Assessing Diagnostic Arthroscopy Performance in the Operating Room Using the Arthroscopic Surgery Skill Evaluation Tool (ASSET)

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Ryan KoehlerGregg Nicandri

Abstract

To determine the validity and reliability of using the Arthroscopic Surgery Skill Evaluation Tool (ASSET) to assess arthroscopic skill in the operating room. Eight orthopaedic residents, 1 sports medicine fellow, and 3 sports medicine faculty members recorded the diagnostic portion of 3 shoulder and 3 knee procedures in the operating room. Two blinded raters used the ASSET to assess each recorded procedure video. Criterion for a passing score on a procedure was attaining a 3 or greater in all 8 domains assessed. In total 70 videos (36 shoulder, 34 knee) were evaluated by each rater. The attending/fellow group was assigned significantly higher mean ASSET scores compared with resident groups for both procedures (P = .01). The attending/fellow group also had the highest passing percentage (95.8%). Raters were in agreement for total ASSET scores assigned to both diagnostic arthroscopy of the shoulder (intraclass correlation coefficient [ICC] = 0.84) and knee (ICC = 0.81). Agreement on individual ASSET domains was moderate (ICC = 0.61 to 0.80) for all domains except safety and difficulty of procedure. Raters concurred on the pass-fail evaluation in 62 of 70 (88.6%) of procedures evaluated. Using the ASSET to assess surgical skills i...Continue Reading

References

Sep 13, 2002·Health Affairs·Paul BataldenStuart Dreyfus
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Apr 2, 2008·The Journal of Bone and Joint Surgery. British Volume·N R HowellsJ L Rees
Sep 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Aaron InselAugustus D Mazzocca
Nov 1, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Michael J ElliottJon K Sekiya
Feb 24, 2012·The New England Journal of Medicine·Thomas J NascaTimothy C Flynn
Nov 28, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jesse A Slade ShantzPeter B MacDonald
Apr 4, 2013·The American Journal of Sports Medicine·Ryan J KoehlerGregg T Nicandri
May 1, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Abtin AlvandJonathan L Rees
Dec 7, 2013·The Journal of Bone and Joint Surgery. American Volume·Ryan J Koehler, Gregg T Nicandri
Jan 10, 2014·Journal of Graduate Medical Education·Peter J SternLaura Edgar

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Citations

Feb 26, 2019·The Journal of Bone and Joint Surgery. American Volume·Elizabeth P WahlGrant E Garrigues
Aug 16, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Gerardo LedermannSebastián Irarrázaval
Jul 11, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Kofi Dwirah AgyemanSeth D Dodds
Nov 28, 2018·Orthopaedic Journal of Sports Medicine·Shahram S YariTheodore B Shybut
Jul 10, 2019·The Journal of Knee Surgery·Kengo HaratoYasuo Niki
Jan 18, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Diana Velazquez-PimentelKalpesh R Vaghela
Jul 13, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Wolf PetersenMartin Häner

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