Skip to main content
Journal cover image

Ankle Arthroscopy Simulation Improves Basic Skills, Anatomic Recognition, and Proficiency During Diagnostic Examination of Residents in Training.

Publication ,  Journal Article
Martin, KD; Patterson, D; Phisitkul, P; Cameron, KL; Femino, J; Amendola, A
Published in: Foot Ankle Int
July 2015

BACKGROUND: The purpose of this study was to determine whether low-fidelity arthroscopic simulation training improves basic ankle arthroscopy performance and efficiency among orthopedic trainees. METHODS: Twenty-nine orthopedic surgery trainees with varying levels of experience in ankle arthroscopy were randomized into either simulation or standard practice groups. At baseline testing, all participants performed simulator-based testing and a cadaveric diagnostic ankle arthroscopy with video recording. The simulation group subsequently received 4 one-on-one, 15-minute simulation training sessions over a 4-month period, while the standard practice group received no additional simulation training or exposure. After intervention, both groups were reevaluated with simulator testing and a second recorded cadaveric diagnostic ankle arthroscopy. Two blinded, independent experts evaluated each randomized arthroscopic performance using the 15-point checklist, Arthroscopic Surgery Skill Evaluation Tool (ASSET), and total elapsed time, and all outcome measures were compared within and between groups. RESULTS: Baseline arthroscopic experience, simulator task performance measures, and ASSET scores were equivalent between the simulation and standard practice groups. After completion of training, the simulation group outscored the control group in total ASSET score (34.9 vs 19.6; P < .001) and checklist score (14.5 vs 8.4; P < .001) and achieved nearly expert ASSET Safety scores (4.7 vs 2.9; P < .001) on the simulator model. Cadaver testing also demonstrated significant improvements in total ASSET score (28.8 vs 16.8; P < .001), checklist score (12.6 vs 7.1; P < .001), and ASSET Safety score (3.9 vs 2.6; P < .001). CONCLUSION: These results demonstrate that low-fidelity ankle arthroscopy simulation training can improve basic surgical skills, efficiency of movement, and anatomic recognition. The results suggest greater patient safety during ankle arthroscopy following simulation training. LEVEL OF EVIDENCE: Level I, prospective comparative study.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Foot Ankle Int

DOI

EISSN

1944-7876

Publication Date

July 2015

Volume

36

Issue

7

Start / End Page

827 / 835

Location

United States

Related Subject Headings

  • Simulation Training
  • Prospective Studies
  • Orthopedics
  • Orthopedic Procedures
  • Male
  • Internship and Residency
  • Humans
  • Female
  • Education, Medical, Graduate
  • Clinical Competence
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Martin, K. D., Patterson, D., Phisitkul, P., Cameron, K. L., Femino, J., & Amendola, A. (2015). Ankle Arthroscopy Simulation Improves Basic Skills, Anatomic Recognition, and Proficiency During Diagnostic Examination of Residents in Training. Foot Ankle Int, 36(7), 827–835. https://doi.org/10.1177/1071100715576369
Martin, Kevin D., David Patterson, Phinit Phisitkul, Kenneth L. Cameron, John Femino, and Annunziato Amendola. “Ankle Arthroscopy Simulation Improves Basic Skills, Anatomic Recognition, and Proficiency During Diagnostic Examination of Residents in Training.Foot Ankle Int 36, no. 7 (July 2015): 827–35. https://doi.org/10.1177/1071100715576369.
Martin KD, Patterson D, Phisitkul P, Cameron KL, Femino J, Amendola A. Ankle Arthroscopy Simulation Improves Basic Skills, Anatomic Recognition, and Proficiency During Diagnostic Examination of Residents in Training. Foot Ankle Int. 2015 Jul;36(7):827–35.
Martin, Kevin D., et al. “Ankle Arthroscopy Simulation Improves Basic Skills, Anatomic Recognition, and Proficiency During Diagnostic Examination of Residents in Training.Foot Ankle Int, vol. 36, no. 7, July 2015, pp. 827–35. Pubmed, doi:10.1177/1071100715576369.
Martin KD, Patterson D, Phisitkul P, Cameron KL, Femino J, Amendola A. Ankle Arthroscopy Simulation Improves Basic Skills, Anatomic Recognition, and Proficiency During Diagnostic Examination of Residents in Training. Foot Ankle Int. 2015 Jul;36(7):827–835.
Journal cover image

Published In

Foot Ankle Int

DOI

EISSN

1944-7876

Publication Date

July 2015

Volume

36

Issue

7

Start / End Page

827 / 835

Location

United States

Related Subject Headings

  • Simulation Training
  • Prospective Studies
  • Orthopedics
  • Orthopedic Procedures
  • Male
  • Internship and Residency
  • Humans
  • Female
  • Education, Medical, Graduate
  • Clinical Competence