CBA: Cigar Box Arthroscopy: A Study of Non-Anatomic Arthroscopy Training

Sponsor

University of Arizona (Other)

Overall Status

Completed

CT.gov ID

NCT02752451

Collaborator

(none)

Enrollment

Arms

Duration (Months)

Study Details

Study Description

Brief Summary

Comparison of success rates of novice surgeons to attain proficiency in basic arthroscopy skills after receiving prior training with different simulation systems.

Condition or Disease	Intervention/Treatment	Phase
Simulation Training	Other: Non-Anatomic Arthroscopy Simulation Other: Anatomic Arthroscopy Simulation Other: Pre-assesment education	N/A

Detailed Description

A non-anatomic set of training modules utilizing cigar boxes was developed at our institution to instruct residents in the basics of knee arthroscopy. Twenty-four medical students with no prior arthroscopic or laparoscopic experience were enrolled as subjects. Sixteen subjects were randomized to participate in four hours of either the cigar box arthroscopy trainer (CBAT) or a previously validated anatomic knee arthroscopy trainer (AKAT). The remaining eight subjects served as controls (CO). All subjects underwent a one-hour formalized training session provided by our orthopaedic sports faculty. Subjects' skills were assessed by one of two faculty members through repeated attempts at performing a diagnostic knee arthroscopy on a cadaveric specimen. Objective scores were given using the Basic Arthroscopic Knee Skill Scoring System. Total cost differences were also calculated.

Study Design

Study Type:

Interventional

Actual Enrollment :

24 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Outcomes Assessor)

Official Title:

Cigar Box Arthroscopy: A Randomized Controlled Trial Validates Non-Anatomic Simulation Training of Novice Arthroscopy Skills

Study Start Date :

Mar 1, 2015

Actual Primary Completion Date :

Apr 1, 2015

Actual Study Completion Date :

Apr 1, 2015

Arms and Interventions

Arm	Intervention/Treatment
Other: CO 8 subjects who did not undergo arthroscopy simulation training prior to assessment on cadaveric specimens. These served as controls.	Other: Pre-assesment education Reading material and lecture with only still images about performing diagnostic knee arthroscopy
Experimental: CBAT 8 Subjects who received 4 hours of simulation training on the Cigar Box Arthroscopy Trainer. They then underwent assessment on cadaveric specimens.	Other: Non-Anatomic Arthroscopy Simulation Knee arthroscopy training using Cigar Box Arthroscopy Trainer Other: Pre-assesment education Reading material and lecture with only still images about performing diagnostic knee arthroscopy
Experimental: AKAT 8 Subjects who received 4 hours of simulation training on the Anatomic Knee Arthroscopy Trainer. They then underwent assessment on cadaveric specimens.	Other: Anatomic Arthroscopy Simulation Knee arthroscopy training using Anatomic Knee Arthroscopy Trainer Other: Pre-assesment education Reading material and lecture with only still images about performing diagnostic knee arthroscopy

Arm

Intervention/Treatment

Other: CO

8 subjects who did not undergo arthroscopy simulation training prior to assessment on cadaveric specimens. These served as controls.

Other: Pre-assesment education

Reading material and lecture with only still images about performing diagnostic knee arthroscopy

Experimental: CBAT

8 Subjects who received 4 hours of simulation training on the Cigar Box Arthroscopy Trainer. They then underwent assessment on cadaveric specimens.

Other: Non-Anatomic Arthroscopy Simulation

Knee arthroscopy training using Cigar Box Arthroscopy Trainer

Other: Pre-assesment education

Reading material and lecture with only still images about performing diagnostic knee arthroscopy

Experimental: AKAT

8 Subjects who received 4 hours of simulation training on the Anatomic Knee Arthroscopy Trainer. They then underwent assessment on cadaveric specimens.

Other: Anatomic Arthroscopy Simulation

Knee arthroscopy training using Anatomic Knee Arthroscopy Trainer

Other: Pre-assesment education

Reading material and lecture with only still images about performing diagnostic knee arthroscopy

Outcome Measures

Primary Outcome Measures

Success rate in reaching a level of minimum proficiency [1 hour]
Subjects were told to perform serial knee arthroscopic examinations on a cadaveric specimen over one hour. Evaluators used a validated objective scoring system to assess performance and which subjects were able to attain a level of minimum proficiency.

Secondary Outcome Measures

Number of attempts to reach minimum proficiency [1 Hour]

Eligibility Criteria

Criteria

Ages Eligible for Study:

N/A and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

First or Second year medical student with no prior arthroscopy or laparoscopy training.

Exclusion Criteria:

Having previously received education in arthroscopy or laparoscopy or handled these instruments.

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

University of Arizona

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Rory Sandberg, MD, University of Arizona

ClinicalTrials.gov Identifier:

NCT02752451

Other Study ID Numbers:

1410543185

First Posted:

Apr 27, 2016

Last Update Posted:

Jun 3, 2016

Last Verified:

Jun 1, 2016

Individual Participant Data (IPD) Sharing Statement:

Undecided

Plan to Share IPD:

Undecided

Study Results

No Results Posted as of Jun 3, 2016