Abstract
Evaluation of technical proficiency is a difficult and complex task. Current methods available for assessing the learning curve for medical procedures, such as a predefined number of procedures or direct supervision by a superior, are unsatisfactory and subjective. Peritoneal dialysis (PD) catheter insertion by peritoneoscope requires a steep learning curve and the success rate may vary among different operators. Adoption of certain statistical analysis, such as the cumulative summation test (CUSUM) allows a quantitative and individualistic approach to establishing a learning curve for an objective training programme.
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