The Arthroscopic Surgical Skill Evaluation Tool (ASSET)
- 2 April 2013
- journal article
- research article
- Published by SAGE Publications in The American Journal of Sports Medicine
- Vol. 41 (6), 1229-1237
- https://doi.org/10.1177/0363546513483535
Abstract
Background: Surgeries employing arthroscopic techniques are among the most commonly performed in orthopaedic clinical practice; however, valid and reliable methods of assessing the arthroscopic skill of orthopaedic surgeons are lacking. Hypothesis: The Arthroscopic Surgery Skill Evaluation Tool (ASSET) will demonstrate content validity, concurrent criterion-oriented validity, and reliability when used to assess the technical ability of surgeons performing diagnostic knee arthroscopic surgery on cadaveric specimens. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Content validity was determined by a group of 7 experts using the Delphi method. Intra-articular performance of a right and left diagnostic knee arthroscopic procedure was recorded for 28 residents and 2 sports medicine fellowship–trained attending surgeons. Surgeon performance was assessed by 2 blinded raters using the ASSET. Concurrent criterion-oriented validity, interrater reliability, and test-retest reliability were evaluated. Results: Content validity: The content development group identified 8 arthroscopic skill domains to evaluate using the ASSET. Concurrent criterion-oriented validity: Significant differences in the total ASSET score ( P < .05) between novice, intermediate, and advanced experience groups were identified. Interrater reliability: The ASSET scores assigned by each rater were strongly correlated ( r = 0.91, P < .01), and the intraclass correlation coefficient between raters for the total ASSET score was 0.90. Test-retest reliability: There was a significant correlation between ASSET scores for both procedures attempted by each surgeon ( r = 0.79, P < .01). Conclusion: The ASSET appears to be a useful, valid, and reliable method for assessing surgeon performance of diagnostic knee arthroscopic surgery in cadaveric specimens. Studies are ongoing to determine its generalizability to other procedures as well as to the live operating room and other simulated environments.Keywords
This publication has 37 references indexed in Scilit:
- Surgical Simulation in Orthopaedic Skills TrainingJournal of the American Academy of Orthopaedic Surgeons, 2012
- Motor Skills Training in Orthopaedic Surgery: A Paradigm Shift Toward a Simulation-based Educational CurriculumJournal of the American Academy of Orthopaedic Surgeons, 2012
- The Next GME Accreditation System — Rationale and BenefitsThe New England Journal of Medicine, 2012
- Observational tools for assessment of procedural skills: a systematic reviewThe American Journal of Surgery, 2011
- Rubric Evaluation of Pediatric Emergency Medicine FellowsJournal of Graduate Medical Education, 2010
- Global Assessment of Gastrointestinal Endoscopic Skills (GAGES): a valid measurement tool for technical skills in flexible endoscopySurgical Endoscopy, 2010
- Evaluation of Skills in Arthroscopic Training Based on Trajectory and Force DataClinical Orthopaedics and Related Research, 2009
- Laparoscopic Nissen fundoplication assessment: task analysis as a model for the development of a procedural checklistSurgical Endoscopy, 2008
- An Evaluation of the Feasibility, Validity, and Reliability of Laparoscopic Skills Assessment in the Operating RoomAnnals of Surgery, 2007
- Modelling and Evaluation of Surgical Performance Using Hidden Markov ModelsIEEE Transactions on Biomedical Engineering, 2006