Objective:To correlate the utility of the Fundamentals of Laparoscopic Surgery(FLS)manual skills program with the Objective Structured Assessment of Technical Skills(OSATS)global rating scale in evaluating operative p...Objective:To correlate the utility of the Fundamentals of Laparoscopic Surgery(FLS)manual skills program with the Objective Structured Assessment of Technical Skills(OSATS)global rating scale in evaluating operative performance.Methods:The Asian Urological Surgery Training and Educational Group(AUSTEG)Laparoscopic Upper Tract Surgery Course implemented and validated the FLS program for its usage in laparoscopic surgical training.Delegates’basic laparoscopic skills were assessed using three different training models(peg transfer,precision cutting,and intra-corporeal suturing).They also performed live porcine laparoscopic surgery at the same workshop.Live surgery skills were assessed by blinded faculty using the OSATS rating scale.Results:From March 2016 to March 2019,a total of 81 certified urologists participated in the course,with a median of 5 years of post-residency experience.Although differences in task time did not reach statistical significance,those with more surgical experience were visibly faster at completing the peg transfer and intra-corporeal suturing FLS tasks.However,they took longer to complete the precision cutting task than participants with less experience.Overall OSATS scores correlated weakly with all three FLS tasks(peg transfer time:r=0.331,r^(2)=0.110;precision cutting time:r=0.240,r^(2)=0.058;suturing with intracorporeal knot time:r=0.451,r^(2)=0.203).Conclusion:FLS task parameters did not correlate strongly with OSATS globing rating scale performance.Although FLS task models demonstrated strong validity,it is important to assimilate the inconsistencies when benchmarking technical proficiency against real-life operative competence,as evaluated by FLS and OSATS,respectively.展开更多
Information technology （IT） is one of the most important means by which companies can win an advantaged position in drastically competed market. It has a positive effect on the advancement of the corporation＇s tech...Information technology （IT） is one of the most important means by which companies can win an advantaged position in drastically competed market. It has a positive effect on the advancement of the corporation＇s technical innovation. The application of IT can promote the communication among subordinates of a corporation or group, reduce explicit boundaries of the subordinates, and boost the ripple effect of technical innovation of the subordinates. Not only does any subordinate company within a corporation need to assess both technical and economic benefits brought to the corporation itself by technical innovation, but also it should thoroughly analyze how the ripple effect of technical innovation among subordinate companies plays a significant role in the boosting value of the corporation as a whole. In this paper, a scientific approach to assessing technical innovation of a subordinate company is proposed through analyzing the ripple effect of IT-based technical innovation on subordinate companies.展开更多
文摘Objective:To correlate the utility of the Fundamentals of Laparoscopic Surgery(FLS)manual skills program with the Objective Structured Assessment of Technical Skills(OSATS)global rating scale in evaluating operative performance.Methods:The Asian Urological Surgery Training and Educational Group(AUSTEG)Laparoscopic Upper Tract Surgery Course implemented and validated the FLS program for its usage in laparoscopic surgical training.Delegates’basic laparoscopic skills were assessed using three different training models(peg transfer,precision cutting,and intra-corporeal suturing).They also performed live porcine laparoscopic surgery at the same workshop.Live surgery skills were assessed by blinded faculty using the OSATS rating scale.Results:From March 2016 to March 2019,a total of 81 certified urologists participated in the course,with a median of 5 years of post-residency experience.Although differences in task time did not reach statistical significance,those with more surgical experience were visibly faster at completing the peg transfer and intra-corporeal suturing FLS tasks.However,they took longer to complete the precision cutting task than participants with less experience.Overall OSATS scores correlated weakly with all three FLS tasks(peg transfer time:r=0.331,r^(2)=0.110;precision cutting time:r=0.240,r^(2)=0.058;suturing with intracorporeal knot time:r=0.451,r^(2)=0.203).Conclusion:FLS task parameters did not correlate strongly with OSATS globing rating scale performance.Although FLS task models demonstrated strong validity,it is important to assimilate the inconsistencies when benchmarking technical proficiency against real-life operative competence,as evaluated by FLS and OSATS,respectively.
文摘Information technology （IT） is one of the most important means by which companies can win an advantaged position in drastically competed market. It has a positive effect on the advancement of the corporation＇s technical innovation. The application of IT can promote the communication among subordinates of a corporation or group, reduce explicit boundaries of the subordinates, and boost the ripple effect of technical innovation of the subordinates. Not only does any subordinate company within a corporation need to assess both technical and economic benefits brought to the corporation itself by technical innovation, but also it should thoroughly analyze how the ripple effect of technical innovation among subordinate companies plays a significant role in the boosting value of the corporation as a whole. In this paper, a scientific approach to assessing technical innovation of a subordinate company is proposed through analyzing the ripple effect of IT-based technical innovation on subordinate companies.
