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Using the arthroscopic surgery skill evaluation tool as a pass-fail examination.

Ryan J Koehler1, Gregg T Nicandri

  • 1Department of Orthopaedic Surgery, University of Rochester, 601 Elmwood Avenue, Box 665, Rochester, NY 14642. E-mail address for G.T. Nicandri: Gregg_Nicandri@urmc.rochester.edu.

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The Arthroscopic Surgery Skill Evaluation Tool is a valid and reliable method for assessing diagnostic knee arthroscopy skills in a simulated environment. This tool helps determine proficiency for surgeons in training.

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Area of Science:

  • Medical Education
  • Surgical Skills Assessment
  • Orthopedic Surgery

Background:

  • Developing valid and reliable assessment tools for arthroscopic surgical skills is crucial.
  • The Arthroscopic Surgery Skill Evaluation Tool (ASSET) was created as a video-based technical skill assessment.
  • Expert consensus established passing criteria for the ASSET.

Purpose of the Study:

  • To evaluate the validity and reliability of the ASSET as a pass-fail examination for arthroscopic skill.
  • To determine if the ASSET can accurately differentiate between proficient and non-proficient arthroscopic surgeons.

Main Methods:

  • Twenty-eight residents and two faculty performed diagnostic knee arthroscopy on cadavers.
  • Two blinded raters evaluated procedure videos using the ASSET.
  • Passing required a score of ≥ 3 in all eight assessment domains.

Main Results:

  • Raters achieved high agreement (ICC=0.83) on pass-fail ratings for 55 of 60 videos.
  • Ten out of thirty participants passed both procedures.
  • Experience (80+ arthroscopic cases or 35+ knee arthroscopy cases) predicted passing scores.

Conclusions:

  • The ASSET demonstrates validity and reliability for pass-fail assessment of diagnostic knee arthroscopy in a simulation lab.
  • The ASSET may serve as a valuable tool for evaluating arthroscopic proficiency in training.
  • Further research is needed to assess its utility for diverse procedures and operating room settings.