From: Stress in surgical educational environments: a systematic review
Measures | Description | Articles |
---|---|---|
Error measures | ||
Number of errors | Number of errors made during the procedure or task. | |
Critical mistakes | Critical mistakes made during the procedure or task. | [90] |
Time measures | ||
Total procedural time | Total time to complete a procedure. | |
Task time | Time to complete a specific task. | |
Performance measures | ||
Fundamentals of Laparoscopic surgery™ (FLS) performance metrics [122] | Test of laparoscopic manual skills. Performance based scoring system rewarding precision and speed. | |
Fundamentals of Endoscopic Surgery™ (FES) performance metrics [123] | Test of endoscopic manual skills. Performance based on assessment of five exercises: bimanual navigation, loop reduction targeting, mucosal evaluation and retroflexion. | [91] |
O’Connor Tweezer Dexterity performance metrics [124] | Test of fine motor dexterity using tweezers to pick up pegs individually. Performance measured as the time that lapses between placement of the first and last pegs. | [61] |
LAP Mentor™ performance metrics [123] | Test of laparoscopic manual skills. Lap Chole module of the LAP Mentor™ assesses the skills of identifying, grasping, retracting, dissecting, clipping, cutting, and safety assessment during cholecystectomy procedures. | [93] |
NeuroTouch performance metrics [125] | A comprehensive performance assessment program, including safety metrics, quality of operation metrics, efficiency metrics, and advanced metrics. | [103] |
Number of transfers | Number of peg transfers during a task. | |
Task progression score | Score for the progression during a task. | [73] |
Integrated accuracy and speed | Assessment of the accuracy and speed of the performance. | [21] |
Knot tying, suture and cutting performance | ||
Knot tying performance | Assessment of the knot tying performance in accordance with technique, speed, knot tensile strength, end result. | |
Suture skills | Assessment of suture skills in accordance with technique, speed, and end result. | |
Laparoscopic cutting and suture task | Performance based on time and number of stitches placed. | [98] |
Leak volume | The leak volume is measured after a knot tying or suture task. | |
Movement measures | ||
Hand movements | Total movement time of hands. | |
Instrument tip trajectory | Length of tool tip trajectory. | [100] |
The quiet eye period | Percentage of quiet eye period duration. | [58] |
Star-track test metrics | The star-track test assesses manual dexterity and consists of a tracing task in a laparoscopic box. It measures speed, task completion time, accuracy, and manual dexterity. | [21] |
Other measures of performance | ||
Objective structured assessment of technical skills (OSATS) [126] | An examination using bench model simulation, consisting of two components: operation-specific checklist and global rating scale. | |
End product assessment [127] | Rating scale reflecting the quality of the carotid artery model on completion of the simulated carotid endarterectomy. | [20] |