Surgical Skill Assessment using Motor Control Features and Hidden Markov Model.

Surgical Skill Assessment has increased interest through which the training and objective feedback to surgeons can be given based on the task performance. In this paper, motor control features which are a part of psychomotor learning, are developed based on the camera plane coordinates of the tip of the tools from the videos of surgeons performing the Urethro-Vesicle Anastomosis (UVA) surgical task. Classification into Novices (N) and Experts (E), when compared to the manual encoding of subject expertise based on the Dreyfus model, resulted in high accuracy. Additionally, this study could form a basis for closed loop surgical training, specifically for the novitiate surgeons.