Simulation to Support Competency-Based Training in Orthopedic Trauma

支持骨科创伤能力培训的模拟

• 批准号: 9358414
• 负责人: Donald D Anderson
• 金额: $ 40万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-30 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9358414
• 关键词: Simulation; Support; Competency; Based; Training

Project Summary/Abstract The long-term goal of our research program is to develop the scientific evidence needed to bring competency- based evaluation of surgical skills to orthopedics. The objective of this application is to provide the orthopedic training community with scientifically defendable criteria for critical orthopedic surgical skills at three key developmental points in surgical residency: ready to operate, ready to lead a surgery supervised by faculty, and ready for independent practice. The central hypothesis of this project is that orthopedic surgical skill competence can be objectively, quantitatively, and reliably measured from surgical results that impact patient safety. This hypothesis is based on previous multi-institutional simulation studies conducted with residency programs throughout the Midwest region. The proposed research explores training and assessment programs with several novel surgical simulators. It will also explore ground-breaking analysis techniques for assessing operating room performance from surgical radiographs and from computational, image-based, 3D model reconstruction. This project further expands previous work to more residency programs and to two national ortho- pedic organizations: the Orthopedic Trauma Association, which offers training programs to over a hundred residents sev- eral times a year, and to the American Board of Orthopedic Surgeons, which reviews the credentials and skills of 900 or- thopedic surgeons each year, certifying many to become official diplomates of ABOS. The participation of these national organizations, which provide a large number of potential research participants, creates the opportunity for achieving exciting new research goals, including these three specific aims. Specific Aim 1 is to measure orthopedic trauma surgery skill through surgical results. The working hypothesis for this aim is that sur- gical skill in orthopedic trauma can be measured by analyzing radiographic images associated with a surgery. Specific Aim 2 is to develop simulator-based training programs that improve surgical results. The working hypothesis is that residents who practice key skills until achieving proficiency will perform better in the operating room than residents with- out training. Specific Aim 3 is to define simulator-based assessments that generalize to clinical performance. The working hypothesis is that simulator assessment measurements will discriminate among levels of surgical skill and will also generalize across surgical tasks and between simulation and clinical practice. The proposed research will provide a safe environment for orthopedic surgeons to acquire valuable experience without putting patients at risk. It will also help to establish reliable measures of clinical performance competency and their potential use for credentialing and certification. Finally, as new simulation capabilities become available over the ensuing years, this work will have successfully shown the way from development to changing practice.

项目摘要/摘要 我们的研究计划的长期目标是开发带来能力所需的科学证据 - 基于对骨科的手术技能的评估。该应用的目的是提供骨科培训 在三个关键开发点上具有科学捍卫标准的社区 在手术居住中：准备手术，准备进行由教师监督的手术，并准备进行独立实践。 该项目的核心假设是骨科手术技能能力可以客观，定量和 可靠地从影响患者安全的手术结果中衡量。该假设基于以前的多机构 在整个中西部地区的居住计划进行的模拟研究。拟议的研究探讨了 培训和评估计划，包括几个新型的手术模拟器。它还将探索开创性的分析 通过手术X光片和计算，基于图像的3D评估手术室性能的技术 模型重建。该项目进一步将以前的工作扩展到更多的居住计划，并将其扩展到两个国家的矫正计划 小儿组织：骨科创伤协会，该协会为一百多名居民提供培训计划 每年的eral时代以及美国骨科外科医师委员会，该委员会审查了900或技能的证书和技能 - 每年的外科医生，都证明许多人成为Abos的官方外交官。 这些国家组织的参与，提供了大量潜在的研究参与者 创造了实现令人兴奋的新研究目标的机会，包括这三个特定目标。具体目标1是 通过手术结果测量骨科创伤手术技巧。这个目标的工作假设是 可以通过分析与手术相关的射线照相图像来衡量骨科创伤的基础技能。具体的 目标2是开发基于模拟器的培训计划，以改善手术结果。工作的假设是 练习关键技能直到达到熟练程度的居民在手术室的表现比有 - 训练。具体目的3是定义基于模拟器的评估，这些评估概括为临床性能。这 工作假设是模拟器评估测量将区分外科手术技能水平，并将 还跨越手术任务以及模拟和临床实践之间进行概括。 拟议的研究将为整形外科医生获得宝贵的经验提供一个安全的环境 没有使患者处于危险之中。它还将有助于建立可靠的临床性能能力衡量标准 它们的潜在用途用于证书和认证。最后，随着新的模拟功能的可用 随后的几年，这项工作将成功展示从发展到不断变化的实践的道路。