Cost Analysis of an In-House Arthroscopic Skills Simulator
DOI:
https://doi.org/10.55576/job.v2i1.8Keywords:
Education, Simulation, Orthopaedics, Arthroscopy, Simulation Based Learning TheoryAbstract
Objectives: To compare objective costs between an in-house developed arthroscopy simulator and commercially available options.
Design: Cost analysis.
Setting: Orthopaedic graduate medical education.
Patients/Participants: Eight board-certified orthopaedic surgeons and nineteen novice learners.
Intervention: Simulation Training.
Main outcome measurement: Cost difference between an in-house developed simulator and a commercially available simulator.
Results and conclusions: Significant price differences exist between in-house simulator production cost and commercially available simulators. Low-cost, in-house simulators improve access to arthroscopic simulation training for novice learners by reducing up front cost by 29% and reducing recurring costs by over 90% when compared to a similar commercially available option.
Level of Evidence: IV; Cost Analysis
Keywords: Education; Simulation; Orthopaedics; Arthroscopy; Simulation Based Learning Theory
(J Ortho Business Jan 2022;2(1):7-9)
References
References
Milcent PAA, Kulcheski AL, Rosa FM, Dau L, Stieven Filho E. Construct Validity and Experience of Using a Low-cost Arthroscopic Knee Surgery Simulator. J Surg Educ. 2021;78(1):292-301. doi:10.1016/j.jsurg.2020.06.007
McGaghie WC, Harris IB. Learning Theory Foundations of Simulation-Based Mastery Learning. Simul Healthc J Soc Simul Healthc. 2018;13(3S):S15-S20. doi:10.1097/SIH.0000000000000279
Atesok K, Satava RM, Van Heest A, et al. Retention of Skills After Simulation-based Training in Orthopaedic Surgery: J Am Acad Orthop Surg. 2016;24(8):505-514. doi:10.5435/JAAOS-D-15-00440
McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Does Simulation-Based Medical Education With Deliberate Practice Yield Better Results Than Traditional Clinical Education? A Meta-Analytic Comparative Review of the Evidence: Acad Med. 2011;86(6):706-711. doi:10.1097/ACM.0b013e318217e119
Dunkin B, Adrales GL, Apelgren K, Mellinger JD. Surgical simulation: a current review. Surg Endosc. 2007;21(3):357-366. doi:10.1007/s00464-006-9072-0
Xiao D, Jakimowicz JJ, Albayrak A, Buzink SN, Botden SMBI, Goossens RHM. Face, Content, and Construct Validity of a Novel Portable Ergonomic Simulator for Basic Laparoscopic Skills. J Surg Educ. 2014;71(1):65-72. doi:10.1016/j.jsurg.2013.05.003
Clarke E. Virtual reality simulation—the future of orthopaedic training? A systematic review and narrative analysis. Adv Simul. 2021;6(1):2. doi:10.1186/s41077-020-00153-x
Blyth P, Stott NS, Anderson IA. A simulation-based training system for hip fracture fixation for use within the hospital environment. Injury. 2007;38(10):1197-1203. doi:10.1016/j.injury.2007.03.031
Vankipuram M, Kahol K, McLaren A, Panchanathan S. A virtual reality simulator for orthopedic basic skills: A design and validation study. J Biomed Inform. 2010;43(5):661-668. doi:10.1016/j.jbi.2010.05.016
Atesok K, Doral MN, Whipple T, et al. Arthroscopy-assisted fracture fixation. Knee Surg Sports Traumatol Arthrosc. 2011;19(2):320-329. doi:10.1007/s00167-010-1298-7
Millett PJ, Gaskill TR. Arthroscopic Management of Glenohumeral Arthrosis: Humeral Osteoplasty, Capsular Release, and Arthroscopic Axillary Nerve Release as a Joint-Preserving Approach. Arthrosc J Arthrosc Relat Surg. 2011;27(9):1296-1303. doi:10.1016/j.arthro.2011.03.089
Casey KF, Chang MK, O’Brien ED, et al. Arthroscopic microdiscectomy: Comparison of preoperative and postoperative imaging studies. Arthrosc J Arthrosc Relat Surg. 1997;13(4):438-445. doi:10.1016/S0749-8063(97)90121-3
Kalun P, Wagner N, Yan J, Nousiainen M, Sonnadara R. Surgical simulation training in orthopedics: current insights. Adv Med Educ Pract. 2018;Volume 9:125-131. doi:10.2147/AMEP.S138758
Colaco HB, Hughes K, Pearse E, Arnander M, Tennent D. Construct Validity, Assessment of the Learning Curve, and Experience of Using a Low-Cost Arthroscopic Surgical Simulator. J Surg Educ. 2017;74(1):47-54. doi:10.1016/j.jsurg.2016.07.006
Hetaimish B, Elbadawi H, Ayeni OR. Evaluating Simulation in Training for Arthroscopic Knee Surgery: A Systematic Review of the Literature. Arthrosc J Arthrosc Relat Surg. 2016;32(6):1207-1220.e1. doi:10.1016/j.arthro.2016.01.012
Kogan M, Klein SE, Hannon CP, Nolte MT. Orthopaedic Education During the COVID-19 Pandemic. J Am Acad Orthop Surg. 2020;28(11):e456-e464. doi:10.5435/JAAOS-D-20-00292
Sandberg RP, Sherman NC, Latt LD, Hardy JC. Cigar Box Arthroscopy: A Randomized Controlled Trial Validates Nonanatomic Simulation Training of Novice Arthroscopy Skills. Arthroscopy: The Journal of Arthroscopic & Related Surgery. Published online July 2017:S0749806317303948. doi:10.1016/j.arthro.2017.04.022
Colaco HB, Hughes K, Pearse E, Arnander M, Tennent D. Construct Validity, Assessment of the Learning Curve, and Experience of Using a Low-Cost Arthroscopic Surgical Simulator. Journal of Surgical Education. 2017;74(1):47-54. doi:10.1016/j.jsurg.2016.07.006
Lopez G, Martin DF, Wright R, et al. Construct Validity for a Cost-effective Arthroscopic Surgery Simulator for Resident Education: Journal of the American Academy of Orthopaedic Surgeons. 2016;24(12):886-894. doi:10.5435/JAAOS-D-16-00191
Lopez G, Wright R, Martin D, Jung J, Bracey D, Gupta R. A Cost-Effective Junior Resident Training and Assessment Simulator for Orthopaedic Surgical Skills via Fundamentals of Orthopaedic Surgery: AAOS Exhibit Selection. The Journal of Bone and Joint Surgery. 2015;97(8):659-666. doi:10.2106/JBJS.N.01269
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Journal of Orthopaedic Business
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.