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Evaluating effectiveness of cadaveric arthroscopic training for orthopaedic residents: A comparison of joints and training levels
Purpose This study aimed to evaluate the effects and interactions of training level and different joints on the outcomes of cadaveric arthroscopic training courses for orthopaedic residents. Methods This prospective study enrolled 16 orthopaedic residents who voluntarily participated in a cadaveric...
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| Published in: | Journal of experimental orthopaedics 2024-07, Vol.11 (3), p.e12030-n/a |
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| container_issue | 3 |
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| container_title | Journal of experimental orthopaedics |
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| creator | Chuang, Hao‐Chun Kuan, Fa‐Chuan Su, Wei‐Ren Shih, Chien‐An Chiang, Chen‐Hao Ko, Po‐Yen Hong, Chih‐Kai Chen, Yueh Hsu, Kai‐Lan |
| description | Purpose
This study aimed to evaluate the effects and interactions of training level and different joints on the outcomes of cadaveric arthroscopic training courses for orthopaedic residents.
Methods
This prospective study enrolled 16 orthopaedic residents who voluntarily participated in a cadaveric training programme involving the shoulder, elbow, wrist, knee and ankle joints. Outcomes were quantitatively assessed using task‐specific checklists and the Arthroscopic Surgery Skill Evaluation Tool. Two‐way analysis of variance (ANOVA) was conducted to determine the significance of the interactions between joint and years of training.
Results
Resident scores significantly increased after the dedicated lectures in all five joints (p = 0.003 for the shoulder module, p |
| doi_str_mv | 10.1002/jeo2.12030 |
| format | article |
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This study aimed to evaluate the effects and interactions of training level and different joints on the outcomes of cadaveric arthroscopic training courses for orthopaedic residents.
Methods
This prospective study enrolled 16 orthopaedic residents who voluntarily participated in a cadaveric training programme involving the shoulder, elbow, wrist, knee and ankle joints. Outcomes were quantitatively assessed using task‐specific checklists and the Arthroscopic Surgery Skill Evaluation Tool. Two‐way analysis of variance (ANOVA) was conducted to determine the significance of the interactions between joint and years of training.
Results
Resident scores significantly increased after the dedicated lectures in all five joints (p = 0.003 for the shoulder module, p < 0.001 for the other joints). Two‐way ANOVA revealed that the progress made after the dedicated lectures was significantly impacted by the joint (p = 0.006) and training level × joint interaction (p = 0.005) but not by the training level (p = 0.47). The simple effect of the joint was examined using Sidak's multiple comparison test. Among junior residents, the dedicated lectures resulted in more substantial progress in elbow and wrist arthroscopy when compared to shoulder arthroscopy (p = 0.020 and p = 0.043, respectively).
Conclusions
The results suggest that, in cadaveric arthroscopic training courses for orthopaedic residents, training outcomes are primarily impacted by the specific joint being trained rather than the training level. Specifically, junior residents demonstrated greater improvement with training in procedures that are less commonly encountered during on‐the‐job training, such as elbow and wrist arthroscopy.
Clinical Relevance
These findings suggest the need to prioritise wrist and elbow arthroscopic training for junior residents to optimise educational outcomes.
Level of Evidence
Level III.</description><identifier>ISSN: 2197-1153</identifier><identifier>EISSN: 2197-1153</identifier><identifier>DOI: 10.1002/jeo2.12030</identifier><identifier>PMID: 38774580</identifier><language>eng</language><publisher>United States: John Wiley and Sons Inc</publisher><subject>arthroscopy ; education ; Original Paper ; Original Papers ; resident training</subject><ispartof>Journal of experimental orthopaedics, 2024-07, Vol.11 (3), p.e12030-n/a</ispartof><rights>2024 The Authors. published by John Wiley & Sons Ltd on behalf of European Society of Sports Traumatology, Knee Surgery and Arthroscopy.</rights><rights>2024 The Authors. Journal of Experimental Orthopaedics published by John Wiley & Sons Ltd on behalf of European Society of Sports Traumatology, Knee Surgery and Arthroscopy.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4460-3eccadcbaa5c1d5169731f88daaa994531029180cd172dbf2bcda3da3e08bd023</cites><orcidid>0000-0001-9022-6721 ; 0000-0002-7766-0459 ; 0000-0002-7576-2486 ; 0000-0003-3231-1789 ; 0000-0002-2879-5584 ; 0000-0002-2745-1210 ; 0000-0001-9408-0651 ; 0000-0002-6133-3584 ; 0000-0002-5520-5623</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11106551/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11106551/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,27924,27925,37013,46052,46476,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38774580$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chuang, Hao‐Chun</creatorcontrib><creatorcontrib>Kuan, Fa‐Chuan</creatorcontrib><creatorcontrib>Su, Wei‐Ren</creatorcontrib><creatorcontrib>Shih, Chien‐An</creatorcontrib><creatorcontrib>Chiang, Chen‐Hao</creatorcontrib><creatorcontrib>Ko, Po‐Yen</creatorcontrib><creatorcontrib>Hong, Chih‐Kai</creatorcontrib><creatorcontrib>Chen, Yueh</creatorcontrib><creatorcontrib>Hsu, Kai‐Lan</creatorcontrib><title>Evaluating effectiveness of cadaveric arthroscopic training for orthopaedic residents: A comparison of joints and training levels</title><title>Journal of experimental orthopaedics</title><addtitle>J Exp Orthop</addtitle><description>Purpose
This study aimed to evaluate the effects and interactions of training level and different joints on the outcomes of cadaveric arthroscopic training courses for orthopaedic residents.
