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J Knee Surg 2017; 30(07): 718-724
DOI: 10.1055/s-0036-1597755
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

What Arthroscopic Skills Need to Be Trained Before Continuing Safe Training in the Operating Room?

Gabrielle Tuijthof
1   Department of Biomechanical Engineering, Delft University of Technology, Delft, The Netherlands
2   Department of Orthopedic Surgery, Academic Medical Centre, Amsterdam, The Netherlands
,
Federico Cabitza
3   Dipartimento di Informatica Sistemistica e Comunicazione, Universita degli Studi di Milano-Bicocca, Milano, Lombardia, Italy
,
Vincenza Ragone
4   Di Scienze Medico-Chirurgiche, Universita degli Studi di Milano, Milano, Lombardia, Italy
,
Riccardo Compagnoni
5   Azienda Ospedaliera Bolognini-Seriate, Bologna, Italy
,
Dutch Arthrocopy Society Teaching Committee,
Pietro Randelli
4   Di Scienze Medico-Chirurgiche, Universita degli Studi di Milano, Milano, Lombardia, Italy
› Author Affiliations
Further Information

Publication History

17 February 2016

16 November 2016

Publication Date:
12 January 2017 (online)

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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.

Keywords

arthroscopy - skills - survey - opinion