Bonner, Shannon

Corsi, Taylor

Duarte, Jhonathan, MD

Martino, Martin A, MD

Patruno, Joseph E, MD

Pellini, Timothy M, MD

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksResearch Scholars Poster PresentationA Comparative Analysis Using EndoscopicSimulation to Assess Surgical Skill of OB/GYNResidentsTaylor CorsiLafayette CollegeShannon BonnerDickinson CollegeJoseph E. Patruno MDLehigh Valley Health Network, Joseph_E.Patruno@lvhn.orgTimothy M. Pellini MDLehigh Valley Health Network, Timothy_M.Pellini@lvhn.orgMartin A. Martino MDLehigh Valley Health Network, martin_a.martino@lvhn.orgSee next page for additional authorsFollow this and additional works at: http://scholarlyworks.lvhn.org/research-scholars-postersThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtCorsi, T., Bonner, S., Patruno, J., Pellini, T., Martino, M., Duarte, J. (2016, July 29) A Comparative Analysis Using Endoscopic Simulationto Assess Surgical Skill of OB/GYN Residents. Poster presented at LVHN Research Scholar Program Poster Session, Lehigh ValleyHealth Network, Allentown, PA.AuthorsTaylor Corsi, Shannon Bonner, Joseph E. Patruno MD, Timothy M. Pellini MD, Martin A. Martino MD, andJhonathan Duarte MDThis poster is available at LVHN Scholarly Works: http://scholarlyworks.lvhn.org/research-scholars-posters/457© 2016 Lehigh Valley Health NetworkLehigh Valley Health Network, Allentown, PennsylvaniaA Comparative Analysis Using Endoscopic Simulation to Assess Surgical Skill of OB/GYN ResidentsOB/GYN residents at LVHN are evaluated throughout the course of their training using various methods, both objective and subjective. However, endoscopic simulation has not been utilized as a required method to assess efficiency, dexterity, and technical ability. Laparoscopic, robotic, hysteroscopic, and surgical skill curriculums using various simulation tools have proven to be efficacious in training as well as evaluating competency in residents who perform surgical procedures. The inclusion of this methodology in resident surgical education at LVHN may provide objective data to more accurately assess efficiency, dexterity, and technical ability, ultimately translating to surgical skill. This study was prospective and observational, assessing skills using simulation exercises in hysteroscopy, laparoscopy, and robotics. Simulation exercises were performed in the Surgical Education Center at LVHN. The results of the study were compared to the total number of surgical procedures performed according to OPLOG data, New Innovation Surgical Evaluations, and Endoscopy Milestone assessments. The study participants were OB/GYN residents at all four levels of training from LVHN. All OB/GYN residents were given an orientation to and the ability to familiarize themselves with each exercise before testing. CorrelationCoefficentsBox –Trainer Time SymbionixTimeSymbionixPath LengthMimic Time Mimic Economy of MotionPGY -0.387 -0.446 -0.630 -0.667 -0.466Joseph Patruno, MD, Timothy Pellini, MD, Martin Martino, MD, Jhonathan Duarte, MD, Taylor Corsi, Shannon Bonner INTRODUCTIONMETHODSRESULTS DISCUSSIONFURTHER INVESTIGATION• Exercises  30° Camera Manipulation, Grasping/Clipping, Cutting, Electrocautery• Scoring Time, Path LengthSymbionix• Exercises  Bead-Speed, Shoelace, Hysteroscopy, Peg Transfer• Scoring TimeBox-Trainer• Exercises  Matchboard Level 2, Tubes  Level 1, Energy Switching Level 2• Scoring Time, Economy of Motion Mimic050010001500200025001 2 3 4Time Score (seconds)Post-Graduate Year Post-Graduate Year vs. Time Score Box TrainerSymbionixMimic050010001500200025001 2 3 4Distance (centimeters)Post-Graduate YearPost-Graduate Year vs. Distance ScorePath LengthEconomy ofMotion01000200030004000500060007000800090000 100 200 300 400Total Time Score (seconds)Number of ProceduresNumber of Procedures Performed vs. Total Time Score00.511.522.533.544.50 2000 4000 6000Avg. N.I. Surg. ScoreTotal Time Score (seconds)Total Time Score vs. Average New Innovation Surgical Evaluation Score 00.511.522.533.544.50 2000 4000 6000Endoscopy Milestone Number Total Time Score (seconds)Total Time Score vs. Endoscopy Milestone NumberCorrelation Coefficents# of Procedures Performed Endoscopy Milestone NumberNew Innovation Score Total Time Score 0.441 -0.194 -0.208It can be inferred that implementation of the endoscopic simulation exercises utilized in this study would provide an additional method of objectively evaluating efficiency, dexterity, and technical ability of OB/GYN residents at LVHN. This conclusion can be made in light of the relationship between post-graduate year and endoscopic simulation performance. Additionally, the relationship between performance and number of procedures performed supports the conclusion as well. Interestingly, subjective evaluation methods of surgical skill, such as the Endoscopy Milestone and New Innovation assessments, may not be an adequate way to evaluate efficiency, dexterity, and technical ability, as there was no relationship between objective and subjective scoring in this study. • Utilize endoscopic simulation to trend annual performance throughout residency • Compare endoscopic simulation performance to academic performance • Compare endoscopic simulation performance to gender • Compare endoscopic simulation performance to hours awake prior to testing • Compare resident and attending endoscopic simulation performance • Compare simulated surgical skills to actual clinical skills,  possibly using crowd sourcing as a more objective assessment of actual clinical surgical skills

A Comparative Analysis Using Endoscopic Simulation to Assess Surgical Skill of OB/GYN Residents

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1480&context=research-scholars-posters

A Comparative Analysis Using Endoscopic Simulation to Assess Surgical Skill of OB/GYN Residents

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