Abstract
Abstract. While didactic training is a crucial element of education in the health care profession, current technologies leveraging low cost data acquisition and processing may provide an attractive alternative means for rapid, objective assessment of the foundational skills. When these technologies are leveraged towards improving the procedural surgical skill set, there is a strong opportunity for enhancing current training practices. While the proctor will still play a crucial role in the refinement of clinical judgment, affordable options for rapid training of procedural skills may serve as an avenue to free an expert proctor to focus on the more nuanced elements of medical training. Here we propose and implement a system for the low cost assessment and training of procedural surgical skills. A knot-tying module and a tool articulation module were created using affordable sensing technologies, and initial validation with a trained clinician showed that the devices could discriminate correctly and poorly tied knots. The system lays the framework for a modular experiential component of skills development in the training of health professionals.
Highlights
The medical training of today draws heavily from a didactic tradition of instruction, centered on a mentor-apprentice structure
In an effort to move toward this goal, virtual reality platforms and physical training models are undergoing development and indepth investigation (Loukas et al, 2012; Morris et al, 2012; O’Connor and McGraw, 1997)
The Fundamentals of Robotic Surgery Committee (FRS), a panel of opinion leaders in robotic minimally invasive surgery, has determined that a physical trainer is most desirable for the high-stakes assessment of surgical competency (Satava et al, 2012)
Summary
The medical training of today draws heavily from a didactic tradition of instruction, centered on a mentor-apprentice structure. A device for the assessment of surgical knot tying and a second device for measuring the accuracy of articulation of surgical tools were developed to meet the requirements put forth by the FRS committee in its most recent communication of intent for resident certification While these modular tools can acquire the core quantitative metrics identified by the FRS committee as indicators or psychomotor surgical skill, our team has identified a wide variety of markets beyond the scope of robotic surgery, where these modules could play a key role in education for the health care professions. By making these modular components of experiential curriculum available to medical educators, we believe. FigurFei2g.uRrien2g :toRwinergttraonwsfeerr ttarsaknassfeprertfaosrmk eadsby a surgeon using a da VpFpinieegcrruifforrooerrbmm2o:ete.RddibnbygyatoaswusreugrretgoreanonunssfuienrsgitnaasgdkaaaVdsianVciirnocbi orto. bot
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