Validation of an endoscopic flavectomy training model
ABSTRACT Objective: to validate a lumbar spine endoscopic flavectomy simulator using the construct method and to assess the acceptability of the simulator in medical education. Methods: thirty medical students and ten video-assisted surgery experienced orthopedists performed an endoscopic flavec...
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgiões
2021-05-01
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| Series: | Revista do Colégio Brasileiro de Cirurgiões |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100400&tlng=pt |
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| author | ÁLYNSON LAROCCA KULCHESKI EDMAR STIEVEN-FILHO CAROLLINE POPOVICZ NUNES PAUL ANDRÉ ALAIN MILCENT LEONARDO DAU XAVIER SOLER I-GRAELLS |
| author_facet | ÁLYNSON LAROCCA KULCHESKI EDMAR STIEVEN-FILHO CAROLLINE POPOVICZ NUNES PAUL ANDRÉ ALAIN MILCENT LEONARDO DAU XAVIER SOLER I-GRAELLS |
| author_sort | ÁLYNSON LAROCCA KULCHESKI |
| collection | DOAJ |
| description | ABSTRACT Objective: to validate a lumbar spine endoscopic flavectomy simulator using the construct method and to assess the acceptability of the simulator in medical education. Methods: thirty medical students and ten video-assisted surgery experienced orthopedists performed an endoscopic flavectomy procedure in the simulator. Time, look-downs, lost instruments, respect for the stipulated edge of the ligamentum flavum, regularity of the incision, GOALS checklist (Global Operative Assessment of Laparoscopic Skills), and responses to the Likert Scale adapted for this study were analyzed. Results: all variables differed between groups. Procedure time was shorter in the physician group (p < 0.001). Look-downs and instrument losses were seven times greater among students than physicians. Half of the students respected the designated incision limits, compared to 80% of the physicians. In the student group, about 30% of the incisions were regular, compared to 100% in the physician group (p < 0.001). The physicians performed better in all GOALS checklist domains. All the physicians and more than 96% of the students considered the activity enjoyable, and approximately 90% believed that the model was realistic and could contribute to medical education. Conclusions: the simulator could differentiate the groups’ experience level, indicating construct validity, and both groups reported high acceptability. |
| first_indexed | 2024-12-24T01:22:12Z |
| format | Article |
| id | doaj.art-b9b1cc1857b34efea1a2e0637fd791b9 |
| institution | Directory Open Access Journal |
| issn | 1809-4546 |
| language | English |
| last_indexed | 2024-12-24T01:22:12Z |
| publishDate | 2021-05-01 |
| publisher | Colégio Brasileiro de Cirurgiões |
| record_format | Article |
| series | Revista do Colégio Brasileiro de Cirurgiões |
| spelling | doaj.art-b9b1cc1857b34efea1a2e0637fd791b92022-12-21T17:22:38ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-45462021-05-014810.1590/0100-6991e-20202901Validation of an endoscopic flavectomy training modelÁLYNSON LAROCCA KULCHESKIhttps://orcid.org/0000-0002-0132-6083EDMAR STIEVEN-FILHOhttps://orcid.org/0000-0003-2869-4019CAROLLINE POPOVICZ NUNEShttps://orcid.org/0000-0002-9835-0185PAUL ANDRÉ ALAIN MILCENThttps://orcid.org/0000-0001-5853-2702LEONARDO DAUhttps://orcid.org/0000-0002-3567-2099XAVIER SOLER I-GRAELLShttps://orcid.org/0000-0002-9636-9165ABSTRACT Objective: to validate a lumbar spine endoscopic flavectomy simulator using the construct method and to assess the acceptability of the simulator in medical education. Methods: thirty medical students and ten video-assisted surgery experienced orthopedists performed an endoscopic flavectomy procedure in the simulator. Time, look-downs, lost instruments, respect for the stipulated edge of the ligamentum flavum, regularity of the incision, GOALS checklist (Global Operative Assessment of Laparoscopic Skills), and responses to the Likert Scale adapted for this study were analyzed. Results: all variables differed between groups. Procedure time was shorter in the physician group (p < 0.001). Look-downs and instrument losses were seven times greater among students than physicians. Half of the students respected the designated incision limits, compared to 80% of the physicians. In the student group, about 30% of the incisions were regular, compared to 100% in the physician group (p < 0.001). The physicians performed better in all GOALS checklist domains. All the physicians and more than 96% of the students considered the activity enjoyable, and approximately 90% believed that the model was realistic and could contribute to medical education. Conclusions: the simulator could differentiate the groups’ experience level, indicating construct validity, and both groups reported high acceptability.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100400&tlng=ptMedical EducationSimulation TrainingEndoscopySpineLigamentum Flavum |
| spellingShingle | ÁLYNSON LAROCCA KULCHESKI EDMAR STIEVEN-FILHO CAROLLINE POPOVICZ NUNES PAUL ANDRÉ ALAIN MILCENT LEONARDO DAU XAVIER SOLER I-GRAELLS Validation of an endoscopic flavectomy training model Revista do Colégio Brasileiro de Cirurgiões Medical Education Simulation Training Endoscopy Spine Ligamentum Flavum |
| title | Validation of an endoscopic flavectomy training model |
| title_full | Validation of an endoscopic flavectomy training model |
| title_fullStr | Validation of an endoscopic flavectomy training model |
| title_full_unstemmed | Validation of an endoscopic flavectomy training model |
| title_short | Validation of an endoscopic flavectomy training model |
| title_sort | validation of an endoscopic flavectomy training model |
| topic | Medical Education Simulation Training Endoscopy Spine Ligamentum Flavum |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100400&tlng=pt |
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