Training Program for Orthopedic Residents in Forefoot Osteotomy Skills Transference From a Simulator to a Cadaveric Surgical Scenario

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dc.contributor.authorLedermann, Gerardo
dc.contributor.authorKuroiwa, Aron
dc.contributor.authorGonzalez, Nicolas
dc.contributor.authorSilva, Isadora
dc.contributor.authorVilla, Andres
dc.date.accessioned2025-01-20T20:09:35Z
dc.date.available2025-01-20T20:09:35Z
dc.date.issued2023
dc.description.abstractIntroductionAn effective simulation program allows both the acquisition of surgical skills on the simulated model and the transfer of these skills to a surgical scenario. We designed a forefoot osteotomy training program and sought to determine the transferability to a cadaveric surgical scenario.MethodsEleven orthopedic residents and 2 foot and ankle surgeons were included. A foot simulator was used. All residents were instructed on the surgical techniques of Chevron, Akin, and triple Weil osteotomies. Eight junior residents (trainees) were enrolled in a supervised simulation program. Baseline assessment was performed on the simulator with the Objective Structured Assessment of Technical Skills (OSATS) and the Imperial College Surgical Assessment Device (ICSAD). After baseline, trainees completed a training program and had a final evaluation of proficiency on the simulator and on cadaveric specimens. Three senior residents with no simulated training (controls) and experts were assessed for comparison.ResultsAll trainees improved from a baseline OSATS score of 11 points (9-20) to a final score of 35 points (33-35) in the simulator and 34 points (32-34) in the cadaveric specimen (P < 0.01). Compared with baseline, the ICSAD results improved in path length (391 [205-544] to 131 [73-278] meters, P < 0.01) and number of movements (2756 [1258-3338] to 992 [478-1908], P < 0.01). The final OSATS and ICSAD scores did not differ from experts (P = 0.1) and were significantly different from untrained residents (P = 0.02).ConclusionsSimulated training of Chevron, Akin, and triple Weil osteotomies in orthopedic residents improved procedural proficiency, enabling successful skill transfer to a surgical scenario in cadavers.
dc.fuente.origenWOS
dc.identifier.doi10.1097/SIH.0000000000000678
dc.identifier.eissn1559-713X
dc.identifier.issn1559-2332
dc.identifier.urihttps://doi.org/10.1097/SIH.0000000000000678
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/92010
dc.identifier.wosidWOS:001004225900005
dc.issue.numero3
dc.language.isoen
dc.pagina.final186
dc.pagina.inicio181
dc.revistaSimulation in healthcare-journal of the society for simulation in healthcare
dc.rightsacceso restringido
dc.subjectSimulation
dc.subjectforefoot
dc.subjecthallux valgus
dc.subjectosteotomies
dc.subjectorthopedic residency
dc.subject.ods04 Quality Education
dc.subject.odspa04 Educación de calidad
dc.titleTraining Program for Orthopedic Residents in Forefoot Osteotomy Skills Transference From a Simulator to a Cadaveric Surgical Scenario
dc.typeartículo
dc.volumen18
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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