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Practicing Procedural Skills Is More Effective Than Basic Psychomotor Training in Knee Arthroscopy: A Randomized

Mads Emil Jacobsen1,2, Amandus Gustafsson1,2, Per Gorm Jørgensen3

  • 1Copenhagen Academy for Medical Education and Simulation, Copenhagen, Denmark.

Orthopaedic Journal of Sports Medicine
|March 12, 2021
PubMed
Summary

Procedural skills training significantly improved novice surgeons' simulated knee arthroscopy performance more than basic psychomotor skills training. Basic skills modules lacked validity evidence for arthroscopy education.

Keywords:
arthroscopy simulatorknee arthroscopysurgical educationvirtual reality

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Area of Science:

  • Orthopaedic surgery education
  • Surgical simulation
  • Medical training technologies

Background:

  • Simulator-assisted arthroscopy education traditionally progresses from basic psychomotor skills to complex procedures.
  • Novice surgeons require effective training methods for simulated knee arthroscopy.

Purpose of the Study:

  • To compare the impact of basic psychomotor skills training versus procedural skills training on novice surgeons' simulated knee arthroscopy performance.
  • To evaluate the validity of basic psychomotor and procedural skills modules in arthroscopy simulators.

Main Methods:

  • Controlled laboratory study involving 22 novice and 11 experienced orthopaedic surgeons.
  • Novices were randomized into basic skills or procedural skills training groups on a knee arthroscopy simulator.
  • Performance was compared pre- and post-training and between novices and experienced surgeons.

Main Results:

  • Procedural skills training significantly improved performance (P < .001) and was more effective than basic skills training (P = .019).
  • Basic psychomotor skills modules lacked validity evidence, showing unreliable scores and no performance difference between novices and experts.
  • Experienced surgeons outperformed novices on procedural modules, supporting their validity.

Conclusions:

  • Procedural skills training is more effective than basic psychomotor skills training for improving simulated knee arthroscopy performance.
  • Basic psychomotor skills modules in simulators lack validity evidence for arthroscopy training.
  • Future competency-based curricula should emphasize full procedural training for improved surgical education.