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Gallet P, Rebois J, Nguyen DT, et al. Simulation-based training in endoscopic endonasal surgery: Assessment of the cyrano simulator. Eur Ann Otorhinolaryngol Head Neck Dis. 2020;138(1):29-34doi: 10.1016/j.anorl.2020.08.012.
Gallet, P., Rebois, J., Nguyen, D. T., Jankowski, R., Perez, M., & Rumeau, C. (2021). Simulation-based training in endoscopic endonasal surgery: Assessment of the cyrano simulator. European annals of otorhinolaryngology, head and neck diseases, 138(1), 29-34. https://doi.org/10.1016/j.anorl.2020.08.012
Gallet, P, et al. "Simulation-based training in endoscopic endonasal surgery: Assessment of the cyrano simulator." European annals of otorhinolaryngology, head and neck diseases vol. 138,1 (2021): 29-34. doi: https://doi.org/10.1016/j.anorl.2020.08.012
Gallet P, Rebois J, Nguyen DT, Jankowski R, Perez M, Rumeau C. Simulation-based training in endoscopic endonasal surgery: Assessment of the cyrano simulator. Eur Ann Otorhinolaryngol Head Neck Dis. 2021 Jan;138(1):29-34. doi: 10.1016/j.anorl.2020.08.012. Epub 2020 Sep 01. PMID: 32888889.
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Eur Ann Otorhinolaryngol Head Neck Dis. 2021 Jan;138(1):29-34. doi: 10.1016/j.anorl.2020.08.012. Epub 2020 Sep 01.

Simulation-based training in endoscopic endonasal surgery: Assessment of the cyrano simulator.

European annals of otorhinolaryngology, head and neck diseases

P Gallet, J Rebois, D-T Nguyen, R Jankowski, M Perez, C Rumeau

Affiliations

  1. ENT department, Regional university hospital of Nancy, university of Lorraine, 54000 Nancy, France.
  2. ENT department, Regional university hospital of Nancy, university of Lorraine, 54000 Nancy, France. Electronic address: [email protected].
  3. ENT department, Regional university hospital of Nancy, university of Lorraine, 54000 Nancy, France; Inserm, IADI, university of Lorraine, 54000 Nancy, France.
  4. ENT department, Regional university hospital of Nancy, university of Lorraine, 54000 Nancy, France; DevAH, university of Lorraine, 54000 Nancy, France.
  5. Department of emergency and general surgery, Regional university hospital of Nancy, university of Lorraine, 54000 Nancy, France; Inserm, IADI, university of Lorraine, 54000 Nancy, France.

PMID: 32888889 DOI: 10.1016/j.anorl.2020.08.012

Abstract

PURPOSE: Endoscopic endonasal surgery requires many skills: a learning program was developed with progressive steps, on a surgical simulator (Cyrano) designed to train junior surgeons in the acquisition of basic endoscopic surgery skills and to assess their progress. The main objective of this study was to establish the construct validity of these exercises and to refine objective criteria to establish students' level.

MATERIAL AND METHODS: Thirty volunteers with varying experience in endoscopic endonasal surgery were blindly evaluated on 4 modules according to objective and subjective criteria.

RESULTS: Ten beginner, 11 intermediate and 9 expert level participants were included. For each exercise, at least one criterion was discriminant for level of expertise. Weighted scores succeeded in discriminating groups. Interpretation of a single criterion must remain cautious and evaluation should rather rely on composite scores, which better reflect the participants' level. Useful criteria and their reference values are specific of each exercise. Face and content validity were rated at 3.92/5 and 4.59/5 respectively (5-level Likert scale).

CONCLUSION: The construct/face/content validity of the proposed modules have been verified. Most of the modules tested here were physically not realistic, but they were all rated as highly relevant for surgical training by the participants.

Copyright © 2020. Published by Elsevier Masson SAS.

Keywords: Assessment; Construct validity; Endoscopic endonasal surgery; Simulation training; Surgical skill

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