Methods
This prospective study enrolled 16 orthopaedic residents who voluntarily participated in a cadaveric training programme involving the shoulder, elbow, wrist, knee and ankle joints. Outcomes were quantitatively assessed using task‐specific checklists and the Arthroscopic Surgery Skill Evaluation Tool. Two‐way analysis of variance (ANOVA) was conducted to determine the significance of the interactions between joint and years of training.
Results
Resident scores significantly increased after the dedicated lectures in all five joints (p = 0.003 for the shoulder module, p < 0.001 for the other joints). Two‐way ANOVA revealed that the progress made after the dedicated lectures was significantly impacted by the joint (p = 0.006) and training level × joint interaction (p = 0.005) but not by the training level (p = 0.47). The simple effect of the joint was examined using Sidak's multiple comparison test. Among junior residents, the dedicated lectures resulted in more substantial progress in elbow and wrist arthroscopy when compared to shoulder arthroscopy (p = 0.020 and p = 0.043, respectively).
Conclusions
The results suggest that, in cadaveric arthroscopic training courses for orthopaedic residents, training outcomes are primarily impacted by the specific joint being trained rather than the training level. Specifically, junior residents demonstrated greater improvement with training in procedures that are less commonly encountered during on‐the‐job training, such as elbow and wrist arthroscopy.
Clinical Relevance
These findings suggest the need to prioritise wrist and elbow arthroscopic training for junior residents to optimise educational outcomes.
Level of Evidence
Level III.</description><subject>arthroscopy</subject><subject>education</subject><subject>Original Paper</subject><subject>Original Papers</subject><subject>resident training</subject><issn>2197-1153</issn><issn>2197-1153</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>DOA</sourceid><recordid>eNp9kk1vFDEMhiMEotXSCz8AzREhbWtPJvPBBVXVAq0q9QLnyJN4tlnNTpZkdqoe-edkO6W0F6RISezXj23ZQrxHOEWA_GzDPj_FHCS8Esc5NtUSUcnXz95H4iTGDQCgLECV1VtxJOuqKlQNx-L3aqJ-T6Mb1hl3HZvRTTxwjJnvMkOWJg7OZBTG2-Cj8bv0GQO54RDQ-ZD55PE7YpscgaOzPIzxc3aeGb_dUXDRDwfUxrtkz2iw_8J7nriP78SbjvrIJ4_3Qvz8uvpx8X15ffPt8uL8emmKooSlZJPKMS2RMmgVlk0lsatrS0RNUyiJkDdYg7FY5bbt8tZYkukw1K2FXC7E5cy1njZ6F9yWwr325PSDwYe1Tl0607M2BRbKFFK2bAqQtrFl1bTAnSSDVNrE-jKzdvt2y9akngP1L6AvPYO71Ws_aUSEUilMhI-PhOB_7TmOeuui4b6ngf0-agmqLmVdpPQL8WmWmjSBGLh7yoOgDzugDzugH3YgiT88r-xJ-nfiSYCz4M71fP8flL5a3eQz9A_zcr_w</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Chuang, Hao‐Chun</creator><creator>Kuan, Fa‐Chuan</creator><creator>Su, Wei‐Ren</creator><creator>Shih, Chien‐An</creator><creator>Chiang, Chen‐Hao</creator><creator>Ko, Po‐Yen</creator><creator>Hong, Chih‐Kai</creator><creator>Chen, Yueh</creator><creator>Hsu, Kai‐Lan</creator><general>John Wiley and Sons Inc</general><general>Wiley</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-9022-6721</orcidid><orcidid>https://orcid.org/0000-0002-7766-0459</orcidid><orcidid>https://orcid.org/0000-0002-7576-2486</orcidid><orcidid>https://orcid.org/0000-0003-3231-1789</orcidid><orcidid>https://orcid.org/0000-0002-2879-5584</orcidid><orcidid>https://orcid.org/0000-0002-2745-1210</orcidid><orcidid>https://orcid.org/0000-0001-9408-0651</orcidid><orcidid>https://orcid.org/0000-0002-6133-3584</orcidid><orcidid>https://orcid.org/0000-0002-5520-5623</orcidid></search><sort><creationdate>202407</creationdate><title>Evaluating effectiveness of cadaveric arthroscopic training for orthopaedic residents: A comparison of joints and training levels</title><author>Chuang, Hao‐Chun ; Kuan, Fa‐Chuan ; Su, Wei‐Ren ; Shih, Chien‐An ; Chiang, Chen‐Hao ; Ko, Po‐Yen ; Hong, Chih‐Kai ; Chen, Yueh ; Hsu, Kai‐Lan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4460-3eccadcbaa5c1d5169731f88daaa994531029180cd172dbf2bcda3da3e08bd023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>arthroscopy</topic><topic>education</topic><topic>Original Paper</topic><topic>Original Papers</topic><topic>resident