Skip to main content

Comparing Automatic Simulator Assessment with Expert Assessment of Virtual Surgical Procedures

  • Conference paper
Biomedical Simulation (ISBMS 2010)

Part of the book series: Lecture Notes in Computer Science ((LNTCS,volume 5958))

Included in the following conference series:

Abstract

This study focuses on the comparison of expert assessment of virtual surgical procedures through Objective Structured Assessment of Technical Skills (OSATS) with the automatic assessment and feedback provided by a surgical simulator for hysteroscopic procedures. The existing multi-metric scoring system of the simulator was extended to include hysteroscopic myomectomy. The original OSATS was also modified for the examined surgical procedure. OSATS reliability, expert coherence, and interrater agreement with simulator feedback were investigated in a study with eight experts. The same selection of six movies showing virtual procedures performed at a hysteroscopy training course was rated by each expert. For the task-specific checklist, the reliability of the simulator was significantly higher than that of the individual human raters (p=0.006). In addition, the ranked order of the overall scores of all movies was the same for both simulator and expert consensus opinion. This is a first step to providing simulator feedback with the same reliability as an expert panel, thus facilitating competency-based surgical education and assessment in the near future.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Moorthy, K., Munz, Y., Sarker, S., Darzi, A.: Objective assessment of technical skills in surgery. BMJ 327(7422), 1032–1037 (2003)

    Article  Google Scholar 

  2. Gallagher, A., Ritter, E., Champion, H., Higgins, G., Fried, M., Moses, G., Smith, C.D., Satava, R.M.: Virtual reality simulation for the operating room: proficiencybased training as a paradigm shift in surgical skills training. Ann. Surg. 241(2), 364–372 (2005)

    Article  Google Scholar 

  3. Reznick, R., Regehr, G., MacRae, H., Martin, J., McCulloch, W.: Testing technical skill via an innovative ”bench station” examination. Am. J. Surg. 173(3), 226–230 (1997)

    Article  Google Scholar 

  4. Grantcharov, T.P., Kristiansen, V.B., Bendix, J., Bardram, L., Rosenberg, J., Funch-Jensen, P.: Randomized clinical trial of virtual reality simulation for laparoscopic skills training. Br. J. Surg. 91(2), 146–150 (2004)

    Article  Google Scholar 

  5. Matsumoto, E.D., Hamstra, S.J., Radomski, S.B., Cusimano, M.D.: The effect of bench model fidelity on endourological skills: a randomized controlled study. J. Urol. 167(3), 1243–1247 (2002)

    Article  Google Scholar 

  6. Cremers, S.L., Lora, A.N., Ferrufino-Ponce, Z.K.: Global rating assessment of skills in intraocular surgery (GRASIS). Ophthalmology 112(10), 1655–1660 (2005)

    Article  Google Scholar 

  7. Mandel, L.P., Lentz, G.M., Goff, B.A.: Teaching and evaluating surgical skills. Obstet. Gynecol. 95(5), 783–785 (2000)

    Article  Google Scholar 

  8. Van Blaricom, A.L., Goff, B.A., Chinn, M., Icasiano, M.M., Nielsen, P., Mandel, L.: A new curriculum for hysteroscopy training as demonstrated by an objective structured assessment of technical skills (OSATS). Am. J. Obstet. Gynecol. 193(5), 1856–1865 (2005)

    Article  Google Scholar 

  9. Darzi, A., Smith, S., Taffinder, N.: Assessing operative skill. Needs to become more objective. BMJ 318(7188), 887–888 (1999)

    Google Scholar 

  10. Rosen, J., Hannaford, B., Richards, C.G., Sinanan, M.N.: Markov modeling of minimally invasive surgery based on tool/tissue interaction and force/torque signatures for evaluating surgical skills. IEEE Trans. Biomed. Eng. 48(5), 579–591 (2001)

    Article  Google Scholar 

  11. Moorthy, K., Munz, Y., Dosis, A., Bello, F., Darzi, A.: Motion analysis in the training and assessment of minimally invasive surgery. Minim. Invasive Ther. Allied Technol. 12(3), 137–142 (2003)

    Google Scholar 

  12. Stylopoulos, N., Cotin, S., Maithel, S.K., Ottensmeye, M., Jackson, P.G., Bardsley, R.S., Neumann, P.F., Rattner, D.W., Dawson, S.L.: Computer-enhanced laparoscopic training system (celts): bridging the gap. Surg. Endosc. 18(5), 782–789 (2004)

    Article  Google Scholar 

  13. Ritter, E.M., McClusky, D.A., Gallagher, A.G., Smith, C.D.: Real-time objective assessment of knot quality with a portable tensiometer is superior to execution time for assessment of laparoscopic knot-tying performance. Surg. Innov. 12(3), 233–237 (2005)

    Article  Google Scholar 

  14. Sewell, C.: Automatic Performance Evaluation in Surgical Simulation. PhD thesis, Stanford University (2007)

    Google Scholar 

  15. Harders, M., Bachofen, D., Bajka, M., Grassi, M., Heidelberger, B., Sierra, R., Spaelter, U., Steinemann, D., Teschner, M., Tuchschmid, S., Zatonyi, J., Szekely, G.: Virtual reality based simulation of hysteroscopic interventions. Presence: Teleoperators and Virtual Environments 17(5), 441–462 (2008)

    Google Scholar 

  16. Website: VirtaMed HystSim (2009), http://www.simbionix.com/HystSim/HystSim.html

  17. Bajka, M., Tuchschmid, S., Streich, M., Fink, D., Szekely, G., Harders, M.: Evaluation of a new virtual-reality training simulator for hysteroscopy. Surg. Endosc. 23(9), 2026–2033 (2009); Epub Apr 24, 2008

    Google Scholar 

  18. Tuchschmid, S., Bajka, M., Bachofen, D., Szekely, G., Harders, M.: Objective surgical performance assessment for virtual hysteroscopy. Stud. Health Technol. Inform. 125, 473–478 (2007)

    Google Scholar 

  19. Bajka, M., Tuchschmid, S., Fink, D., Szekely, G., Harders, M.: Establishing construct validity of a virtual reality training simulator for hysteroscopy via a multi metric scoring system. Surg. Endosc. (2009); (Epub ahead of print, June 24)

    Google Scholar 

  20. Dath, D., Regehr, G., Birch, D., Schlachta, C., Poulin, E., Mamazza, J., Reznick, R., MacRae, H.M.: Toward reliable operative assessment: the reliability and feasibility of videotaped assessment of laparoscopic technical skills. Surg. Endosc. 18(12), 1800–1804 (2004)

    Article  Google Scholar 

  21. Gallagher, A.G., Ritter, E.M., Satava, R.M.: Fundamental principles of validation, and reliability: rigorous science for the assessment of surgical education and training. Surg. Endosc. 17(10), 1525–1529 (2003)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Tuchschmid, S., Bajka, M., Harders, M. (2010). Comparing Automatic Simulator Assessment with Expert Assessment of Virtual Surgical Procedures. In: Bello, F., Cotin, S. (eds) Biomedical Simulation. ISBMS 2010. Lecture Notes in Computer Science, vol 5958. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11615-5_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-11615-5_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11614-8

  • Online ISBN: 978-3-642-11615-5

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics