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Objective:

This study aims at determining if a collection of 16 motor tests on a physical simulator can objectively discriminate and evaluate practitioners' competency level, i.e. novice, resident, and expert.

Methods:

An experimental design with three study groups (novice, resident, and expert) was developed to test the evaluation power of each of the 16 simple tests. An ANOVA and a Student Newman-Keuls (SNK) test were used to analyze results of each test to determine which of them can discriminate participants' competency level.

Results:

Four of the 16 tests used discriminated all of the three competency levels and 15 discriminated at least two of the three groups (α= 0.05). Moreover, other two tests differentiate beginners' level from intermediate, and other seven tests differentiate intermediate level from expert.

Conclusion:

The competency level of a practitioner of minimally invasive surgery can be evaluated by a specific collection of basic tests in a physical surgical simulator. Reduction of the number of tests needed to discriminate the competency level of surgeons can be the aim of future research.

 

Eliana Maria González-Neira, Pontificia Universidad Javeriana

Departamento de Ingeniería Industrial, Facultad de Ingeniería, Pontifica Universidad Javeriana, Bogotá, Colombia

Claudia Patricia Jiménez-Mendoza, Pontificia Universidad Javeriana

Departamento de Ingeniería Industrial, Facultad de Ingeniería, Pontifica Universidad Javeriana, Bogotá, Colombia

Daniel R Suarez, Pontificia Universidad Javeriana

Departamento de Ingeniería Industrial, Facultad de Ingeniería, Pontifica Universidad Javeriana, Bogotá, Colombia

Saúl Rúgeles-Quintero, - Pontificia Universidad Javeriana, Hospital - -- Universitario San Ignacio

Departamento de Cirugía, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia
González-Neira, E. M., Jiménez-Mendoza, C. P., Suarez, D. R., & Rúgeles-Quintero, S. (2024). Objective evaluation of surgical competency for minimally invasive surgery with a collection of simple tests. Colombia Medica, 47(1), 45–50. https://doi.org/10.25100/cm.v47i1.1706 (Original work published February 19, 2016)

. Cuschieri A. Laparoscopic surgery: Current status, issues and future developments. Surgeon. 2005;3:125-30, 132-3, 135-8.

Ruiz D, Pérez V, Betancur M, Bustamante J. Cirugía robótica mínimamente invasiva: análisis de fuerza y torque. Rev Ing Biomédica. 2010;4:84–92.

Adrales GL, Chu UB, Witzke DB, Donnelly MB, Hoskins D, Mastrangelo MJ, et al. Evaluating minimally invasive surgery training using low-cost mechanical simulations. Surg Endosc. 2003;17:580–585.

Ritchie WP. Basic certification in surgery by the American Board of Surgery (ABS): what does it mean? Does it have value? Is it relevant? A personal opinion. Ann Surg. 2004;239:133–139.

Roberts KE, Bell RL, Duffy AJ. Evolution of surgical skills training. World J Gastroenterol. 2006;12:3219–3224.

Naeem N. Validity, reliability, feasibility, acceptability and educational impact of direct observation of procedural skills (DOPS) J Coll Physicians Surg Pak. 2013;23:77–82.

Ghaderi I, Manji F, Park YS, Juul D, Ott M, Harris I, et al. Technical skills assessment toolbox: A review using the unitary framework of validity. Ann Surg. 2014;261(2):251–262. [PubMed]

Anaya-Prado R, Ortega LLH, Ramírez SME, Vázquez GJA, Medina PJB, Campos CSF, et al. Evaluación Objetiva de Habilidades Quirúrgicas. Modelo Mexicano. Rev Latinoam Cir. 2011;1:27–33.

Martin JA, Regehr G, Reznick R, Macrae H, Murnaghan J, Hutchison C, et al. Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg. 1997;84:273–278.

Ahmed K, Miskovic D, Darzi A, Athanasiou T, Hanna GB. Observational tools for assessment of procedural skills: a systematic review. Am J Surg. 2011;202:469–480.

Halvorsen FH, Elle OJ, Fosse E. Simulators in surgery. Minim Invasive Ther Allied Technol. 2005;14:214–223. [PubMed]

Martinez AM, Espinoza DL. Novel laparoscopic home trainer. Surg Laparosc Endosc Percutan Tech. 2007;17:300–302.

Aggarwal R, Moorthy K, Darzi A. Laparoscopic skills training and assessment. Br J Surg. 2004;91:1549–1558. [PubMed]

Chmarra MK, Klein S, de Winter JCF, Jansen F-W, Dankelman J. Objective classification of residents based on their psychomotor laparoscopic skills. Surg Endosc. 2010;24:1031–1039.

Empel P, Rijssen L, Commandeur J, Verdam ME, Huirne J, Scheele F, et al. Validation of a new box trainer-related tracking device: the TrEndo. Surg Endosc. 2012;26:2346–2352.

Fraser SA, Klassen DR, Feldman LS, Ghitulescu GA, Stanbridge D, Fried GM. Evaluating laparoscopic skills: setting the pass/fail score for the MISTELS system. Surg Endosc. 2003;17:964–967. [PubMed]

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Received 2014-09-26
Accepted 2016-01-12
Published 2024-06-07