Michael Chapek B.A. , Peters T. Otlans M.D., M.P.H. , Taylor Buuck M.D. , Joseph T. Nguyen M.P.H. , Jaron P. Sullivan M.D. , Brian M. Grawe M.D. , Gregg T. Nicandri M.D. , Jacqueline M. Brady M.D.
{"title":"住院医师在关节镜手术培训基础（FAST）工作站上的表现并不会随着研究生年级的增加而明显改善","authors":"Michael Chapek B.A. , Peters T. Otlans M.D., M.P.H. , Taylor Buuck M.D. , Joseph T. Nguyen M.P.H. , Jaron P. Sullivan M.D. , Brian M. Grawe M.D. , Gregg T. Nicandri M.D. , Jacqueline M. Brady M.D.","doi":"10.1016/j.asmr.2023.100866","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>To identify differences in performance on the Fundamentals of Arthroscopic Surgery Training (FAST) workstation between residents across different postgraduate years and training sites.</p></div><div><h3>Methods</h3><p>During the 2018-2019 academic year, 102 orthopaedic surgery residents from 4 training sites completed 6 FAST modules. Failure was defined as either completion time exceeding benchmark time or commission of task-specific errors. With the exception of knot tying, each module was completed by participants twice—once with each hand serving as the camera hand. Time to completion (except for knot tying) and errors were recorded for each of the modules. Completion times and failure rates were compared between postgraduate years, seniority groups, and training sites.</p></div><div><h3>Results</h3><p>In all modules for which time was recorded, except for the suture-passage module, there was no significant difference in time to completion based on seniority (<em>P</em> < .01 for suture passage and <em>P</em> > .05 for all others). Significant differences in completion time were observed between sites for all modules except for the suture-passage module (<em>P</em> = .957 for suture passage and <em>P</em> < .05 for all others). Site predicted failure by at least 1 measure (time or technical error) for all modules (<em>P</em> < .05) except for number probing and suture passage. Failure rate across training years varied for each module.</p></div><div><h3>Conclusions</h3><p>Time to completion and rate of failure did not predictably decrease with level of training. Training site proved to be a significant predictor of performance. Factors such as hand dominance and familiarity with the equipment proved to be important considerations for some modules.</p></div><div><h3>Clinical Relevance</h3><p>Objective assessment of arthroscopic skills among orthopaedic trainees is difficult. Using reproducible methodology to assess trainees on specific skills at all postgraduate years and at multiple training sites may provide important information about orthopaedic training.</p></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666061X23002171/pdfft?md5=89da90ae6549078da07462d3970d9924&pid=1-s2.0-S2666061X23002171-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Resident Performance on the Fundamentals of Arthroscopic Surgery Training (FAST) Workstation Does Not Predictably Improve With Postgraduate Year\",\"authors\":\"Michael Chapek B.A. , Peters T. Otlans M.D., M.P.H. , Taylor Buuck M.D. , Joseph T. Nguyen M.P.H. , Jaron P. Sullivan M.D. , Brian M. Grawe M.D. , Gregg T. Nicandri M.D. , Jacqueline M. Brady M.D.\",\"doi\":\"10.1016/j.asmr.2023.100866\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>To identify differences in performance on the Fundamentals of Arthroscopic Surgery Training (FAST) workstation between residents across different postgraduate years and training sites.</p></div><div><h3>Methods</h3><p>During the 2018-2019 academic year, 102 orthopaedic surgery residents from 4 training sites completed 6 FAST modules. Failure was defined as either completion time exceeding benchmark time or commission of task-specific errors. With the exception of knot tying, each module was completed by participants twice—once with each hand serving as the camera hand. Time to completion (except for knot tying) and errors were recorded for each of the modules. Completion times and failure rates were compared between postgraduate years, seniority groups, and training sites.