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Clinical Competence

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Transfer of open and laparoscopic skills to robotic surgery: a systematic review.

Journal of robotic surgery
Due to its advantages over open surgery and conventional laparoscopy, uptake of robot-assisted surgery has rapidly increased. It is important to know whether the existing open or laparoscopic skills of robotic novices shorten the robotic surgery lear...

"Cephalgia" or "migraine"? Solving the headache of assessing clinical reasoning using natural language processing.

Diagnosis (Berlin, Germany)
In this op-ed, we discuss the advantages of leveraging natural language processing (NLP) in the assessment of clinical reasoning. Clinical reasoning is a complex competency that cannot be easily assessed using multiple-choice questions. Constructed-r...

Transferability of robotic console skills by early robotic surgeons: a multi-platform crossover trial of simulation training.

Journal of robotic surgery
Robotic surgical training is undergoing a period of transition now that new robotic operating platforms are entering clinical practice. As this occurs, training will need to be adapted to include strategies to train across various consoles. These new...

Capturing fine-grained details for video-based automation of suturing skills assessment.

International journal of computer assisted radiology and surgery
OBJECTIVES: Manually-collected suturing technical skill scores are strong predictors of continence recovery after robotic radical prostatectomy. Herein, we automate suturing technical skill scoring through computer vision (CV) methods as a scalable m...

The robot doesn't lie: real-life validation of robotic performance metrics.

Surgical endoscopy
BACKGROUND: Degree of resident participation in a case is often used as a surrogate marker for operative autonomy, an essential element of surgical resident training. Previous studies have demonstrated a considerable disagreement between the percepti...

Virtual classroom proficiency-based progression for robotic surgery training (VROBOT): a randomised, prospective, cross-over, effectiveness study.

Journal of robotic surgery
Robotic surgery training has lacked evidence-based standardisation. We aimed to determine the effectiveness of adjunctive interactive virtual classroom training (VCT) in concordance with the self-directed Fundamentals of Robotic Surgery (FRS) curricu...

What are clinically relevant performance metrics in robotic surgery? A systematic review of the literature.

Journal of robotic surgery
A crucial element of any surgical training program is the ability to provide procedure-specific, objective, and reliable measures of performance. During robotic surgery, objective clinically relevant performance metrics (CRPMs) can provide tailored c...

Multi-Modal Deep Learning for Assessing Surgeon Technical Skill.

Sensors (Basel, Switzerland)
This paper introduces a new dataset of a surgical knot-tying task, and a multi-modal deep learning model that achieves comparable performance to expert human raters on this skill assessment task. Seventy-two surgical trainees and faculty were recruit...

Is primary health care ready for artificial intelligence? What do primary health care stakeholders say?

BMC medical informatics and decision making
BACKGROUND: Effective deployment of AI tools in primary health care requires the engagement of practitioners in the development and testing of these tools, and a match between the resulting AI tools and clinical/system needs in primary health care. T...