Efficacy of Arthroscopic Teaching Methods: A Prospective Randomized Controlled Study

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Arthroscopic education research recently has been focused on the use of skills labs to facilitate resident education and objective measure development to gauge technical skill. This study evaluates the effectiveness of three different teaching methods. Medical students were randomized into three groups. The first group received only classroom-based lecture. The second group received the same lecture and 28 minutes of lab-based hands-off arthroscopy instruction using a cadaver and arthroscopy setup. The final group received the same lecture and 7 minutes of hands-on arthroscopy instruction in the lab on a cadaver knee. The arthroscopic knee exam that followed simulated a diagnostic knee exam and subjects were measured on task completion and by the number of look downs. The number of look downs and the number of tasks completed did not achieve statistical significance between groups. Posttest survey results revealed that the hands-on group placed significantly more value on their educational experience as compared with the other two groups. (Journal of Surgical Orthopaedic Advances 26(3):154–159, 2017)
Key words: arthroscopic education, arthroscopic skills, arthroscopy, hands-on training, residency education, teaching curriculum

Luke Robinson, MD; Jonathon Spanyer, MD; Zachary Yenna, MD; Patrick Burchell, BS; Andrew Garber, MD; and John Riehl, MD