Trauma simulation training: a randomized controlled trial -evaluating the effectiveness of the Imperial Femoral Intramedullary Nailing Cognitive Task Analysis (IFINCTA) tool.
Background and purpose — Cognitive task analysis (CTA) has been used extensively to train pilots and in other surgical specialties. However, the use of CTA within orthopedics is in its infancy. We evaluated the effectiveness of a novel CTA tool to improve understanding of the procedural steps in ant...
| Publicado en: | Acta Orthopaedica Vol. 89; no. 6; pp. 689 - 696 |
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| Autores principales: | , , , , , |
| Formato: | diagnostic images pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Medical Journals Sweden AB
Dec2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=133653877&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 133653877 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17453674 1BVL jtl: Acta Orthopaedica issn: 17453674 maglogo: N pubinfo: dt: Dec2018 vid: 89 iid: 6 pid: 59195 pub: Medical Journals Sweden AB artinfo: ui: 133653877 133653877 133653877 10.1080/17453674.2018.1517442 133653877 ppf: 689 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Trauma simulation training: a randomized controlled trial -evaluating the effectiveness of the Imperial Femoral Intramedullary Nailing Cognitive Task Analysis (IFINCTA) tool. aug: au: Bhattacharyya, Rahul Sugand, Kapil Al-Obaidi, Bilal Sinha, Ian Bhattacharya, Rajarshi Gupte, Chinmay M affil: MSK Lab, Imperial College London, Charing Cross Hospital Campus, Laboratory Block, London sug: subj: Surgeons Psychosocial Factors Multimedia Clinical Competence Evaluation Cognition Task Performance and Analysis Fracture Fixation Methods Computer Simulation Human Randomized Controlled Trials Delphi Technique Audiovisuals Double-Blind Studies Students, Medical Psychosocial Factors Mobile Applications Decision Making, Clinical Orthopedic Care ab: Background and purpose — Cognitive task analysis (CTA) has been used extensively to train pilots and in other surgical specialties. However, the use of CTA within orthopedics is in its infancy. We evaluated the effectiveness of a novel CTA tool to improve understanding of the procedural steps in antegrade femoral intramedullary nailing. Material and methods — Design: A modified Delphi technique was used to generate a CTA from 3 expert orthopedic trauma surgeons for antegrade femoral intramedullary nailing. The written and audiovisual information was combined to describe the technical steps, decision points, and errors for each phase of this procedure Validation: A randomized double-blind controlled trial was undertaken with 22 medical students (novices) randomized into 2 equal groups. The intervention group were given the CTA tool and the control group were given a standard operative technique manual. They were assessed using the validated "Touch Surgery™" application assessment tool on femoral intramedullary nailing. Results — The pre-test scores between the two groups were similar. However, the post-test scores were statistically significantly better in the intervention group compared with the control group. The improvement (post-test median scores) in the intervention group compared with the control group was 20% for patient positioning and preparation, 21% for femoral preparation, 10% for proximal locking, and 19% for distal locking respectively (p < 0.001 for all comparisons). Interpretation — This is the first multimedia CTA tool in femoral intramedullary nailing that is easily accessible, user-friendly, and has demonstrated significant benefits in training novices over the traditional use of operative technique manuals. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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