Eye tracking metrics of orthopedic surgeons with different competency levels who practice simulation-based hip arthroscopic procedures

Objective: This study aimed to investigate the feasibility of using eye tracking data to identify orthopedic trainees’ technical proficiency in hip arthroscopic procedures during simulation-based training. Design: A cross sectional study. Setting: A simulation-based training session for hip arthrosc...

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Main Authors: Bohong Cai, Na Xu, Shengfeng Duan, Jiahui Yi, Boon Huat Bay, Fangyuan Shen, Ning Hu, Peng Zhang, Jie Chen, Cheng Chen
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844022036234
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author Bohong Cai
Na Xu
Shengfeng Duan
Jiahui Yi
Boon Huat Bay
Fangyuan Shen
Ning Hu
Peng Zhang
Jie Chen
Cheng Chen
author_facet Bohong Cai
Na Xu
Shengfeng Duan
Jiahui Yi
Boon Huat Bay
Fangyuan Shen
Ning Hu
Peng Zhang
Jie Chen
Cheng Chen
author_sort Bohong Cai
collection DOAJ
description Objective: This study aimed to investigate the feasibility of using eye tracking data to identify orthopedic trainees’ technical proficiency in hip arthroscopic procedures during simulation-based training. Design: A cross sectional study. Setting: A simulation-based training session for hip arthroscopy was conducted. Eye tracking devices were used to record participants’ eye movements while performing simulated operations. The NASA Task Load Index survey was then used to measure subjective opinions on the perceived workload of the training. Statistical analyses were performed to determine the significance of the eye metrics and survey data. Participants: A total of 12 arthroscopic trainees, including resident doctors, junior specialist surgeons, and consultant surgeons from the Department of Orthopedics in five hospitals, participated in this study. They were divided into three subgroups based on their prior clinical experience. Results: Significant differences, including those for dwell time, number of fixations, number of saccades, saccade duration, peak velocity of the saccade, and pupil entropy, were observed among the three subgroups. Additionally, there were clear trends in the perceived workload of the simulation-based training based on feedback from the participants. Conclusion: Based on this preliminary study, a correlation was identified between the eye tracking metrics and participants’ experience levels. Hence, it is feasible to apply eye tracking data as a supplementary objective assessment tool to benchmark the technical proficiency of surgical trainees in hip arthroscopy, and enhance simulation-based training.
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spelling doaj.art-81fecef60cad4bc5addd4f7af406f6f92023-01-05T08:39:59ZengElsevierHeliyon2405-84402022-12-01812e12335Eye tracking metrics of orthopedic surgeons with different competency levels who practice simulation-based hip arthroscopic proceduresBohong Cai0Na Xu1Shengfeng Duan2Jiahui Yi3Boon Huat Bay4Fangyuan Shen5Ning Hu6Peng Zhang7Jie Chen8Cheng Chen9Department of Industrial and Product Design, School of Design, Sichuan Fine Arts Institute, Chongqing, ChinaDepartment of Industrial and Product Design, School of Design, Sichuan Fine Arts Institute, Chongqing, ChinaDepartment of Industrial and Product Design, School of Design, Sichuan Fine Arts Institute, Chongqing, ChinaDepartment of Industrial and Product Design, School of Design, Sichuan Fine Arts Institute, Chongqing, ChinaDepartment of Anatomy, Yong Loo Lin School of Medicine, National University of Singapore, SingaporeState Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Orthopedics, Sichuan Province Orthopedic Hospital, Chengdu, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China; Corresponding author.Department of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China; Corresponding author.Objective: This study aimed to investigate the feasibility of using eye tracking data to identify orthopedic trainees’ technical proficiency in hip arthroscopic procedures during simulation-based training. Design: A cross sectional study. Setting: A simulation-based training session for hip arthroscopy was conducted. Eye tracking devices were used to record participants’ eye movements while performing simulated operations. The NASA Task Load Index survey was then used to measure subjective opinions on the perceived workload of the training. Statistical analyses were performed to determine the significance of the eye metrics and survey data. Participants: A total of 12 arthroscopic trainees, including resident doctors, junior specialist surgeons, and consultant surgeons from the Department of Orthopedics in five hospitals, participated in this study. They were divided into three subgroups based on their prior clinical experience. Results: Significant differences, including those for dwell time, number of fixations, number of saccades, saccade duration, peak velocity of the saccade, and pupil entropy, were observed among the three subgroups. Additionally, there were clear trends in the perceived workload of the simulation-based training based on feedback from the participants. Conclusion: Based on this preliminary study, a correlation was identified between the eye tracking metrics and participants’ experience levels. Hence, it is feasible to apply eye tracking data as a supplementary objective assessment tool to benchmark the technical proficiency of surgical trainees in hip arthroscopy, and enhance simulation-based training.http://www.sciencedirect.com/science/article/pii/S2405844022036234Hip arthroscopySimulationEye trackingSurgical trainingTechnical assessment
spellingShingle Bohong Cai
Na Xu
Shengfeng Duan
Jiahui Yi
Boon Huat Bay
Fangyuan Shen
Ning Hu
Peng Zhang
Jie Chen
Cheng Chen
Eye tracking metrics of orthopedic surgeons with different competency levels who practice simulation-based hip arthroscopic procedures
Heliyon
Hip arthroscopy
Simulation
Eye tracking
Surgical training
Technical assessment
title Eye tracking metrics of orthopedic surgeons with different competency levels who practice simulation-based hip arthroscopic procedures
title_full Eye tracking metrics of orthopedic surgeons with different competency levels who practice simulation-based hip arthroscopic procedures
title_fullStr Eye tracking metrics of orthopedic surgeons with different competency levels who practice simulation-based hip arthroscopic procedures
title_full_unstemmed Eye tracking metrics of orthopedic surgeons with different competency levels who practice simulation-based hip arthroscopic procedures
title_short Eye tracking metrics of orthopedic surgeons with different competency levels who practice simulation-based hip arthroscopic procedures
title_sort eye tracking metrics of orthopedic surgeons with different competency levels who practice simulation based hip arthroscopic procedures
topic Hip arthroscopy
Simulation
Eye tracking
Surgical training
Technical assessment
url http://www.sciencedirect.com/science/article/pii/S2405844022036234
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