Objective Evaluation of Technical Dexterity in Robotic Hepaticojejunostomy: Assessment of HPB Fellows Using Cumulative Sum (CUSUM) Analytics

xlomafota13 shared this article with you from Inoreader Objective Evaluation of Technical Dexterity in Robotic Hepaticojejunostomy: Assessment of HPB Fellows Using Cumulative Sum (CUSUM) Analytics Via The International Journal of Medical Robotics and Computer Assisted Surgery Abstract Background The development of technical dexterity is a critical for surgeons in training. This study describes and assesses the feasibility of an objective method for the evaluation of procedure-specific technical dexterity in hepatopancreatobiliary (HPB) surgery using cumulative sum (CUSUM) analysis. Methods Dry-lab HPB procedures were divided into procedural steps with binary outcomes (success or failure). Two HPB fellows completed 20 dry lab hepaticojejunostomy procedures. Participant progress was tracked over time with CUSUM analytics to establish a learning curve for procedural proficiency. Results The CUSUM charts for 20 consecutive dry-lab hepaticojejunostomy procedures were analyzed. A learning curve was created and used to identify areas of weakness to facilitate improvement in technical proficiency. Conclusions CUSUM is effective tool for objective evaluation of technical dexterity offering both simplicity and adaptability. We demonstrate its use and feasibility for surgical education and plan to expand its' application to assess residents performing general surgery procedures. This article is protected by copyright. All rights reserved. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.