Assessing Performance in Simulated Cleft Palate Repair Using a Novel Video Recording Setup

Area of Science:

• Medical Simulation
• Surgical Education
• Cleft Palate Repair

Background:

• Cleft palate repair requires specialized surgical skills.
• Assessing technical proficiency in surgical training can be challenging.
• Objective assessment tools are crucial for improving surgical education.

Purpose of the Study:

• To evaluate the feasibility of using a high-fidelity cleft palate simulator in a workshop setting.
• To assess the technical performance of surgeons during simulated cleft palate repair.
• To determine the reliability of video-based assessment of surgical skills.

Main Methods:

• Sixteen South American cleft surgeons participated in a 2-day workshop.
• Simulated cleft palate repairs were recorded using a novel video endoscope system.
• Videos were evaluated using the cleft palate objective structured assessment of technical skill (CLOSATS) and global rating scales.

Main Results:

• The video setup provided acceptable recording quality for assessment.
• High reliability was observed for CLOSATS (ICC=0.69), global (ICC=0.75), and overall scores (ICC=0.82).
• Performance varied significantly, with some experienced surgeons not meeting minimum scores.

Conclusions:

• A cleft palate simulator with video capability is practical for assessing surgical performance.
• This technology offers a valuable tool for evaluating surgical competence in cleft palate repair.
• Objective assessment of simulated procedures can enhance surgical training and patient outcomes.