A Proficiency-Based Progression Training Curriculum Coupled With a Model Simulator Results in the Acquisition of a Superior Arthroscopic Bankart Skill Set.

摘要: Purpose To determine the effectiveness of proficiency-based progression (PBP) training using simulation both compared with same without proficiency requirements and a traditional resident course for learning to perform an arthroscopic Bankart repair (ABR). Methods In prospective, randomized, blinded study, 44 postgraduate year 4 or 5 orthopaedic residents from 21 Accreditation Council Graduate Medical Education–approved US residency programs were randomly assigned 1 3 skills protocols ABR: group A, (routine Arthroscopy Association North America Resident Course) (control, n = 14); B, simulator (modified curriculum adding shoulder model simulator) (n = C, PBP (PBP plus 16). At completion training, all subjects performed suture anchor ABR on cadaveric shoulder, which was videotaped scored in fashion use previously validated metrics. Results The PBP-trained (group C) made 56% fewer objectively assessed errors than traditionally trained A) ( P  = .011) 41% B .049) (both comparisons statistically significant). benchmark achieved final by 68.7% participants C 36.7% 28.6% A. When 1.4 times, 5.5 (who met all intermediate benchmarks) 7.5 times as likely achieve benchmark. Conclusions A protocol coupled metrics produces superior skill set when simulator-enhanced methods. Clinical Relevance Surgical combining is efficient effective. Patient safety could be improved if surgical trainees participated before treating patients.