Podolsky Dale J, Fisher David M, Riff Karen W Wong, Zuker Ronald M, Drake James M, Forrest Christopher R
Division of Plastic & Reconstructive Surgery, University of Toronto, Ontario, Canada.
Center for Image Guided Innovation and Therapeutic Intervention (CIGITI), Toronto, Ontario, Canada.
Cleft Palate Craniofac J. 2020 Jun;57(6):687-693. doi: 10.1177/1055665620913178.
To test the feasibility of implementing a high-fidelity cleft palate simulator during a workshop in Santiago, Chile, using a novel video endoscope to assess technical performance.
Sixteen cleft surgeons from South America participated in a 2-day cleft training workshop. All 16 participants performed a simulated repair, and 13 of them performed a second simulated repair. The repairs were recorded using a low-cost video camera and a newly designed camera mouth retractor attachment. Twenty-nine videos were assessed by 3 cleft surgeons using a previously developed cleft palate objective structured assessment of technical skill (CLOSATS with embedded overall score assessment) and global rating scale. The reliability of the ratings and technical performance in relation to minimum acceptable scores and previous experience was assessed.
The video setup provided acceptable recording quality for the purpose of assessment. Average intraclass correlation coefficient for the CLOSATS, global, and overall performance score was 0.69, 0.75, and 0.82, respectively. None of the novice surgeons passed the CLOSATS and global score for both sessions. One participant in the intermediate group, and 2 participants in the advanced group passed the CLOSATS and global score for both sessions. There were highly experienced participants who failed to pass the CLOSATS and global score for both sessions.
The cleft palate simulator can be practically implemented with video-recording capability to assess performance in cleft palate repair. This technology may be of assistance in assessing surgical competence in cleft palate repair.
在智利圣地亚哥举办的一次研讨会上，使用一种新型视频内窥镜评估技术性能，以测试实施高保真腭裂模拟器的可行性。
来自南美洲的16名腭裂外科医生参加了为期2天的腭裂培训研讨会。所有16名参与者都进行了一次模拟修复，其中13人进行了第二次模拟修复。使用低成本摄像机和新设计的摄像口腔牵开器附件对修复过程进行记录。3名腭裂外科医生使用先前开发的腭裂技术技能客观结构化评估（CLOSATS，包含整体评分评估）和整体评分量表对29个视频进行了评估。评估了评分的可靠性以及与最低可接受分数和既往经验相关的技术性能。
视频设置为评估目的提供了可接受的记录质量。CLOSATS、整体和总体性能评分的平均组内相关系数分别为0.69、0.75和0.82。新手外科医生在两个环节中均未通过CLOSATS和整体评分。中级组中有1名参与者，高级组中有2名参与者在两个环节中均通过了CLOSATS和整体评分。也有经验丰富的参与者在两个环节中未能通过CLOSATS和整体评分。
腭裂模拟器可实际配备视频录制功能，以评估腭裂修复的性能。这项技术可能有助于评估腭裂修复的手术能力。
