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Flying Aptitude Test for the Selection of Surgical Trainees

Flying Aptitude Test for the Selection of Surgical Trainees. Principal Investigator: Mrs Hyun-Mi Carty Teaching Fellow Chief Investigator: Mr Charles Maxwell-Armstrong Consultant Surgeon Queens Medical Centre Nottingham. Introduction. Surgical Aptitude Technical Skills

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Flying Aptitude Test for the Selection of Surgical Trainees

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  1. Flying Aptitude Testfor the Selection of Surgical Trainees Principal Investigator: Mrs Hyun-Mi Carty Teaching Fellow Chief Investigator: Mr Charles Maxwell-Armstrong Consultant Surgeon Queens Medical Centre Nottingham

  2. Introduction • Surgical Aptitude • Technical Skills • Aptitude Testing in military pilots • Flying Aptitude Test for the selection of surgical trainees

  3. Surgeon’s Attributes • A Gallagher, G Leonard & O. Traynor (RCSI) • Technical skills • Fundamental abilities • Psychomotor skills • Visuospatial ability • Depth perception • Cuschieri (Am J Surg) • Spatial perception • Hand-eye coordination • Aiming • Multilimb coordination • Hand-arm steadiness • Interpret and manipulate from images

  4. Laparoscopic Simulator performance: Harrier pilots vs Medical Students Harrier pilots n=8 Med Students n=25 4 laparoscopic box trainer tasks Appendicectomy task Med students 95.5 s Harrier pilots 28.7 s

  5. Evolution of the RAF Aptitude Testing • Before WWII ‘right type’

  6. UK Tri-service aircrew selection • Part 1 • Aptitude testing • Medical • Generic fitness test • Interview • Part 2 • Practical situational exercises

  7. Aptitude Domains • Verbal Reasoning (VR) • Numerical Reasoning (NR) • Spatial Reasoning (SR) • Attentional Capability (AC) • Work Rate (WR) • Psychomotor Coordination (PC)

  8. Test development • Job/task analysis • Test battery design • Validation

  9. Job / task analysis • Identification of training elements & competences required for success 2) Development of aptitude profiles 3) Assistance from Subject Matter Experts (experienced flying instructors)

  10. Validation • Correlation between test results and training data: • Ground School • Overall Grading • Practical

  11. Our Study Flying aptitude Test for the Selection of Surgical Trainees • MoD Ethical Ref: 1002/299 • NHS Ethics Ref: 10/H0401/43 • NUH R&D Ref: 10GS002

  12. Hypothesis • RAF Aircrew Selection test (AST): Identify participants with good • Spatial, Verbal & Numerical Reasoning, Attentional Capability, Work Rate & Psychomotor Ability. • AST result = LAP & ENDO & VR SIM • SIM Test results = Intra-operative Procedure Based Assessments (PBA) done as part of ongoing training.

  13. Method • Participants take part in the following tests: • RAF Aircrew Selection Test at RAF Cranwell • Simulated laparoscopic and endoscopic tests at the Trent simulation Centre, QMC • Psychometric questionnaires • Optional participation into prospective study analysing Procedure Based Assessments results

  14. Participant numbers • Total N= 450 • Medical students (n=200) • Surgical and Medical Core Training (CT) year 1 and 2 (n=100) • Specialty Registrars in years 3 to 8 (n=100) • Forces doctors in training (n=50)

  15. Flying Aptitude Test for Surgeons

  16. Results so far • RAF Flying aptitude test: n=108 • LAP SIM tests: n=38 • Mean Score: 52.37% • Median: 51% • Lowest score: 17% • Highest score: 87%

  17. Results of the first 28 participants

  18. Summary • 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

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