Knee Arthroscopy: A Simulation Demonstrating the Imperial Knee Arthroscopy Cognitive Task Analysis (IKACTA) Tool.

Area of Science:

• Orthopaedic Surgery Training
• Medical Simulation
• Surgical Education Technology

Background:

• Traditional surgical training methods, such as the apprenticeship model, are becoming insufficient due to reduced training hours.
• Current simulation tools like virtual reality and cadaveric models are expensive and not widely accessible.
• Arthroscopic procedures require specialized skills distinct from open surgery, presenting a steep learning curve for residents.

Purpose of the Study:

• To introduce the Imperial Knee Arthroscopy Cognitive Task Analysis (IKACTA) tool, the first of its kind in orthopaedics.
• To evaluate the effectiveness of the IKACTA tool in training novice surgeons in diagnostic knee arthroscopy.
• To provide an accessible and effective adjunct for surgical education in arthroscopy.

Main Methods:

• The IKACTA tool integrates written descriptions with synchronized audiovisual components (videos with audio narration) for each of the 7 phases of diagnostic knee arthroscopy.
• Content includes technical steps, cognitive decision-making processes, and potential errors with solutions for each procedural phase.
• Trainees utilize the tool independently to learn procedural steps, cognitive aspects, and error management before operating room experience.

Main Results:

• The IKACTA tool has demonstrated significant objective benefits for novice trainees in learning diagnostic knee arthroscopy.
• The tool facilitates simultaneous learning through written and audiovisual modalities, enhancing comprehension.
• It prepares trainees by providing knowledge of procedural steps, cognitive decision-making, and error avoidance strategies.

Conclusions:

• The IKACTA tool represents a novel and effective approach to arthroscopic surgical training.
• This cognitive task analysis tool is expected to reduce the initial learning curve for junior residents.
• The IKACTA tool has the potential to improve overall training efficiency in the operating room for knee arthroscopy.