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. 2024 May 20;11(3):e12030.
doi: 10.1002/jeo2.12030. eCollection 2024 Jul.

Evaluating effectiveness of cadaveric arthroscopic training for orthopaedic residents: A comparison of joints and training levels

Hao-Chun Chuang  1 , Fa-Chuan Kuan  1   2 , Wei-Ren Su  1   3   4 , Chien-An Shih  1   3   4 , Chen-Hao Chiang  2   5 , Po-Yen Ko  1   3   4 , Chih-Kai Hong  1 , Yueh Chen  3   4   6 , Kai-Lan Hsu  1   2
Affiliations

Evaluating effectiveness of cadaveric arthroscopic training for orthopaedic residents: A comparison of joints and training levels

Hao-Chun Chuang et al. J Exp Orthop. .

Abstract

Purpose: This study aimed to evaluate the effects and interactions of training level and different joints on the outcomes of cadaveric arthroscopic training courses for orthopaedic residents.

Methods: This prospective study enrolled 16 orthopaedic residents who voluntarily participated in a cadaveric training programme involving the shoulder, elbow, wrist, knee and ankle joints. Outcomes were quantitatively assessed using task-specific checklists and the Arthroscopic Surgery Skill Evaluation Tool. Two-way analysis of variance (ANOVA) was conducted to determine the significance of the interactions between joint and years of training.

Results: Resident scores significantly increased after the dedicated lectures in all five joints (p = 0.003 for the shoulder module, p < 0.001 for the other joints). Two-way ANOVA revealed that the progress made after the dedicated lectures was significantly impacted by the joint (p = 0.006) and training level × joint interaction (p = 0.005) but not by the training level (p = 0.47). The simple effect of the joint was examined using Sidak's multiple comparison test. Among junior residents, the dedicated lectures resulted in more substantial progress in elbow and wrist arthroscopy when compared to shoulder arthroscopy (p = 0.020 and p = 0.043, respectively).

Conclusions: The results suggest that, in cadaveric arthroscopic training courses for orthopaedic residents, training outcomes are primarily impacted by the specific joint being trained rather than the training level. Specifically, junior residents demonstrated greater improvement with training in procedures that are less commonly encountered during on-the-job training, such as elbow and wrist arthroscopy.

Clinical relevance: These findings suggest the need to prioritise wrist and elbow arthroscopic training for junior residents to optimise educational outcomes.

Level of evidence: Level III.

Keywords: arthroscopy; education; resident training.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Simple effect of joint on cadaveric arthroscopic training outcomes. Among junior residents, the dedicated lectures resulted in more substantial progress in elbow and wrist arthroscopy when compared to shoulder arthroscopy (p = 0.020 and p = 0.043, respectively). Among senior residents, the improvements brought about by the dedicated lectures were not significantly different. The effect was examined by two‐way analysis of variance and post hoc Sidak's multiple comparison test.
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