Document Detail


High-fidelity, low-cost, automated method to assess laparoscopic skills objectively.
MedLine Citation:
PMID:  22483134     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: We sought to define the extent to which a motion analysis-based assessment system constructed with simple equipment could measure technical skill objectively and quantitatively.
METHODS: An "off-the-shelf" digital video system was used to capture the hand and instrument movement of surgical trainees (beginner level = PGY-1, intermediate level = PGY-3, and advanced level = PGY-5/fellows) while they performed a peg transfer exercise. The video data were passed through a custom computer vision algorithm that analyzed incoming pixels to measure movement smoothness objectively.
RESULTS: The beginner-level group had the poorest performance, whereas those in the advanced group generated the highest scores. Intermediate-level trainees scored significantly (p < 0.04) better than beginner trainees. Advanced-level trainees scored significantly better than intermediate-level trainees and beginner-level trainees (p < 0.04 and p < 0.03, respectively).
CONCLUSIONS: A computer vision-based analysis of surgical movements provides an objective basis for technical expertise-level analysis with construct validity. The technology to capture the data is simple, low cost, and readily available, and it obviates the need for expert human assessment in this setting.
Authors:
Richard J Gray; Kanav Kahol; Gazi Islam; Marshall Smith; Alyssa Chapital; John Ferrara
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of surgical education     Volume:  69     ISSN:  1878-7452     ISO Abbreviation:  J Surg Educ     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303204     Medline TA:  J Surg Educ     Country:  United States    
Other Details:
Languages:  eng     Pagination:  335-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Surgery, Mayo Clinic, Scottsdale, Arizona.
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