Journal article
A Vision for Using Simulation & Virtual Coaching to Improve the Community Practice of Orthopedic Trauma Surgery
The Iowa orthopaedic journal, Vol.40(1), pp.25-34
2020
PMCID: PMC7368513
PMID: 32742205
Appears in Diamond Open Access
Abstract
Many orthopedic surgeries involve the challenging integration of fluoroscopic image interpretation with skillful tool manipulation to enable procedures to be performed through less invasive approaches. Simulation has proved beneficial for teaching and improving these skills for residents, but similar benefits have not yet been realized for practicing orthopedic surgeons. A vision is presented to elevate community orthopedic practice and improve patient safety by advancing the use of simulators for training and assessing surgical skills.
Key elements of this vision that are established include 1) methods for the objective and rigorous assessment of the performance of practicing surgeons now exist, 2) simulators are sufficiently mature and sophisticated that practicing surgeons will use them, and 3) practicing surgeons can improve their performance with appropriate feedback and coaching.
Data presented indicate that surgical performance can be adequately and comparably measured using structured observations made by experts or non-expert crowds, with the crowdsourcing approach being more expedient and less expensive. Rigorous measures of the surgical result and intermediate objectives obtained semi-automatically from intra-operative fluoroscopic image sequences can distinguish performances of experts from novices. Experience suggests that practicing orthopedic surgeons are open to and can be constructively engaged by a family of mature simulators as a means to evaluate and improve their surgical skills.
The results presented support our contention that new objective assessment measures are sufficient for evaluating the performance of working surgeons. The novel class of orthopedic surgical simulators available were tested and approved by practicing physicians. There exists a clear opportunity to combine purpose-designed simulator exercises with virtual coaching to help practicing physicians retain, retrain, and improve their technical skills. This will ultimately reduce cost, increase the quality of care, and decrease complication rates.
This vision articulates a means to boost the confidence of practitioners and ease their anxiety so that they perform impactful procedures more often in community hospitals, which promises to improve treatment and reduce the cost of care while keeping patients closer to their homes and families.
Details
- Title: Subtitle
- A Vision for Using Simulation & Virtual Coaching to Improve the Community Practice of Orthopedic Trauma Surgery
- Creators
- Geb W Thomas - Department of Orthopedics and RehabilitationSteven Long - Department of Biomedical EngineeringMarcus Tatum - Department of Industrial and Systems EngineeringTimothy Kowalewski - Department of Mechanical EngineeringDominik Mattioli - Department of Industrial and Systems EngineeringJ Lawrence Marsh - Department of Orthopedics and RehabilitationHeather R Kowalski - Department of Orthopedics and RehabilitationMatthew D Karam - Department of Orthopedics and RehabilitationJoan E Bechtold - Department of Orthopaedic SurgeryDonald D Anderson - Department of Biomedical Engineering
- Resource Type
- Journal article
- Publication Details
- The Iowa orthopaedic journal, Vol.40(1), pp.25-34
- Publisher
- Dept. of Orthopaedics, The University of Iowa; United States
- PMID
- 32742205
- PMCID
- PMC7368513
- ISSN
- 1541-5457
- eISSN
- 1555-1377
- Grant note
- R18 HS025353 / AHRQ HHS R18 HS022077 / AHRQ HHS
- Language
- English
- Date published
- 2020
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Stead Family Department of Pediatrics; Orthopedics and Rehabilitation; Industrial and Systems Engineering
- Record Identifier
- 9984187057202771
Metrics
39 Record Views