Translating motion tracking data into resident feedback: An opportunity for streamlined video coaching
Translating motion tracking data into resident feedback: An opportunity for streamlined video coaching
复制标题
DOI：
10.1016/j.amjsurg.2020.01.032
复制
发表时间：
2020-04-01
影响因子：
3
通讯作者：
Pugh, Carla
中科院分区：
文献类型：
--
作者：
Perrone, Kenneth H.;Yang, Su;Pugh, Carla
背景：我们假设在模拟腹腔镜腹疝修补术（LVH）中，运动数据的差异可以用来对优等者和低等者进行分层，并简化视频审查。材料和方法：外科住院医师（N = 94）在佩戴运动跟踪传感器的情况下进行了模拟部分LVH修复。我们根据修复的最终产品质量评分（FPQS）确定了前10名和后10名的表现。两名盲法评分者独立地审查了运动图，以确定模式并对顶级和低级表演者进行分层。结果：优秀者的FPQS显著高于优秀者（23.3 +/- 1.2 vs 5.7 +/- 1.6 p < 0.01）。评分者确定了模式，并从较低层次的表演者中划分了顶级表演者(Rater 1 chi（2) = 3.2 p = 0.07, Rater 2 chi(2) = 2.0 p = 0.16）。在视频回顾中，我们将运动图与程序的相关部分相关联。结论：运动数据的差异可以识别学习需求，并可以快速回顾手术视频进行指导。(C) 2020爱思唯尔公司版权所有。
Background: We hypothesized that differences in motion data during a simulated laparoscopic ventral hernia repair (LVH) can be used to stratify top and lower tier performers and streamline video review.Materials and methods: Surgical residents (N = 94) performed a simulated partial LVH repair while wearing motion tracking sensors. We identified the top ten and lower ten performers based on a final product quality score (FPQS) of the repair. Two blinded raters independently reviewed motion plots to identify patterns and stratify top and lower tier performers.Results: Top performers had significantly higher FPQS (23.3 +/- 1.2 vs 5.7 +/- 1.6 p < 0.01). Raters identified patterns and stratified top performers from lower tier performers (Rater 1 chi(2) = 3.2 p = 0.07 and Rater 2 chi(2) = 2.0 p = 0.16). During video review, we correlated motion plots with the relevant portion of the procedure.Conclusion: Differences in motion data can identify learning needs and enable rapid review of surgical videos for coaching. (C) 2020 Elsevier Inc. All rights reserved.