The development of an objective model to assess arthroscopic performance.

Full Abstract

BACKGROUND: Many residency and fellowship programs have cadaver laboratories to teach and practice arthroscopic skills. However, there is currently no validated method of evaluating arthroscopic skill in this setting. The purpose of the present study was to develop and validate an objective model for evaluating basic arthroscopic proficiency on a cadaver knee in a bioskills laboratory. METHODS: Two measures from the educational literature were adapted for use specifically for arthroscopy: a task-specific checklist and a global rating scale were combined to create the Basic Arthroscopic Knee Skill Scoring System. Fifty-nine residents, three sports medicine fellows, and six sports medicine fellowship-trained attending surgeons were recruited. After completing a demographic survey, including the postgraduate year and number of knee and shoulder arthroscopies performed, each subject performed a diagnostic knee arthroscopy and a partial meniscectomy on a cadaver knee while being assessed by a single evaluator using the Basic Arthroscopic Knee Skill Scoring System. RESULTS: There was a strong positive correlation between global rating scale scores and both the postgraduate year (r = 0.93, p < 0.01) and the ranked number of knee arthroscopies performed (r = 0.88, p < 0.01). These scores detected significant differences between postgraduate years 1 and 2, and years 4 and 5 at the p

Author information

Author/s: Insel, Aaron (A); Carofino, Bradley (B); Leger, Robin (R); Arciero, Robert (R); Mazzocca, Augustus D (AD);

Affiliation: University of Connecticut Health Center, Farmington, CT 06034-4037, USA.

Journal and publication information

Publication Type: Journal Article; Validation Studies

Journal: The Journal of bone and joint surgery. American volume (J Bone Joint Surg Am), published in United States. (Language: eng)

Reference: 2009-Sep; vol 91 (issue 9) : pp 2287-95

Dates: Created 2009/09/02; Completed 2009/09/22;

PMID: 19724008, status: MEDLINE (last retrieval date: 9/22/2009, IMS Date: )

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