人（56%）认为住院医师在手术室进行关节镜检查前应在技能实验室进行1至10次关节镜检查，34人（60%）认为在技能实验室获得的技能可转移到手术室，33人（66%）同意每个住院医师培训项目都应提供技能实验室。然而，29人（58%）认为技能实验室不会提高患者安全性。
整骨疗法骨科住院医师表示，增加带有VR模拟器的关节镜检查技能实验室将使他们受益。此外，他们认为在技能实验室学到的技能可转移到手术室，并会提高他们对该手术的自信程度。
