Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleArthroscopic Training Courses Improve Trainee Arthroscopy Skills: A Simulation-Based Prospective Trial
Section snippets
Participants
After institutional review board approval, 99 orthopaedic surgery trainees of various postgraduate years (PGYs) were invited to participate in this study between October 2013 and June 2014. There were 3 courses during this time, and because of simulator availability limitations, the first and last courses were evaluated. Participants were from throughout North America and included over 20 different American programs and 3 Canadian programs. All trainees were contacted before arrival at the
Results
Ninety-nine trainees enrolled in the courses. Eight-four attended every day of the course. Forty-eight trainees completed both sets of testing. The study group of orthopaedic trainees consisted of 40 men and 8 women. The study group comprised one PGY-1 trainee, six PGY-2 trainees, thirty-two PGY-3 trainees, six PGY-4 trainees, and three PGY-5 trainees, with shoulder arthroscopy case logs ranging from 0 to 215, with a median of 31 (interquartile range, 34). A summary of demographic information
Discussion
Our study found that after participation in the AANA resident arthroscopy skills course, orthopaedic trainees showed significant improvements in all measures recorded by a VR arthroscopy simulator. This includes the distance traveled by the arthroscopic probe, the distance traveled by the arthroscope, and the time to completion. This standardized curriculum, consisting of didactics, box trainers, and instructor-led hands-on cadaveric experience, was followed immediately by improved basic
Conclusions
This study shows objective improvement in orthopaedic trainee basic arthroscopy skill and proficiency after a standardized 4-day arthroscopy training curriculum. The results validate the AANA resident training course and its curriculum with objective evidence of benefit.
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See commentary on page 2233
The authors report the following potential conflict of interest or source of funding: K.D.M. receives support from Department of Defense, US Army. This project was supported by an educational grant from the Arthroscopic Association of North America and has not been presented.
The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or reflecting the views of the Department of Defense or the US government. The authors are employees of the US government.