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Are multiple views superior to a single view when teaching hip surgery? A single-blinded randomized controlled trial of technical skill acquisition

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Title: Are multiple views superior to a single view when teaching hip surgery? A single-blinded randomized controlled trial of technical skill acquisition
Authors: Wang, H
Sugand, K
Newman, S
Jones, G
Cobb, J
Auvinet, E
Item Type: Journal Article
Abstract: s Metrics Comments Media Coverage Abstract Introduction Materials and methods Results Discussion Conclusion Supporting information References Reader Comments (0) Media Coverage (0) Figures Abstract Purpose Surgical education videos currently all use a single point of view (POV) with the trainee locked onto a fixed viewpoint, which may not deliver sufficient information for complex procedures. We developed a novel multiple POV video system and evaluated its training outcome compared with traditional single POV. Methods We filmed a hip resurfacing procedure performed by an expert attending using 8 cameras in theatre. 30 medical students were randomly and equally allocated to learn the procedure using the multiple POV (experiment group [EG]) versus single POV system (control group [CG]). Participants advanced a pin into the femoral head as demonstrated in the video. We measured the drilling trajectories and compared it with pre-operative plan to evaluate distance of the pin insertion and angular deviations. Two orthopedic attendings expertly evaluated the participants’ performance using a modified global rating scale (GRS). There was a pre-video knowledge test that was repeated post-simulation alongside a Likert-scale questionnaire. Results The angular deviation of the pin in EG was significantly less by 29% compared to CG (p = 0.037), with no significant difference in the entry point’s distance between groups (p = 0.204). The GRS scores for EG were 3.5% higher than CG (p = 0.046). There was a 32% higher overall knowledge test score (p<0.001) and 21% improved Likert-scale questionnaire score (p = 0.002) after video-learning in EG than CG, albeit no significant difference in the knowledge test score before video-learning (p = 0.721). Conclusion The novel multiple POV provided significant objective and subjective advantages over single POV for acquisition of technical skills in hip surgery.
Issue Date: 9-Jan-2019
Date of Acceptance: 13-Dec-2018
URI: http://hdl.handle.net/10044/1/67124
DOI: https://dx.doi.org/10.1371/journal.pone.0209904
ISSN: 1932-6203
Publisher: Public Library of Science (PLoS)
Journal / Book Title: PLoS ONE
Volume: 14
Issue: 1
Copyright Statement: © 2019 Wang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Keywords: Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
SURGICAL EDUCATION
TRAINING SYSTEM
VIDEO CAPTURE
SIMULATION
INSTRUCTION
PERFORMANCE
TECHNOLOGY
MD Multidisciplinary
General Science & Technology
Publication Status: Published
Open Access location: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0209904
Article Number: ARTN e0209904
Appears in Collections:Department of Surgery and Cancer