Does a mixed training course on the Oxford unicompartmental knee arthroplasty improve non-technical skills of orthopaedic surgeons?
PURPOSE: To determine whether a mixed course on the Oxford unicompartmental knee arthroplasty (UKA) could improve the non-technical (cognitive) skills of performing UKA. METHODS: 120 delegates consisting of consultant orthopaedic surgeons and advanced surgical trainees attended a 2-day course. 104 (...
| Main Authors: | , , , , , |
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| Format: | Journal article |
| Language: | English |
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2012
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| _version_ | 1797105981724819456 |
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| author | Alvand, A Gill, H Price, A Dodd, C Murray, D Rees, J |
| author_facet | Alvand, A Gill, H Price, A Dodd, C Murray, D Rees, J |
| author_sort | Alvand, A |
| collection | OXFORD |
| description | PURPOSE: To determine whether a mixed course on the Oxford unicompartmental knee arthroplasty (UKA) could improve the non-technical (cognitive) skills of performing UKA. METHODS: 120 delegates consisting of consultant orthopaedic surgeons and advanced surgical trainees attended a 2-day course. 104 (87%) of the delegates had performed total knee arthroplasties, whereas 79 (66%) had performed UKAs. The course consisted of didactic lectures, interactive surgical demonstrations, and practical dry-bone skills workshops. Cognitive skills were assessed at the start (day 1) and end (day 2) of the course using 10 multiple-choice questions. The maximum test score was 10. Multilevel modelling was used to compare the pre- and post-course test scores. The pairings of pre- and post-course scores were not known because of a confidentiality clause. RESULTS: Of the 120 delegates, 71 (59%) took the pre-course test and 120 (100%) took the post-course test. The median score improved significantly from 2 (interquartile range [IQR], 0.5-3.5) to 6 (IQR, 4.5- 7.5) [bootstrap p<0.0001] for every single one of the randomly allocated pairings. Most delegates had poor cognitive skills for the UKA before the course and improved significantly after the course. Sub-analysis of each question topic showed significant improvement in scores for all topics after the course (bootstrap p<0.0001). Nonetheless, the extent to which individual topic scores improved varied widely. The odds ratio for the pre- versus post-course total test score was 4.36. CONCLUSION: A mixed continuing medical education course could enhance the non-technical (cognitive) skills for UKA. |
| first_indexed | 2024-03-07T06:55:10Z |
| format | Journal article |
| id | oxford-uuid:fde7000d-d6ba-4ee1-8d5c-31925d8a9d58 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T06:55:10Z |
| publishDate | 2012 |
| record_format | dspace |
| spelling | oxford-uuid:fde7000d-d6ba-4ee1-8d5c-31925d8a9d582022-03-27T13:32:11ZDoes a mixed training course on the Oxford unicompartmental knee arthroplasty improve non-technical skills of orthopaedic surgeons?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:fde7000d-d6ba-4ee1-8d5c-31925d8a9d58EnglishSymplectic Elements at Oxford2012Alvand, AGill, HPrice, ADodd, CMurray, DRees, JPURPOSE: To determine whether a mixed course on the Oxford unicompartmental knee arthroplasty (UKA) could improve the non-technical (cognitive) skills of performing UKA. METHODS: 120 delegates consisting of consultant orthopaedic surgeons and advanced surgical trainees attended a 2-day course. 104 (87%) of the delegates had performed total knee arthroplasties, whereas 79 (66%) had performed UKAs. The course consisted of didactic lectures, interactive surgical demonstrations, and practical dry-bone skills workshops. Cognitive skills were assessed at the start (day 1) and end (day 2) of the course using 10 multiple-choice questions. The maximum test score was 10. Multilevel modelling was used to compare the pre- and post-course test scores. The pairings of pre- and post-course scores were not known because of a confidentiality clause. RESULTS: Of the 120 delegates, 71 (59%) took the pre-course test and 120 (100%) took the post-course test. The median score improved significantly from 2 (interquartile range [IQR], 0.5-3.5) to 6 (IQR, 4.5- 7.5) [bootstrap p<0.0001] for every single one of the randomly allocated pairings. Most delegates had poor cognitive skills for the UKA before the course and improved significantly after the course. Sub-analysis of each question topic showed significant improvement in scores for all topics after the course (bootstrap p<0.0001). Nonetheless, the extent to which individual topic scores improved varied widely. The odds ratio for the pre- versus post-course total test score was 4.36. CONCLUSION: A mixed continuing medical education course could enhance the non-technical (cognitive) skills for UKA. |
| spellingShingle | Alvand, A Gill, H Price, A Dodd, C Murray, D Rees, J Does a mixed training course on the Oxford unicompartmental knee arthroplasty improve non-technical skills of orthopaedic surgeons? |
| title | Does a mixed training course on the Oxford unicompartmental knee arthroplasty improve non-technical skills of orthopaedic surgeons? |
| title_full | Does a mixed training course on the Oxford unicompartmental knee arthroplasty improve non-technical skills of orthopaedic surgeons? |
| title_fullStr | Does a mixed training course on the Oxford unicompartmental knee arthroplasty improve non-technical skills of orthopaedic surgeons? |
| title_full_unstemmed | Does a mixed training course on the Oxford unicompartmental knee arthroplasty improve non-technical skills of orthopaedic surgeons? |
| title_short | Does a mixed training course on the Oxford unicompartmental knee arthroplasty improve non-technical skills of orthopaedic surgeons? |
| title_sort | does a mixed training course on the oxford unicompartmental knee arthroplasty improve non technical skills of orthopaedic surgeons |
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