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Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

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Related Experiment Video

Updated: May 11, 2026

A Probing Device for Quantitatively Measuring the Mechanical Properties of Soft Tissues during Arthroscopy
06:16

A Probing Device for Quantitatively Measuring the Mechanical Properties of Soft Tissues during Arthroscopy

Published on: May 1, 2020

Arthroscopic proficiency: methods in evaluating competency.

Justin L Hodgins1, Christian Veillette

  • 1Division of Orthopaedics, Toronto Western Hospital, Toronto, Canada. justin.hodgins@mail.utoronto.ca

BMC Medical Education
|May 2, 2013
PubMed
Summary
This summary is machine-generated.

Objective evaluation of arthroscopic technical skills is lacking. While simulation shows promise, more validation is needed to transfer complex skills to the operating room and establish standardized assessment tools.

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Area of Science:

  • Orthopedic Surgery
  • Medical Simulation
  • Surgical Skills Assessment

Background:

  • Current arthroscopic training lacks objective evaluation of technical proficiency.
  • Increasing complexity of arthroscopic procedures necessitates improved training and assessment.
  • Emphasis is shifting towards off-site skill acquisition and advanced assessment tools.

Purpose of the Study:

  • To review the validity of cadaver and simulation in arthroscopic training.
  • To assess the role of psychomotor analysis in arthroscopic technical ability.
  • To identify validated assessment tools for technical competency in arthroscopy.
  • To explore the quantification of arthroscopic proficiency.

Main Methods:

  • Systematic literature search of Medline and Embase databases.
  • Inclusion of English articles on arthroscopic competence, assessment, and objective skill measures.
  • Exclusion of articles outside knee and shoulder arthroscopy or focused on specific therapies/outcomes.
  • Independent abstract evaluation leading to the selection of 52 articles.

Main Results:

  • Simulated environments show high internal validity for basic arthroscopic tasks, but skill transfer to the operating room remains unproven for complex procedures.
  • Instrument and force trajectory data can differentiate basic technical abilities and may supplement other assessment methods.
  • A scarcity of comprehensive, validated assessment tools exists, particularly for shoulder arthroscopy, hindering standardized evaluation and objective feedback.
  • There is no consensus on the required experience for arthroscopic proficiency, with few guidelines specifying case volumes.

Conclusions:

  • Further research is needed to validate the transfer of complex arthroscopic skills from simulation to the operating room.
  • Development of objective parameters for evaluation is crucial.
  • A significant deficiency exists in validated assessment tools for technical competencies in arthroscopy.
  • Consensus on sufficient case volume for proficiency is lacking within the arthroscopy community.