The technical skill of surgeons directly impacts patient outcomes. Advanced tracking systems enable the development of objective motion-based metrics for skill evaluation, but these metrics are not sufficient to evaluate the performance in complex surgical tasks. In this study, we developed metrics for surgical skill evaluation that are based on the orientation of the surgical instruments. Expe...

This paper discusses the relevance of recent research on the economics of human development to the work of the Human Development and Capability Association. The recent economics of human development brings insights about the dynamics of skill accumulation to an otherwise static literature on capabilities. Skills embodied in agents empower people. Enhanced skills enhance opportunities and hence ...

Skill, Judgement and Conduct for the First Generation of Neurosurgeons, 1900–1930 Delia Gavrus 361 ‘The Days of Brilliancy are Past’: Skill, Styles and the Changing Rules of Surgical Performance, ca. 1820–1920 Thomas Schlich 379 Neither Physicians Nor Surgeons: Whither Neuropathological Skill in Post-war England? Anna Kathryn Schoefert 404 Surgical Skills Beyond Scientific Management Nicholas W...

600.646 Compute Integrated Surgery II Group 4 Project Proposal Stated Topic: Surgical skill evaluation in endoscopic sinus surgery Goal: Develop a mathematical model on surgical skill evaluation to identify and model the motion of critical movements to determine when these movements can lead to surgical complications. Team members: Vishwa Parekh Mentors: Dr. Gregory Hager, Daniel Mirota, Narges...

Evaluating surgical skill is a time consuming, subjective, and difficult process. This paper compares two methods of identifying the skill level of a subject given motion data from a benchtop surgical task. In the first method, we build discrete Hidden Markov Models at the task level, and test against these models. In the second method, we build discrete Hidden Markov Models of surgical gesture...

Relevance of the paper to this project: This paper provides a great background and a very good starting point for anyone interested in evaluating surgical skills. This paper shows how motion analysis is a useful measure of surgical skill evaluation, talks about different ways to capture motion in a surgical procedure and discusses a wide variety of methods that have been used to build an evalua...

This paper examines how, over the course of the nineteenth and early twentieth centuries, the appreciation of skill in surgery shifted in characteristic ways. Skill is a problematic category in surgery. Its evaluation is embedded into wider cultural expectations and evaluations, which changed over time. The paper examines the discussions about surgical skill in a variety of contexts: the highly...

The analysis of surgical motion has received a growing interest with the development of devices allowing their automatic capture. In this context, the use of advanced surgical training systems make an automated assessment of surgical trainee possible. Automatic and quantitative evaluation of surgical skills is a very important step in improving surgical patient care. In this paper, we present a...

This paper evaluates methods of hierarchical skill analysis developed in aerospace to the problem of surgical skill assessment and modeling. The analysis employs tool motion data of Fundamental of Laparoscopic Skills (FLS) tasks collected from clinicians of various skill levels at three different clinical teaching hospitals in the United States. Outcomes are evaluated based on their ability to ...