title: What Arthroscopic Skills Need to Be Trained Before Continuing Safe Training in the Operating Room?
abstract: The purpose of this study was to generate consensus among experienced surgeons on "what skills a resident should possess before continuing safe training in the operating room (OR)." An online survey of 65 questions was developed and distributed to surgeons in the European community. A total of 216 responded. The survey included 15 questions regarding generic and specific skills; 16 on patient and tissue manipulation, 11 on knowledge of pathology and 6 on inspection of e-anatomical structures; 5 methods to prepare residents; and 12 on specific skills exercises. The importance of each question (arthroscopic skill) was evaluated ranging from 1 (not important at all) to 6 (very important). Chi-square test, respondent agreement, and a qualitative ranking method were determined to identify the top ranked skills (p< 0.05). The top four of general skills considered important were "anatomical knowledge," "tissue manipulation," "spatial perception," and "triangulation" (all chi-square test > 134,p< 0.001, all excellent agreement > 0.85, and all "high priority" level). The top ranked 2 specific arthroscopic skills were "portal placement" and "triangulating the tip of the probe with a 30-degree scope" (chi-square test > 176,p< 0.001, excellent agreement, and assigned high priority). The online survey identified consensus on skills that are considered important for a trainee to possess before continuing training in the OR. Compared with the Canadian colleagues, the European arthroscopy community demonstrated similar ranking.
authors.affiliation: Department of Biomechanical Engineering, Delft University of Technology, Delft, The Netherlands.|Department of Orthopedic Surgery, Academic Medical Centre, Amsterdam, The Netherlands.
authors.forename: Gabrielle
authors.initials: G
authors.lastname: Tuijthof
authors.affiliation: Dipartimento di Informatica Sistemistica e Comunicazione, Universita degli Studi di Milano-Bicocca, Milano, Lombardia, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Cabitza
authors.affiliation: Di Scienze Medico-Chirurgiche, Universita degli Studi di Milano, Milano, Lombardia, Italy.
authors.forename: Vincenza
authors.initials: V
authors.lastname: Ragone
authors.affiliation: Azienda Ospedaliera Bolognini-Seriate, Bologna, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Compagnoni
authors.affiliation: Di Scienze Medico-Chirurgiche, Universita degli Studi di Milano, Milano, Lombardia, Italy.
authors.forename: Pietro
authors.initials: P
authors.lastname: Randelli
mesh_terms: D001182:Arthroscopy / Q000193:education*; D002170:Canada; D002983:Clinical Competence / Q000592:standards*; D005060:Europe; D006801:Humans; D007396:Internship and Residency; D009873:Operating Rooms; D011795:Surveys and Questionnaires