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Abstract

Although widely practiced in the medical field, the current “see one, do one, teach one” surgical training model introduces a wide variety of variation between surgeons. Without a standardized procedure, causes of medical errors and relationships between surgery and outcomes are hard to identify. The proposed study will utilize work method techniques to develop a hierarchical taxonomy of essential tasks which will help identify and measure the effects of surgical techniques on patient outcomes. Video data of microvascular anastomosis was recorded and task decomposition analysis was completed for two full procedures. The resulting analysis was used to create a hierarchical taxonomy describing the surgery in the varying granularity levels of job, task, subtask, element, and motion. The taxonomy can be effective in identifying technique and tools variations at different levels. Future work includes linking the surgery variables to outcome measures and creating protocols for training and evaluating students in surgery.

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Development of a Hierarchical Taxonomy for Standardization of Microvascular Surgery

Abstract

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