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Variation in Reported Learning Outcomes and Measurement Instruments in Hip Arthroscopy Simulation Training: A
Alfonso Arevalo1, Rachel Keller2, Patrick Szukics3
1University of Buffalo Jacobs School of Medicine and Biomedical Sciences, Department of Orthopedic Surgery, Buffalo, New York, U.S.A..
Summary
This systematic review found significant variation in how hip arthroscopy simulation training is reported and validated. However, simulation training appears to be an effective method for evaluating hip arthroscopy skills.
Area of Science:
- Orthopedic Surgery
- Medical Simulation
- Surgical Education
Background:
- Hip arthroscopy is a complex procedure requiring specialized skills.
- Simulation-based training offers a controlled environment for developing surgical proficiency.
- Standardization in reporting and validation of simulation effectiveness is lacking.
Approach:
- A systematic literature review was conducted following PRISMA guidelines, screening three databases (PubMed, EMBase, CINAHL).
- Eleven studies evaluating 323 orthopedic surgical trainees in hip arthroscopy simulation were included.
- Data on participants, simulators, assessment methods, and validity were extracted and analyzed using MINORS criteria.
Key Points:
- The most frequently assessed skills included visualization, probing, task completion time, and instrument movements.
- Simulation-built scoring systems and the Arthroscopic Surgical Skill Evaluation Tool (ASSET) Global Rating Scale were common assessment tools.
- Construct validity was the most frequently reported type of validity for both simulators and measurement instruments.
Conclusions:
- Significant heterogeneity exists in reported learning outcomes and measurement instruments for hip arthroscopy simulation training.
- Despite variations, simulation training demonstrates potential as an effective tool for evaluating hip arthroscopy skills.
- Further standardization in reporting and validation is recommended to enhance the reliability of simulation-based assessments.
