Flying Aptitude Test for the Selection of Surgical Trainees Principal Investigator: Mrs Hyun-Mi...
-
Upload
conner-hitchcock -
Category
Documents
-
view
214 -
download
0
Transcript of Flying Aptitude Test for the Selection of Surgical Trainees Principal Investigator: Mrs Hyun-Mi...
Flying Aptitude TestFlying Aptitude Testfor the Selection of for the Selection of Surgical TraineesSurgical Trainees
Principal Investigator:Principal Investigator: Mrs Hyun-Mi Carty Mrs Hyun-Mi Carty Teaching FellowTeaching Fellow
Chief Investigator:Chief Investigator: Mr Charles Maxwell-Armstrong Mr Charles Maxwell-Armstrong Consultant SurgeonConsultant Surgeon
Queens Medical Centre NottinghamQueens Medical Centre Nottingham
IntroductionIntroduction Surgical AptitudeSurgical Aptitude
Technical SkillsTechnical Skills
Aptitude Testing in military pilotsAptitude Testing in military pilots
Flying Aptitude Test for the Flying Aptitude Test for the selection of surgical traineesselection of surgical trainees
Surgeon’s AttributesSurgeon’s Attributes A Gallagher, G Leonard & O. Traynor (RCSI)A Gallagher, G Leonard & O. Traynor (RCSI)
• Technical skillsTechnical skills• Fundamental abilitiesFundamental abilities
Psychomotor skillsPsychomotor skills Visuospatial abilityVisuospatial ability Depth perceptionDepth perception
Cuschieri (Am J Surg)Cuschieri (Am J Surg)• Spatial perceptionSpatial perception• Hand-eye coordinationHand-eye coordination• AimingAiming• Multilimb coordinationMultilimb coordination• Hand-arm steadinessHand-arm steadiness• Interpret and manipulate from imagesInterpret and manipulate from images
Laparoscopic Laparoscopic Simulator Simulator
performance: performance: Harrier pilots vs Harrier pilots vs Medical StudentsMedical Students
Harrier pilots n=8Med Students n=25
4 laparoscopic box trainer tasks
Appendicectomy taskMed students 95.5 sHarrier pilots 28.7 s
Evolution of the RAF Aptitude TestingEvolution of the RAF Aptitude Testing
Before WWIIBefore WWII
‘right type’
UK Tri-service aircrew selectionUK Tri-service aircrew selection
Part 1Part 1• Aptitude testingAptitude testing• MedicalMedical• Generic fitness testGeneric fitness test• InterviewInterview
Part 2Part 2• Practical situational exercisesPractical situational exercises
Aptitude DomainsAptitude Domains
Verbal Reasoning (VR)Verbal Reasoning (VR) Numerical Reasoning (NR)Numerical Reasoning (NR) Spatial Reasoning (SR)Spatial Reasoning (SR) Attentional Capability (AC)Attentional Capability (AC) Work Rate (WR)Work Rate (WR) Psychomotor Coordination (PC)Psychomotor Coordination (PC)
Test developmentTest development
1)1) Job/task analysisJob/task analysis
2)2) Test battery designTest battery design
3)3) ValidationValidation
Job / task analysisJob / task analysis
1)1) Identification of training elements & Identification of training elements & competences required for successcompetences required for success
2) Development of aptitude profiles2) Development of aptitude profiles
3) Assistance from Subject Matter Experts 3) Assistance from Subject Matter Experts (experienced flying instructors)(experienced flying instructors)
ValidationValidation
Correlation between test results and Correlation between test results and training data:training data:
• Ground SchoolGround School• Overall GradingOverall Grading• PracticalPractical
Our StudyOur Study
Flying aptitude Test for the Selection of Flying aptitude Test for the Selection of Surgical TraineesSurgical Trainees
MoD Ethical Ref: 1002/299MoD Ethical Ref: 1002/299
NHS Ethics Ref: 10/H0401/43 NHS Ethics Ref: 10/H0401/43
NUH R&D Ref: 10GS002NUH R&D Ref: 10GS002
HypothesisHypothesis
1.1. RAF Aircrew Selection test (AST): RAF Aircrew Selection test (AST): Identify participants with good Identify participants with good
Spatial, Verbal & Numerical Reasoning, Attentional Spatial, Verbal & Numerical Reasoning, Attentional Capability, Work Rate & Psychomotor Ability. Capability, Work Rate & Psychomotor Ability.
2.2. AST result = LAP & ENDO & VR SIM AST result = LAP & ENDO & VR SIM
3.3. SIM Test results = Intra-operative SIM Test results = Intra-operative Procedure Based Assessments (PBA) Procedure Based Assessments (PBA) done as part of ongoing training.done as part of ongoing training.
MethodMethod Participants take part in the following tests:Participants take part in the following tests:
1.1. RAF Aircrew Selection Test at RAF CranwellRAF Aircrew Selection Test at RAF Cranwell
2.2. Simulated laparoscopic and endoscopic tests at Simulated laparoscopic and endoscopic tests at the Trent simulation Centre, QMCthe Trent simulation Centre, QMC
3.3. Psychometric questionnaires Psychometric questionnaires
4.4. Optional participation into prospective study Optional participation into prospective study analysing Procedure Based Assessments resultsanalysing Procedure Based Assessments results
Participant numbersParticipant numbers Total N= 450Total N= 450
Medical students (n=200)Medical students (n=200)
Surgical and Medical Core Training (CT) year 1 Surgical and Medical Core Training (CT) year 1 and 2 (n=100)and 2 (n=100)
Specialty Registrars in years 3 to 8 (n=100)Specialty Registrars in years 3 to 8 (n=100)
Forces doctors in training (n=50)Forces doctors in training (n=50)
Flying Aptitude Test for SurgeonsFlying Aptitude Test for Surgeons
Aptitude Domain Domain Weight Tests
Perceptual 20 VISS
Short Term Memory/Capacity 10 ACT
Spatial Reasoning 20 SIT
Psychomotor 40 RTT, SMA
Central Information Processing 10 VIGsp
Results so farResults so far
RAF Flying aptitude test: n=108RAF Flying aptitude test: n=108 LAP SIM tests: n=38LAP SIM tests: n=38
Mean Score: 52.37%Mean Score: 52.37% Median: 51%Median: 51% Lowest score: 17%Lowest score: 17% Highest score: 87%Highest score: 87%
Results of the first 28 participantsResults of the first 28 participants
Flying Aptitude Test and Lap Sim correlation
01020
30405060
708090
0 500 1000 1500 2000 2500
Total time lap sim tests
Fly
ing
Ap
titu
de
Tes
t In
dex
Series2
SummarySummary Identify a computer based selection test
based on the current RAF selection test
Tailored to select those candidates who possess the technical abilities necessary for successful postgraduate training where the use of minimally invasive tools are used.
This test can be used to assist the already existing selection process of surgical trainees in the UK