Imperial College London
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Mr(Dr) Chinmay Gupte

Faculty of Medicine, Department of Surgery & Cancer

Reader in Orthopaedics
 
 
 
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Contact

 

+44 (0)20 8846 1234 ext 15215c.gupte00 Website

 
 
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Location

 

Charing Cross Hospital 7 East wingCharing Cross HospitalCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Bhattacharyya:2018:10.1080/17453674.2018.1517442,
author = {Bhattacharyya, R and Sugand, K and Al-Obaidi, B and Sinha, I and Bhattacharya, R and Gupte, CM},
doi = {10.1080/17453674.2018.1517442},
journal = {Acta Orthopaedica},
pages = {689--695},
title = {Trauma simulation training: a randomized controlled trial -evaluating the effectiveness of the Imperial Femoral Intramedullary Nailing Cognitive Task Analysis (IFINCTA) tool},
url = {http://dx.doi.org/10.1080/17453674.2018.1517442},
volume = {89},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background and purpose - Cognitive task analysis (CTA) has been used extensively to train pilots and in other surgical specialties. However, the use of CTA within orthopedics is in its infancy. We evaluated the effectiveness of a novel CTA tool to improve understanding of the procedural steps in antegrade femoral intramedullary nailing. Material and methods - Design: A modified Delphi technique was used to generate a CTA from 3 expert orthopedic trauma surgeons for antegrade femoral intramedullary nailing. The written and audiovisual information was combined to describe the technical steps, decision points, and errors for each phase of this procedure Validation: A randomized double-blind controlled trial was undertaken with 22 medical students (novices) randomized into 2 equal groups. The intervention group were given the CTA tool and the control group were given a standard operative technique manual. They were assessed using the validated "Touch Surgery™" application assessment tool on femoral intramedullary nailing. Results - The pre-test scores between the two groups were similar. However, the post-test scores were statistically significantly better in the intervention group compared with the control group. The improvement (post-test median scores) in the intervention group compared with the control group was 20% for patient positioning and preparation, 21% for femoral preparation, 10% for proximal locking, and 19% for distal locking respectively (p < 0.001 for all comparisons). Interpretation - This is the first multimedia CTA tool in femoral intramedullary nailing that is easily accessible, user-friendly, and has demonstrated significant benefits in training novices over the traditional use of operative technique manuals.
AU  - Bhattacharyya,R
AU  - Sugand,K
AU  - Al-Obaidi,B
AU  - Sinha,I
AU  - Bhattacharya,R
AU  - Gupte,CM
DO  - 10.1080/17453674.2018.1517442
EP  - 695
PY  - 2018///
SN  - 1745-3674
SP  - 689
TI  - Trauma simulation training: a randomized controlled trial -evaluating the effectiveness of the Imperial Femoral Intramedullary Nailing Cognitive Task Analysis (IFINCTA) tool
T2  - Acta Orthopaedica
UR  - http://dx.doi.org/10.1080/17453674.2018.1517442
UR  - https://www.ncbi.nlm.nih.gov/pubmed/30326762
UR  - http://hdl.handle.net/10044/1/63590
VL  - 89
ER  -
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