Force Variability as an Objective Measure of Surgical Skill
DOI:
https://doi.org/10.11113/jt.v74.4677Keywords:
Force matching, error of force, parametric assessmentAbstract
This study investigated the force variability of subjects with different level of surgical skills for different force levels. Twelve participants were recruited from three different levels of surgical experiences: A group of surgeon (N = 4), medical student (N = 3) and engineering student (N = 5) underwent a simple finger force control task using a custom developed ‘Force Matching’ module. Three different levels of target force were used: 2 N, 4 N, and 6 N. The task was performed simultaneously using right and left hands. The mean error of force was measured to compare the performance between the three group using Kruskal-Wallis test. A statistically significant difference was detected among the three groups at 2 N when using right hand. We also found that the surgeon group made less error compared to the two other groups at force level 4 N and 6 N for both hands. This finding has important implication for developing a parametric assessment model to evaluate basic skill level in surgical procedures. However, for most accurate result, a big sample size of subject is required.References
F. Spencer. 1978. Teaching and Measuring Surgical Technique-The Technical Evaluation of Competence. Bulletin of the American College of Surgeons. 63: 9–12.
A. Cuschieri, N. Francis, J. Crosby and G. B. Hanna. 2001. What Do Master Surgeons Think of Surgical Competence and Revalidation? American Journal of Surgery. 182(2): 110–6.
B. N. Carter. 1952. The Fruition of Halsted's Concept of Surgical Training. Surgery. 32: 518–527.
S. N. Z. Ahmmad, E. L. M. Su, C. F. Yeong and F. K. C. Harun. 2011. Assessment Methods for Surgical Skills. World Academy of Science, Engineering and Technology Conference. 752–758.
S. L. Cremers, J. B. Ciolino, Z. K. Ferrufino-Ponce and B. A. Henderson. 2005. Objective Assessment of Skills in Intraocular Surgery (OASIS). Ophthalmology. 112(7): 1236–1241
J. A. Martin, G. Regehr, R. Reznick, H. MacRae, J. Murnaghan, C. Hutchison and M. Brown. 1997. Objective Structured Assessment of Technical Skill (OSATS) for Surgical Residents. British Journal of Surgery. 84(2): 273–278.
K. Moorthy, Y. Munz, S. K. Sarker and A. Darzi. 2003. Objective Assessment of Technical Skills in Surgery. British Medical Journal. 327(7422): 1032–1037.
A. Darzi, S. Smith and N. Taffinder. 1999. Assessing Operative Skill: Needs To Become More Objective. British Medical Journal. 318(7188): 887–888.
A. Dosis, R. Aggarwal, F. Bello, K. Moorthy, Y. Munz, D. Gillies and A. Darzi. 2005. Synchronized Video and Motion Analysis for The Assessment of Procedures in The Operating Theater. Archives of Surgery. 140(3): 293–299.
D. Vivek, S. Mackay, M. Mandalia and A. Darzi. 2001. The Use of Electromagnetic Motion Tracking Analysis To Objectively Measure Open Surgical Skill in The Laboratory-Based Model. Journal of the American College of Surgeons. 193(5): 479–485.
T. F. Then, E. L. Su, S. N. Z. Ahmmad and C. F. Yeong. 2013. Massed Training Versus Interval Training for Computer-Based Suturing Skill Acquisition. Journal of Medical Imaging and Health Informatics. 3(4): 503–508.
E. L. Su, G. Ganesh, C. F. Yeong, C. L. Teo, W. T. Ang and E. Burdet. 2011. Effect of Grip Force and Training in Unstable Dynamics on Micromanipulation Accuracy. IEEE Transaction on Haptics: Special Issue on Haptics in Medicine and Clinical Skill Acquisition. 4: 167–174.
S. N. Z. Ahmmad, E. L. Su and C. F. Yeong. 2013. Effect of Intermittent Haptic Disturbance in Motor Skill Training. Applied Mechanics and Material. 432: 403–408.
S. N. Z. Ahmmad, E. L. Su, C. F. Yeong and A. L. T. Narayanan. 2014. Experimental Study of Surgeon's Psychomotor Skill Using Sensor-Based Measurement. Procedia Computer Science. 42: 130–137.
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