EVALUATING BASIC KNEE ARTHROSCOPY SKILLS IN ORTHOPAEDIC TRAINEES IN A LIMITED RESOURCE SETTING

Kirsty Berry; Richard Von Bormann; Stephen Roche; Maritz Laubscher; Graham McCollum; Michael Held

doi:10.1302/1358-992X.2023.13.005

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EVALUATING BASIC KNEE ARTHROSCOPY SKILLS IN ORTHOPAEDIC TRAINEES IN A LIMITED RESOURCE SETTING

The British Association for Surgery of the Knee (BASK) May 2023 Meeting, London, England, 16–17 May 2023.

Kirsty Berry
Richard Von Bormann
Stephen Roche
Maritz Laubscher
Graham McCollum
Michael Held

EVALUATING BASIC KNEE ARTHROSCOPY SKILLS IN ORTHOPAEDIC TRAINEES IN A LIMITED RESOURCE SETTING

Berry K, Von Bormann R, Roche S, Laubscher M, McCollum G, Held M. EVALUATING BASIC KNEE ARTHROSCOPY SKILLS IN ORTHOPAEDIC TRAINEES IN A LIMITED RESOURCE SETTING. Orthop Procs. 2023;105-B(SUPP_13):5-5. doi:10.1302/1358-992X.2023.13.005

Berry, Kirsty, et al. “EVALUATING BASIC KNEE ARTHROSCOPY SKILLS IN ORTHOPAEDIC TRAINEES IN A LIMITED RESOURCE SETTING.” Orthopaedic Proceedings, vol. 105-B, no. SUPP_13, 2023, pp. 5-5., https://doi.org/10.1302/1358-992X.2023.13.005

Berry, K., Von Bormann, R., Roche, S., Laubscher, M., McCollum, G., & Held, M. (2023). EVALUATING BASIC KNEE ARTHROSCOPY SKILLS IN ORTHOPAEDIC TRAINEES IN A LIMITED RESOURCE SETTING. Orthopaedic Proceedings, 105-B(SUPP_13), 5-5. https://doi.org/10.1302/1358-992X.2023.13.005

Berry, K., Von Bormann, R., Roche, S., Laubscher, M., McCollum, G. and Held, M. (2023) “EVALUATING BASIC KNEE ARTHROSCOPY SKILLS IN ORTHOPAEDIC TRAINEES IN A LIMITED RESOURCE SETTING.” Orthopaedic Proceedings, 105-B(SUPP_13), pp. 5-5. Available at: https://doi.org/10.1302/1358-992X.2023.13.005

Berry, Kirsty, Richard Von Bormann, Stephen Roche, Maritz Laubscher, Graham McCollum, and Michael Held. “EVALUATING BASIC KNEE ARTHROSCOPY SKILLS IN ORTHOPAEDIC TRAINEES IN A LIMITED RESOURCE SETTING.” Orthopaedic Proceedings 105-B, no. SUPP_13 (2023): 5-5. https://doi.org/10.1302/1358-992X.2023.13.005

Berry K, Von Bormann R, Roche S, Laubscher M, McCollum G, Held M. EVALUATING BASIC KNEE ARTHROSCOPY SKILLS IN ORTHOPAEDIC TRAINEES IN A LIMITED RESOURCE SETTING. Orthop Procs. 2023 Aug 7;105-B(SUPP_13):5-5. https://doi.org/10.1302/1358-992X.2023.13.005

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Abstract

Background

Orthopaedic training in Southern Africa is largely focused on trauma, although elective procedures, such as knee arthroscopy are increasing. This is especially true in the private sector where most trainees will practice. The primary aim of this study was to assess the arthroscopic competency of orthopaedic trainees in a setting of limited resources.

Methods

A prospective observational cohort study was carried out. Orthopaedic trainees of a Southern African university hospital performed basic arthroscopy on a knee model. Their surgical competency was assessed by two surgeons proficient in arthroscopy using the modified Basic Knee Arthroscopy Skill Scoring System (mBAKSSS).

Results

A total of 16 trainees (12 male) were included (6 junior and 10 senior trainees). The median age of participants was 36 (34.8, 37). The median mBAKSSS was 28.0 (20.3, 32.5) but showed a large variability (12.0–42.5). The overall reliability was excellent with Cronbach's Alpha of 0.91 and interclass correlation of 0.91 [95% CI 0.75, 0.97].

Conclusions

The average knee arthroscopy proficiency of our trainees is comparable to those of international training programs, but there was great variability with inconsistent skills amongst the trainees. This calls for improved and reproducible arthroscopy training and skills transfer, exposure to procedures and ongoing assessment.