Evidence map›Paper›PMID 39845842›Full record

ArticleSurgery in practice and science2023

Development and validation of an objective assessment of surgical skill in arthroscopic management of meniscal tear: A pilot study.

Rachel S Bronheim, Majd Marrache, Alexander E Loeb, Johnathan A Bernard, Dawn M LaPorte

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Article in Surgery in practice and science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Rachel S BronheimDepartment of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Majd MarracheDepartment of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Alexander E LoebDepartment of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Johnathan A BernardOrthoVirginia, Herndon, VA, USA.
Dawn M LaPorteDepartment of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: As resident evaluation moves to a competency-based system, validated tools for assessment of surgical skill are increasingly important. We created and validated a checklist to measure resident surgical skill for arthroscopic management of meniscal tear. Materials and Methods: Using a Delphi survey method, we created an objective, structured assessment of surgical skill for treatment of meniscal tears. The Meniscus Treatment Task List (MTTL) comprises 5 domains: diagnostic arthroscopy, medial meniscectomy, lateral meniscectomy, medial meniscal repair, and lateral meniscal repair. Orthopaedic surgery residents were recruited to perform diagnostic arthroscopy, partial meniscectomies, and all-inside meniscal repairs with cadaveric models. Arthroscopic videos were graded by fellowship-trained surgeons using the MTTL and the validated Arthroscopic Surgical Skill Evaluation Tool (ASSET) global rating scale (GRS). Postgraduate year (PGY), operative time, and case logs were recorded for each resident. Data were analysed using bivariate correlation, analysis of variance, pairwise comparison, Pearson's correlation coefficient, and intraclass correlation coefficient. α=0.05. Results: Twenty-two orthopaedic surgery residents (PGY1-PGY4) participated. MTTL scores were higher in the PGY4 class than in the PGY1 class (mean difference, 11 points, Conclusions: This pilot study demonstrates the validity and reliability of the MTTL for assessing resident proficiency in arthroscopic management of meniscal tears in cadaveric specimens. Expansion of this model to other orthopaedic procedures for objective assessment of surgical skill may be useful.

Indexed as

Meniscus tearResident competencySurgical educationSurgical skill

Identifiers

PMID39845842
PMCPMC11749826

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