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Arthroscopic simulation using a knee model can be used to train speed and gaze strategies in knee arthroscopy

An, VVG; Mirza, Y; Mazomenos, E; Vasconcelos, F; Stoyanov, D; Oussedik, S; (2018) Arthroscopic simulation using a knee model can be used to train speed and gaze strategies in knee arthroscopy. The Knee , 25 (6) pp. 1214-1221. 10.1016/j.knee.2018.05.019. Green open access

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Abstract

PURPOSE: This study aimed to determine the effect of a simulation course on gaze fixation strategies of participants performing arthroscopy. METHODS: Participants (n = 16) were recruited from two one-day simulation-based knee arthroscopy courses, and were asked to undergo a task before and after the course, which involved identifying a series of arthroscopic landmarks. The gaze fixation of the participants was recorded with a wearable eye-tracking system. The time taken to complete the task and proportion of time participants spent with their gaze fixated on the arthroscopic stack, the knee model, and away from the stack or knee model were recorded. RESULTS: Participants demonstrated a statistically decreased completion time in their second attempt compared to the first attempt (P = 0.001). In their second attempt, they also demonstrated improved gaze fixation strategies, with a significantly increased amount (P = 0.008) and proportion of time (P = 0.003) spent fixated on the screen vs. knee model. CONCLUSION: Simulation improved arthroscopic skills in orthopaedic surgeons, specifically by improving their gaze control strategies and decreasing the amount of time taken to identify and mark landmarks in an arthroscopic task.

Type: Article
Title: Arthroscopic simulation using a knee model can be used to train speed and gaze strategies in knee arthroscopy
Location: Netherlands
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.knee.2018.05.019
Publisher version: https://doi.org/10.1016/j.knee.2018.05.019
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Arthroscopy, Simulation training, Surgical education
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery.ucl.ac.uk/id/eprint/10056635
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