Summary
This research project aims to improve patient safety in orthopedic surgery by integrating simulator training and objective operating room performance assessment into residency programs, in partnership with the American Board of Orthopaedic Surgery (ABOS).
What they want
The proposed research will advance objective measurement techniques to improve resident performance on technical skills, ultimately reducing costs and enhancing patient safety. It involves partnering with the American Board of Orthopaedic Surgery (ABOS) to integrate surgical skills training and simulation into pre-certification policies. Aim 1 is to measure differences in resident OR performance from objective analysis of surgical imagery and speed up these measurements. Aim 2 is to determine how differences in simulator training correlate with skills demonstrated in the OR to improve training programs. Aim 3 is to identify individual differences in skills among residents, both in the skills lab and in the OR, to improve individual training. The approach is based on multi-institution simulation studies with novel surgical simulators and previous AHRQ-funded analysis techniques for assessing task-specific, detailed, OR performance.
Deliverables
- New skill assessment techniques for orthopedic resident performance
- Improved orthopedic residency training programs
- Improved individual training strategies for orthopedic residents
Technical requirements
- Objective, quantitative, and reliable measurement of orthopedic surgical skill competence from behaviors observable in fluoroscopy and video routinely collected in the OR
- Novel surgical simulators
- Ground-breaking analysis techniques for assessing task-specific, detailed, OR performance
Key personnel
- Engineers
- Surgeons
- Psychometricians
