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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVI | Pages 38 - 38
1 Aug 2012
Alvand A Auplish S Gill H Rees J
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Background

Technical skill is an essential domain of surgical competency. Arthroscopic surgery forms a particularly challenging subset of these skills. The innate ability to acquire these skills is not fully understood. The aim of this study was to investigate the innate arthroscopic skills and learning curve patterns of medical students - our future surgeons.

Methods

Two arthroscopic tasks (one shoulder and one knee) were set up in a bioskills laboratory to represent core skills required for arthroscopic training. Twenty medical students with no previous arthroscopic surgery experience were recruited and their performance assessed whilst undertaking each task on 30 occasions. The primary outcome variable was success or failure. Individuals were assessed as ‘competent’ if they stabilised their learning curve within 20 episodes. The secondary outcome measure was an objective assessment of technical dexterity using a validated Motion Analysis system (time taken to complete tasks, total path length of the subject's hands, and number of hand movements).


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVI | Pages 39 - 39
1 Aug 2012
Alvand A Auplish S Gill H Rees J
Full Access

Background

The ability to learn arthroscopic surgery is an important aspect of modern day orthopaedic surgery. Knowing that variation in innate ability exists amongst medical students, the aim of this study was to investigate the effect of training on the arthroscopic surgical performance of our future orthopaedic surgeons (medical students).

Methods

Two arthroscopic tasks (one shoulder and one knee) were set up in a bioskills laboratory to represent core skills required for arthroscopic training. Thirty three medical students with no previous arthroscopic surgery experience were randomised to a ‘Trained’ (n=16) and ‘Non-trained’ (n=17) cohort. Both groups watched an instructional video. The Trained cohort also received specific training on the tasks prior to their first episode. Thirty episodes of each task were then undertaken. The primary outcome variable was success or failure. Individuals were assessed as ‘competent’ if they stabilised their learning curve within 20 episodes. The secondary outcome measure was an objective assessment of technical dexterity using a validated Motion Analysis system (time taken to complete tasks, total path length of the subject's hands, and number of hand movements).


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_IV | Pages 62 - 62
1 Mar 2012
Auplish S Wilson D
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Aim

This study aims to determine the value of MRI in children with hip pain which remained unexplained following routine investigations including ultrasound examination.

Materials and methods

Retrospective review of clinical notes and MRI findings in all children who received and MRI scan for undiagnosed hip pain over three years.


Orthopaedic Proceedings
Vol. 91-B, Issue SUPP_II | Pages 262 - 262
1 May 2009
Howells N Auplish S Hand C Gill H Carr A Rees J
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Aim: To investigate the capacity for retention of arthroscopic technical skills.

Methods: Six consultant lower limb surgeons were given standardized instruction on how to perform an arthroscopic Bankart suture on a lab-based ALEX shoulder model. Each surgeon then performed a suture repair three times and returned to repeat the process on four consecutive occasions, approximately two weeks apart. Six months later the same surgeons returned again to repeat the entire process. They received no further tuition or instruction. Their performance was objectively assessed throughout using validated motion analysis equipment to produce learning curves using time taken, number of movements and total path length.

Results: The initial learning curves and the learning curves at 6 months were the same.

Conclusions: Arthroscopic skills were not retained over a 6 month period. The same learning curves were identified suggesting the need for regular repetition of this simulated task if the level of learning is to be maintained. This has implications for technically difficult arthroscopic procedures suggesting a minimum level of frequency is needed to maintain optimum surgical performance.