Assessment Methods for Surgical Skill

Authors: Siti Nor Zawani Ahmmad, Eileen Su Lee Ming, Yeong Che Fai, Fauzan Khairi bin Che Harun

Abstract:

The increasingly sophisticated technologies have now been able to provide assistance for surgeons to improve surgical performance through various training programs. Equally important to learning skills is the assessment method as it determines the learning and technical proficiency of a trainee. A consistent and rigorous assessment system will ensure that trainees acquire the specific level of competency prior to certification. This paper reviews the methods currently in use for assessment of surgical skill and some modern techniques using computer-based measurements and virtual reality systems for more quantitative measurements

Keywords: assessment, surgical skill, checklist, global rating, virtual reality

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1058059

References:

[1] E. Erel, B. Aiyenibe, and P. E. M. Butler, "Microsurgery simulatorin virtual reality:Review," Microsurgery, vol. 23, pp. 147-152, 2003.
[2] N. N. WoanYi Chan, Venkat Ramakrishnan, "Structured assessment of microsurgery skills in the clinical setting," Journal of Plastic, Reconstructive & Aesthetic Surgery, vol. 63, pp. 1329-1334, 2010.
[3] R. M. Epstein and E. M. Hundert, "Defining and assessing professional competence," Journal of American Medical Association, vol. 287, pp. 226-235, 2002.
[4] J. D. Doyle, Eric M. Webber, and R. S. Sidhu, "A universal global rating scale for the evaluation of technical skills in the operating room," The American Journal of Surgery vol. 193, pp. 551-555, 2007.
[5] J. Solis, N. Oshima, H. Ishii, N. Matsuka, K. Hatake, and A. Takanishi, "Development of a sensor system towards the acquisition of quamtitative information of the training progress of surgical skills," in Proceedings of the 2nd Biennial IEEE/RAS-EMBS International Conference on Biomedical Robotics and Biomechatronics Scottsdale, AZ, USA, 2008, pp. 19-22.
[6] A. Dosis, R. Aggarwal, F. Bello, K. Moorthy, Y. Munz, D. Gillies, and M. Ara Darzi, "Synchronized Video and Motion Analysis for the Assessment of Procedures in the Operating Theater," Arch Surg., vol. 140, pp. 293-299, 2005.
[7] P. U. Kalu, J. Atkins, D. Baker, C. J. Green, and P. E. M. Butler, "How do we assess microsurgery skill? ;:," Microsurgery, vol. 25, pp. 25-29, 2005.
[8] V. Datta, S. Mackay, M. Mandalia, and A. Darzi, "The use of electromagnetic motion tracking analysis to objectively measure open surgical skill in the laboratory-based model," American College of Surgeons, vol. 193, pp. 479-485, 2001.
[9] E. D. Grober, S. J. Hamstra, R. K. Reznick, E. D. Matsumoto, R. s. Sidhu, and K. A. Jarvi, "Validation of novel and objective measures of microsurgical skill: Hand-motion analysis and stereoscopic visual acuity," Microsurgery, vol. 23, pp. 317-322, 2003.
[10] S. Bann, I. M. Davis, K. Moorthy, Y. Munz, J. Hernandez, M.Khan, V. Datta, and A. Darzi, "The Reliability of multiple objective measures of surgery and the role of human performance," The American Journal of Surgery, vol. 189, pp. 747-752, 2005.
[11] R. Ziegler, G. Fischer, W. Muller, and M. Gobel, "Virtual reality arthroscopy training simulator," Comput. Biol. Med, vol. 25, pp. 193-203, 1995.
[12] A. Chaudhry, C. Sutton, J. Wood, R. Stone, and R. McCloy, "Learning rate for laparoscopic surgical skills on MIST VR, a virtual reality simulator: quality of human-computer interface," Ann R Coll Surg Engl, vol.81, pp. 281-286, 1999.
[13] D. M. Wilhelm, K. Ogan, C. G. Roehrborn, J. A. Cadeddu, and M. S. Pearle, " Assessment of Basic Endoscopic Performance Using aVirtual Reality Simulator," Journal of the American College of Surgeons, vol. 195, pp. 675-681., 2002.
[14] T. P. Grantcharov, L. Carstensen, and S. Schulze, "Objective Assessment of Gastrointestinal Endoscopy Skills Using a Virtual Reality Simulator," Journal of the Society of Laparoendoscopic Surgeons, vol. 9, pp. 130-133, 2005.
[15] P. A. Kenney, M. F. Wszolek, J. J. Gould, J. A. Libertino, and A. Moinzadeh, "Face, Content, and Construct Validity of dV-Trainer, a Novel Virtual Reality Simulator for Robotic Surgery," Urology, vol. 73, pp. 1288-1292, 2009.