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Editorial Commentary: Dry Shoulder Models Are Excellent for Training Shoulder Arthroscopic Skills
Editorial Commentary: Dry Shoulder Models Are Excellent for Training Shoulder Arthroscopic Skills Jüri-Toomas Kartus, M.D., Ph.D., Associate Editor
Abstract: Recent research supports the use of arthroscopic simulation using dry models in the training of residents and fellows learning arthroscopic shoulder surgery.
See related article on page 1310
I
t is with great interest that I read the study entitled “Performance assessment of arthroscopic rotator cuff repair and labral repair in a dry shoulder simulator” by Dwyer, Schachar, Leroux, Petrera, Cheung, Greben, Henry, Ogilvie-Harris, Theodoropoulos, and Chahal1 in this issue of Arthroscopy. The authors claim the clinical relevance to be as follows: “The results of this study allow the use of arthroscopic simulation in the training of residents and fellows learning arthroscopic shoulder surgery.” In the Discussion section of their study, Dwyer et al.1 summarize the actual training possibilities for arthroscopic surgeons today when they write, “Cadavers, virtual simulators, and dry models have all been used for this purpose, and while high fidelity models like cadavers clearly have some advantages over lowerfidelity models, the high cost of running cadaveric labs make it impractical for regular training and assessment, at least at our institution. For this reason, dry models provide a feasible and cost-efficient alternative for arthroscopic simulation and training.” These results are in line with a recent publication by the same group in which they told us that training with dry models can be used for all levels of education.2 The importance of arthroscopic training has recently been given quite some attention in the literature. Angelo et al.,3 in a cadaveric study and in a study using dry models,4 showed that both methods were successful for training arthroscopic skills. Rebolledo et al.5 correspondingly reported favorable results using both cadavers and dry model simulators in the same study for training arthroscopic skills, whereas Gandhi et al.6
Ó 2017 by the Arthroscopy Association of North America 0749-8063/1799/$36.00 http://dx.doi.org/10.1016/j.arthro.2017.02.001
reported that the use of an Internet-connected online system was comparable to much more expensive virtual reality simulators. In a complicated and stressful high-tech world, it is a pleasure to see evidence that such an inexpensive and easy procedure such as training on dry models still has its place, like it already had in the early 1990s. At that time, I had the opportunity to undergo training on anterior cruciate ligament reconstruction on dry models. In those days, though, I considered that possibility as top-of-the-line high-tech training.
References 1. Dwyer T, Schachar R, Leroux T, et al. Performance assessment of arthroscopic rotator cuff repair and labral repair in a dry shoulder simulator. Arthroscopy 2017;33: 1310-1318. 2. Dwyer T, Slade Shantz J, Kulasegaram KM, et al. Use of an objective structured assessment of technical skill after a sports medicine rotation. Arthroscopy 2016;32:2572-2581.e3. 3. Angelo RL, Ryu RK, Pedowitz RA, et al. A proficiencybased progression training curriculum coupled with a model simulator results in the acquisition of a superior arthroscopic Bankart skill set. Arthroscopy 2015;31: 1854-1871. 4. Angelo RL, Pedowitz RA, Ryu RK, Gallagher AG. The Bankart performance metrics combined with a shoulder model simulator create a precise and accurate training tool for measuring surgeon skill. Arthroscopy 2015;31: 1639-1654. 5. Rebolledo BJ, Hammann-Scala J, Leali A, Ranawat AS. Arthroscopy skills development with a surgical simulator: A comparative study in orthopaedic surgery residents. Am J Sports Med 2015;43:1526-1529. 6. Gandhi MJ, Anderton MJ, Funk L. Arthroscopic skills acquisition tools: An online simulator for arthroscopy training. Arthroscopy 2015;31:1671-1679.
Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 33, No 7 (July), 2017: p 1319
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Abstract: Recent research supports the use of arthroscopic simulation using dry models in the training of residents and fellows learning arthroscopic shoulder surgery.
See related article on page 1310
I
t is with great interest that I read the study entitled “Performance assessment of arthroscopic rotator cuff repair and labral repair in a dry shoulder simulator” by Dwyer, Schachar, Leroux, Petrera, Cheung, Greben, Henry, Ogilvie-Harris, Theodoropoulos, and Chahal1 in this issue of Arthroscopy. The authors claim the clinical relevance to be as follows: “The results of this study allow the use of arthroscopic simulation in the training of residents and fellows learning arthroscopic shoulder surgery.” In the Discussion section of their study, Dwyer et al.1 summarize the actual training possibilities for arthroscopic surgeons today when they write, “Cadavers, virtual simulators, and dry models have all been used for this purpose, and while high fidelity models like cadavers clearly have some advantages over lowerfidelity models, the high cost of running cadaveric labs make it impractical for regular training and assessment, at least at our institution. For this reason, dry models provide a feasible and cost-efficient alternative for arthroscopic simulation and training.” These results are in line with a recent publication by the same group in which they told us that training with dry models can be used for all levels of education.2 The importance of arthroscopic training has recently been given quite some attention in the literature. Angelo et al.,3 in a cadaveric study and in a study using dry models,4 showed that both methods were successful for training arthroscopic skills. Rebolledo et al.5 correspondingly reported favorable results using both cadavers and dry model simulators in the same study for training arthroscopic skills, whereas Gandhi et al.6
Ó 2017 by the Arthroscopy Association of North America 0749-8063/1799/$36.00 http://dx.doi.org/10.1016/j.arthro.2017.02.001
reported that the use of an Internet-connected online system was comparable to much more expensive virtual reality simulators. In a complicated and stressful high-tech world, it is a pleasure to see evidence that such an inexpensive and easy procedure such as training on dry models still has its place, like it already had in the early 1990s. At that time, I had the opportunity to undergo training on anterior cruciate ligament reconstruction on dry models. In those days, though, I considered that possibility as top-of-the-line high-tech training.
References 1. Dwyer T, Schachar R, Leroux T, et al. Performance assessment of arthroscopic rotator cuff repair and labral repair in a dry shoulder simulator. Arthroscopy 2017;33: 1310-1318. 2. Dwyer T, Slade Shantz J, Kulasegaram KM, et al. Use of an objective structured assessment of technical skill after a sports medicine rotation. Arthroscopy 2016;32:2572-2581.e3. 3. Angelo RL, Ryu RK, Pedowitz RA, et al. A proficiencybased progression training curriculum coupled with a model simulator results in the acquisition of a superior arthroscopic Bankart skill set. Arthroscopy 2015;31: 1854-1871. 4. Angelo RL, Pedowitz RA, Ryu RK, Gallagher AG. The Bankart performance metrics combined with a shoulder model simulator create a precise and accurate training tool for measuring surgeon skill. Arthroscopy 2015;31: 1639-1654. 5. Rebolledo BJ, Hammann-Scala J, Leali A, Ranawat AS. Arthroscopy skills development with a surgical simulator: A comparative study in orthopaedic surgery residents. Am J Sports Med 2015;43:1526-1529. 6. Gandhi MJ, Anderton MJ, Funk L. Arthroscopic skills acquisition tools: An online simulator for arthroscopy training. Arthroscopy 2015;31:1671-1679.
Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 33, No 7 (July), 2017: p 1319
1319