Event Title
Creating a Representative Map for Arthroscopy Simulation
Start Date
5-10-2011 12:00 PM
End Date
5-10-2011 1:00 PM
Abstract
Purpose: The arthroscopy challenges and restricted training hours have increased the use of simulators, but this has followed the preferences of the curriculum designers instead of a systematic analysis1. This study aims to decompose arthroscopic procedures into individual tasks using a new tool: "Motor and Cognitive Modeling Diagram" (MCMD)2. More specifically, we aim to identify teachable components of the procedures and performance metrics to incorporate into a simulation‐based arthroscopy curriculum.
Methods: A literature review was performed and preliminary hierarchical decompositions were created. Three expert surgeons were observed for 8 to 10 typical cases; they were asked to verbalize the steps and their cognitive choices. The preliminary MCMD was reviewed by the surgeons to ensure face validity of the tool.
Results: MCMDs were created for knee arthroscopies and ligament reconstructions. With the task decomposition and the qualitative data derived from the interviews, we identified teachable components of the procedures for using simulations.
Conclusions: MCMDs provide accurate representations of the motor and cognitive aspects of arthroscopy and the critical aspects of surgeries. Future research will integrate these decompositions into a simulation‐based orthopaedic training curriculum at our University. Different metrics are currently being tested and used along with the MCMD.
1. Mabrey JD, Reinig KD, Cannon WD. Virtual reality in orthopaedics: Is it a reality? Clin Orthop Relat Res. 2010 Oct;468(10):2586‐91.
2. Cristancho SM, Hodgson AJ, Pachev G, Nagy A, Panton N, Qayumi K. Assessing cognitive & motor performance in minimally invasive surgery (MIS) for training & tool design. Stud Health Technol Inform. 2006;119:108‐13.
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Creating a Representative Map for Arthroscopy Simulation
Purpose: The arthroscopy challenges and restricted training hours have increased the use of simulators, but this has followed the preferences of the curriculum designers instead of a systematic analysis1. This study aims to decompose arthroscopic procedures into individual tasks using a new tool: "Motor and Cognitive Modeling Diagram" (MCMD)2. More specifically, we aim to identify teachable components of the procedures and performance metrics to incorporate into a simulation‐based arthroscopy curriculum.
Methods: A literature review was performed and preliminary hierarchical decompositions were created. Three expert surgeons were observed for 8 to 10 typical cases; they were asked to verbalize the steps and their cognitive choices. The preliminary MCMD was reviewed by the surgeons to ensure face validity of the tool.
Results: MCMDs were created for knee arthroscopies and ligament reconstructions. With the task decomposition and the qualitative data derived from the interviews, we identified teachable components of the procedures for using simulations.
Conclusions: MCMDs provide accurate representations of the motor and cognitive aspects of arthroscopy and the critical aspects of surgeries. Future research will integrate these decompositions into a simulation‐based orthopaedic training curriculum at our University. Different metrics are currently being tested and used along with the MCMD.
1. Mabrey JD, Reinig KD, Cannon WD. Virtual reality in orthopaedics: Is it a reality? Clin Orthop Relat Res. 2010 Oct;468(10):2586‐91.
2. Cristancho SM, Hodgson AJ, Pachev G, Nagy A, Panton N, Qayumi K. Assessing cognitive & motor performance in minimally invasive surgery (MIS) for training & tool design. Stud Health Technol Inform. 2006;119:108‐13.