The Effectiveness of Bioskills Training for Simulated Lumbar Pedicle Screw Placement

Barrett S. Boody*, Sohaib Z. Hashmi, Brett D. Rosenthal, Joseph P. Maslak, Michael H. McCarthy, Alpesh A. Patel, Jason W. Savage, Wellington K. Hsu

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Study Design: Prospective randomized study. Objectives: To define the impact of an inexpensive, user-friendly, and reproducible lumbar pedicle screw instrumentation bioskills training module and evaluation protocol. Methods: Participants were randomized to control (n = 9) or intervention (n = 10) groups controlling for level of experience (medical students, junior resident, or senior resident). The intervention group underwent a 20-minute bioskills training module while the control group spent the same time with self-directed study. Pre- and posttest performance was self-reported (Physician Performance Diagnostic Inventory Scale [PPDIS]). Objective outcome scores were obtained from a blinded fellowship-trained attending orthopedic spine surgeon using Objective Structured Assessment of Technical Skills (OSATS) and Objective Pedicle Instrumentation Score metrics. In addition, identification of pedicle breach and breach anatomic location was measured pre- and posttest in lumbar spine models. Results: The intervention group showed a 30.8% improvement in PPDIS scores, compared with 13.4% for the control group (P =.01). The intervention group demonstrated statistically significant 66% decrease in breaches (P =.001) compared with 28% decrease in the control group (P =.06). Breach identification demonstrated no change in accuracy of the control group (incorrect identification from 32.2% pre- to posttest 35%; P =.71), whereas the intervention group’s improvement was statistically significant (42% pre- to posttest 36.5%; P =.0047). Conclusions: We conclude that a concise lumbar pedicle screw instrumentation bioskills training session can be a useful educational tool to augment clinical education.

Original languageEnglish (US)
Pages (from-to)557-562
Number of pages6
JournalGlobal Spine Journal
Volume8
Issue number6
DOIs
StatePublished - Sep 1 2018

Keywords

  • bioskills training
  • sawbones pedicle screw insertion simulation
  • spine simulation training
  • surgical education

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

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    Boody, B. S., Hashmi, S. Z., Rosenthal, B. D., Maslak, J. P., McCarthy, M. H., Patel, A. A., Savage, J. W., & Hsu, W. K. (2018). The Effectiveness of Bioskills Training for Simulated Lumbar Pedicle Screw Placement. Global Spine Journal, 8(6), 557-562. https://doi.org/10.1177/2192568217743505