Systematic instruction of arthroscopic knot tying with the ArK Trainer: an objective evaluation tool

Verfasser / Beitragende:
[Ivan Wong, Matthew Denkers, Nathan Urquhart, Forough Farrokhyar]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/3(2015-03-01), 912-918
Format:
Artikel (online)
ID: 605458103
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024 7 0 |a 10.1007/s00167-013-2567-z  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2567-z 
245 0 0 |a Systematic instruction of arthroscopic knot tying with the ArK Trainer: an objective evaluation tool  |h [Elektronische Daten]  |c [Ivan Wong, Matthew Denkers, Nathan Urquhart, Forough Farrokhyar] 
520 3 |a Purpose: A Proficiency Formula was introduced as an objective self-evaluation method for evaluating basic arthroscopic knot tying in a laboratory setting. The correlation between the Proficiency Formula and gold standard pass/fail dichotomy was demonstrated, as well as with other popular evaluation tools—task-specific checklist (TSC) and global rating scale (GRS). Method: A step-by-step video tutorial was used to instruct 35 medical students on how to tie an arthroscopic Samsung Medical Center (SMC) knot secured by three half hitches. Participants were video recorded performing arthroscopic knot tying and assessed on their success tying an SMC knot, pass or fail, and through three outcome tools: the Proficiency Formula, GRS and the TSC. Independent samples t test was used to compare the GRS, TSC and Proficiency Formula scores, between those who were passed or failed by the evaluators. Correlation between the measurement scales was tested using Spearman's rho correlation coefficient. Results: Participants received a mean proficiency score of 195 (140-249). The mean Proficiency score for those that passed was 323 (95% CI 272-374), for those that failed, 87 (95% CI 26-148, p<0.001). We found strong linear correlation between the Proficiency Formula and GRS and TSE (0.83 and 0.78, respectively). Conclusion: The Proficiency Formula has high correlation with gold standard GRS and TSC measurements when used to assess arthroscopic knot tying skills on a model. It has the added advantage of being able to be self-assessed. Level of evidence: II. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Simulation  |2 nationallicence 
690 7 |a Knot tying  |2 nationallicence 
690 7 |a Arthroscopy  |2 nationallicence 
690 7 |a Self-evaluation  |2 nationallicence 
690 7 |a Proficiency  |2 nationallicence 
700 1 |a Wong  |D Ivan  |u 2nd Floor Rm 2106, QEII Camp Hill Veteran's Memorial Building, 5655 Veterans' Memorial Building, B3H 2E1, Halifax, NS, Canada  |4 aut 
700 1 |a Denkers  |D Matthew  |u Hamilton General Hospital, 237 Barton Street E, 532 North Wing, L8L2X2, Hamilton, ON, Canada  |4 aut 
700 1 |a Urquhart  |D Nathan  |u 2nd Floor Rm 2106, QEII Camp Hill Veteran's Memorial Building, 5655 Veterans' Memorial Building, B3H 2E1, Halifax, NS, Canada  |4 aut 
700 1 |a Farrokhyar  |D Forough  |u 39 Charlton Ave East, Room 107, L8N1Y3, Hamilton, ON, Canada  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/3(2015-03-01), 912-918  |x 0942-2056  |q 23:3<912  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2567-z  |q text/html  |z Onlinezugriff via DOI 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-013-2567-z  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wong  |D Ivan  |u 2nd Floor Rm 2106, QEII Camp Hill Veteran's Memorial Building, 5655 Veterans' Memorial Building, B3H 2E1, Halifax, NS, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Denkers  |D Matthew  |u Hamilton General Hospital, 237 Barton Street E, 532 North Wing, L8L2X2, Hamilton, ON, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Urquhart  |D Nathan  |u 2nd Floor Rm 2106, QEII Camp Hill Veteran's Memorial Building, 5655 Veterans' Memorial Building, B3H 2E1, Halifax, NS, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Farrokhyar  |D Forough  |u 39 Charlton Ave East, Room 107, L8N1Y3, Hamilton, ON, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/3(2015-03-01), 912-918  |x 0942-2056  |q 23:3<912  |1 2015  |2 23  |o 167