training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chuang, Hao‐Chun</creatorcontrib><creatorcontrib>Kuan, Fa‐Chuan</creatorcontrib><creatorcontrib>Su, Wei‐Ren</creatorcontrib><creatorcontrib>Shih, Chien‐An</creatorcontrib><creatorcontrib>Chiang, Chen‐Hao</creatorcontrib><creatorcontrib>Ko, Po‐Yen</creatorcontrib><creatorcontrib>Hong, Chih‐Kai</creatorcontrib><creatorcontrib>Chen, Yueh</creatorcontrib><creatorcontrib>Hsu, Kai‐Lan</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Journal of experimental orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chuang, Hao‐Chun</au><au>Kuan, Fa‐Chuan</au><au>Su, Wei‐Ren</au><au>Shih, Chien‐An</au><au>Chiang, Chen‐Hao</au><au>Ko, Po‐Yen</au><au>Hong, Chih‐Kai</au><au>Chen, Yueh</au><au>Hsu, Kai‐Lan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating effectiveness of cadaveric arthroscopic training for orthopaedic residents: A comparison of joints and training levels</atitle><jtitle>Journal of experimental orthopaedics</jtitle><addtitle>J Exp Orthop</addtitle><date>2024-07</date><risdate>2024</risdate><volume>11</volume><issue>3</issue><spage>e12030</spage><epage>n/a</epage><pages>e12030-n/a</pages><issn>2197-1153</issn><eissn>2197-1153</eissn><abstract>Purpose
This study aimed to evaluate the effects and interactions of training level and different joints on the outcomes of cadaveric arthroscopic training courses for orthopaedic residents.
Methods
This prospective study enrolled 16 orthopaedic residents who voluntarily participated in a cadaveric training programme involving the shoulder, elbow, wrist, knee and ankle joints. Outcomes were quantitatively assessed using task‐specific checklists and the Arthroscopic Surgery Skill Evaluation Tool. Two‐way analysis of variance (ANOVA) was conducted to determine the significance of the interactions between joint and years of training.
Results
Resident scores significantly increased after the dedicated lectures in all five joints (p = 0.003 for the shoulder module, p < 0.001 for the other joints). Two‐way ANOVA revealed that the progress made after the dedicated lectures was significantly impacted by the joint (p = 0.006) and training level × joint interaction (p = 0.005) but not by the training level (p = 0.47). The simple effect of the joint was examined using Sidak's multiple comparison test. Among junior residents, the dedicated lectures resulted in more substantial progress in elbow and wrist arthroscopy when compared to shoulder arthroscopy (p = 0.020 and p = 0.043, respectively).
Conclusions
The results suggest that, in cadaveric arthroscopic training courses for orthopaedic residents, training outcomes are primarily impacted by the specific joint being trained rather than the training level. Specifically, junior residents demonstrated greater improvement with training in procedures that are less commonly encountered during on‐the‐job training, such as elbow and wrist arthroscopy.
Clinical Relevance
These findings suggest the need to prioritise wrist and elbow arthroscopic training for junior residents to optimise educational outcomes.
Level of Evidence
Level III.</abstract><cop>United States</cop><pub>John Wiley and Sons Inc</pub><pmid>38774580</pmid><doi>10.1002/jeo2.12030</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-9022-6721</orcidid><orcidid>https://orcid.org/0000-0002-7766-0459</orcidid><orcidid>https://orcid.org/0000-0002-7576-2486</orcidid><orcidid>https://orcid.org/0000-0003-3231-1789</orcidid><orcidid>https://orcid.org/0000-0002-2879-5584</orcidid><orcidid>https://orcid.org/0000-0002-2745-1210</orcidid><orcidid>https://orcid.org/0000-0001-9408-0651</orcidid><orcidid>https://orcid.org/0000-0002-6133-3584</orcidid><orcidid>https://orcid.org/0000-0002-5520-5623</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Open Access: PubMed Central; Wiley Online Library Open Access; Publicly Available Content Database; Springer Nature - SpringerLink Journals - Fully Open Access |
| subjects | arthroscopy education Original Paper Original Papers resident training |
| title | Evaluating effectiveness of cadaveric arthroscopic training for orthopaedic residents: A comparison of joints and training levels |
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