</p></div><div><h3>Results</h3><p>In all modules for which time was recorded, except for the suture-passage module, there was no significant difference in time to completion based on seniority (<em>P</em> < .01 for suture passage and <em>P</em> > .05 for all others). Significant differences in completion time were observed between sites for all modules except for the suture-passage module (<em>P</em> = .957 for suture passage and <em>P</em> < .05 for all others). Site predicted failure by at least 1 measure (time or technical error) for all modules (<em>P</em> < .05) except for number probing and suture passage. Failure rate across training years varied for each module.</p></div><div><h3>Conclusions</h3><p>Time to completion and rate of failure did not predictably decrease with level of training. Training site proved to be a significant predictor of performance. Factors such as hand dominance and familiarity with the equipment proved to be important considerations for some modules.</p></div><div><h3>Clinical Relevance</h3><p>Objective assessment of arthroscopic skills among orthopaedic trainees is difficult. Using reproducible methodology to assess trainees on specific skills at all postgraduate years and at multiple training sites may provide important information about orthopaedic training.</p></div>\",\"PeriodicalId\":34631,\"journal\":{\"name\":\"Arthroscopy Sports Medicine and Rehabilitation\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2666061X23002171/pdfft?md5=89da90ae6549078da07462d3970d9924&pid=1-s2.0-S2666061X23002171-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Arthroscopy Sports Medicine and Rehabilitation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666061X23002171\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy Sports Medicine and Rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666061X23002171","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
目的 确定不同研究生年级和培训地点的住院医师在关节镜手术培训基础（FAST）工作站上的表现差异。方法 2018-2019学年，来自4个培训地点的102名骨科手术住院医师完成了6个FAST模块。失败定义为完成时间超过基准时间或出现特定任务错误。除绳结打结外，每个模块都由参与者完成两次，每只手都作为摄像手完成一次。每个模块的完成时间（打绳结除外）和失误情况都被记录下来。结果在所有有时间记录的模块中，除缝合线通过模块外，不同资历的学员在完成时间上没有显著差异（缝合线通过模块为 P <.01，其他模块为 P >.05）。除缝合通过模块外，其他所有模块的完成时间在不同地点之间均存在显著差异（缝合通过模块的 P = 0.957，所有其他模块的 P 均为 0.05）。除数字探查和缝合线通过外，其他所有模块的失败至少有一个衡量标准（时间或技术错误）可以预测（P <.05）。结论完成时间和失败率不会随着培训水平的提高而降低。事实证明，培训地点是预测成绩的一个重要因素。临床意义骨科学员关节镜技能的客观评估非常困难。使用可重复的方法对研究生各年级和多个培训地点的学员的特定技能进行评估，可提供有关骨科培训的重要信息。
Resident Performance on the Fundamentals of Arthroscopic Surgery Training (FAST) Workstation Does Not Predictably Improve With Postgraduate Year
Purpose
To identify differences in performance on the Fundamentals of Arthroscopic Surgery Training (FAST) workstation between residents across different postgraduate years and training sites.
Methods
During the 2018-2019 academic year, 102 orthopaedic surgery residents from 4 training sites completed 6 FAST modules. Failure was defined as either completion time exceeding benchmark time or commission of task-specific errors. With the exception of knot tying, each module was completed by participants twice—once with each hand serving as the camera hand. Time to completion (except for knot tying) and errors were recorded for each of the modules. Completion times and failure rates were compared between postgraduate years, seniority groups, and training sites.
Results
In all modules for which time was recorded, except for the suture-passage module, there was no significant difference in time to completion based on seniority (P < .01 for suture passage and P > .05 for all others). Significant differences in completion time were observed between sites for all modules except for the suture-passage module (P = .957 for suture passage and P < .05 for all others). Site predicted failure by at least 1 measure (time or technical error) for all modules (P < .05) except for number probing and suture passage. Failure rate across training years varied for each module.
Conclusions
Time to completion and rate of failure did not predictably decrease with level of training. Training site proved to be a significant predictor of performance. Factors such as hand dominance and familiarity with the equipment proved to be important considerations for some modules.
Clinical Relevance
Objective assessment of arthroscopic skills among orthopaedic trainees is difficult. Using reproducible methodology to assess trainees on specific skills at all postgraduate years and at multiple training sites may provide important information about orthopaedic training.
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