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Construct validation of a low-fidelity endoscopic sinus surgery simulator.
Am J Rhinol. 2008 Nov-Dec; 22(6):642-8.AJ

Abstract

BACKGROUND

Before a simulator becomes widely accepted, it must be relevant, affordable, and accessible. We have developed a low-cost model emphasizing the basic skills required for endoscopic sinus surgery (ESS). It is noninvasive, free from risk of infection, and an excellent low-pressure learning opportunity. The current study was designed to assess the construct validity of our simulator.

METHODS

We conducted a stratified randomized crossover-control study. Otolaryngology residents, fellows, and faculty performed predetermined tasks on the model or cadaver, and then switched. Evaluation included hand motion analysis, task time, and blinded expert review.

RESULTS

Sixteen subjects at various levels of training participated. Cadaver performance correlated well with level of training and previous experience with ESS. However, model performance did not demonstrate statistically significant correlation.

CONCLUSION

Our model was unable to demonstrate clear construct validity at this time. Materials and structural modifications are in progress. Pending further validation, its low-cost construction possesses potential for integration into otolaryngology residency curricula. Assessment of the simulator's ability to improve surgical skill is also planned.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Validation Study

Language

eng

PubMed ID

19178806

Citation

Leung, Randy M., et al. "Construct Validation of a Low-fidelity Endoscopic Sinus Surgery Simulator." American Journal of Rhinology, vol. 22, no. 6, 2008, pp. 642-8.
Leung RM, Leung J, Vescan A, et al. Construct validation of a low-fidelity endoscopic sinus surgery simulator. Am J Rhinol. 2008;22(6):642-8.
Leung, R. M., Leung, J., Vescan, A., Dubrowski, A., & Witterick, I. (2008). Construct validation of a low-fidelity endoscopic sinus surgery simulator. American Journal of Rhinology, 22(6), 642-8. https://doi.org/10.2500/ajr.2008.22.3245
Leung RM, et al. Construct Validation of a Low-fidelity Endoscopic Sinus Surgery Simulator. Am J Rhinol. 2008 Nov-Dec;22(6):642-8. PubMed PMID: 19178806.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Construct validation of a low-fidelity endoscopic sinus surgery simulator. AU - Leung,Randy M, AU - Leung,Jerry, AU - Vescan,Allan, AU - Dubrowski,Adam, AU - Witterick,Ian, PY - 2009/1/31/entrez PY - 2009/1/31/pubmed PY - 2009/3/24/medline SP - 642 EP - 8 JF - American journal of rhinology JO - Am J Rhinol VL - 22 IS - 6 N2 - BACKGROUND: Before a simulator becomes widely accepted, it must be relevant, affordable, and accessible. We have developed a low-cost model emphasizing the basic skills required for endoscopic sinus surgery (ESS). It is noninvasive, free from risk of infection, and an excellent low-pressure learning opportunity. The current study was designed to assess the construct validity of our simulator. METHODS: We conducted a stratified randomized crossover-control study. Otolaryngology residents, fellows, and faculty performed predetermined tasks on the model or cadaver, and then switched. Evaluation included hand motion analysis, task time, and blinded expert review. RESULTS: Sixteen subjects at various levels of training participated. Cadaver performance correlated well with level of training and previous experience with ESS. However, model performance did not demonstrate statistically significant correlation. CONCLUSION: Our model was unable to demonstrate clear construct validity at this time. Materials and structural modifications are in progress. Pending further validation, its low-cost construction possesses potential for integration into otolaryngology residency curricula. Assessment of the simulator's ability to improve surgical skill is also planned. SN - 1050-6586 UR - https://www.unboundmedicine.com/medline/citation/19178806/Construct_validation_of_a_low_fidelity_endoscopic_sinus_surgery_simulator_ L2 - https://medlineplus.gov/endoscopy.html DB - PRIME DP - Unbound Medicine ER -