Video recording to teach and assess both technical and non-technical skills is well-established within medical education. Trainees’ clinical and practical competencies are evaluated using Procedure-Based Assessments (PBAs). However, there is limited research describing how these PBAs truly reflect trainee performance. We sought to: assess the duration between the procedure and PBA completion assess the perceived viability of supplementing assessments using intra-operative camera footage and clarify medico-legal considerations for the use of cameras in theatre. We undertook a survey of Orthopaedic trainees in the East of England Deanery, United Kingdom. A six-item questionnaire was designed and provided to trainees (paper and online) to assess the time between procedure and filling in PBA forms, level of consultant input, time to PBA sign-off and trainees’ views on current PBA methods, operative video recording and retrospective access to clinical footage.Introduction
Method
Autologous Chondrocyte Implantation (ACI) is an effective surgical treatment for chondral defects. ACI involves arthrotomy for cell implantation. We describe the development of an intra-articular injection of cultured MSC, progressing from in-vitro analysis, through animal model, clinical and radiological outcome at five years follow up We prospectively investigated sixteen patients with symptomatic ICRS grade III and IV lesions. These patients underwent cartilage repair using cultured mesenchymal stem cell injections and are followed up for five years.Introduction
Materials and Methods