JAOA/AACOM Medical Education  |   October 2018
Perceived Value of a Skills Laboratory With Virtual Reality Simulator Training in Arthroscopy: A Survey of Orthopedic Surgery Residents
Author Notes
  • From the Lake Erie College of Osteopathic Medicine in Erie, Pennsylvania. 
  • Disclaimer: The views expressed herein are those of the authors and do not necessarily reflect the official policy or position of the Department of the Army, the Department of Defense, or the US Government. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Kevin Keith, DO, MS, PSC 482 Box 2727, FPO AP 96362-1600. Email: kkeith@vcom.edu
     
Article Information
Medical Education / Neuromusculoskeletal Disorders / Graduate Medical Education
JAOA/AACOM Medical Education   |   October 2018
Perceived Value of a Skills Laboratory With Virtual Reality Simulator Training in Arthroscopy: A Survey of Orthopedic Surgery Residents
The Journal of the American Osteopathic Association, October 2018, Vol. 118, 667-672. doi:10.7556/jaoa.2018.146
The Journal of the American Osteopathic Association, October 2018, Vol. 118, 667-672. doi:10.7556/jaoa.2018.146
Abstract

Background: Arthroscopy is one of the most common procedures performed by orthopedic surgeons. Virtual reality (VR) simulation in general surgery residency training has been increasing over the past decade, but it has seen little use in the field of orthopedic surgery.

Objective: To determine osteopathic orthopedic surgery residents’ perceived value of having access to a VR simulator before performing an arthroscopic procedure on a live patient.

Methods: A survey was developed and sent to all US osteopathic orthopedic surgery residency programs to be disseminated to all of their current residents. The survey consisted of 12 questions, which included Likert-type scale responses and yes or no responses.

Results: Fifty-eight residents out of approximately 507 responded. Forty-one of 57 respondents (72%) were in year 1 of residency when they performed their first arthroscopy, and 53 of 57 (93%) were not very comfortable when they performed their first arthroscopy. With respect to VR simulator exposure, approximately 31of 51 (61%) reported no exposure to a VR simulator, and 40 of 50 (80%) reported that their program did not provide a skills laboratory where they could practice arthroscopy. Of 50 respondents, 37 (74%) believed that a skills laboratory was important, 28 (56%) believed that a resident should perform 1 to 10 arthroscopies in a skills laboratory before performing one in the operating room, 34 (60%) believed that skills acquired in a skills laboratory would transfer to the operating room, and 33 (66%) agreed that every residency program should provide a skills laboratory. However, 29 (58%) believed that a skills laboratory would not improve patient safety.

Conclusion: Osteopathic orthopedic surgery residents indicated that they would benefit from the addition of an arthroscopic skills laboratory with a VR simulator. Furthermore, they believed that the skills learned in the skills laboratory would transfer to the operating room and would increase their comfort level with the procedure.

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