TY - GEN
T1 - Developing training tools for clinicians in LICs
T2 - ASME 2020 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference, IDETC-CIE 2020
AU - Walker, Michael
AU - Saravanan, Pratima
AU - Menold, Jessica
N1 - Publisher Copyright:
Copyright © 2020 ASME.
PY - 2020
Y1 - 2020
N2 - A prosthesis is a replacement limb that must be functionally sound, comfortably fit, durable, and aesthetically pleasing. Difficulty in prescription is further amplified by each patient's unique needs and the variability within patient data. The clinician's education and prior training is critical in effectively navigating the wealth of patient specific information needed to prescribe a prosthesis and rehabilitation plan that increases the likelihood of long-term patient success. Education and training significantly vary, however, from country to country, and in Lower Income Countries (LIC) a lack of formalized prosthetic training contributes to a lower quality of life for resident amputees. Prosthetists and technicians in LICs face further challenges due to a lack of material resources and formal medical infrastructure. This study was motivated to understand the types of patient information that influence decision-making strategies during prosthetic prescription and compare strategies across expert and novice groups. The results of this study suggest that salient factors are different between each clinician group and is influenced by the complexity of the patients' case. Activity level of the amputee influenced novices' prescription, whereas amputee's motivation, insurance, and health history influenced experts' prosthetic prescription. Future work exploring the utility of complimentary or supplemental prescription tools, particularly for prosthetists in LICs, is discussed.
AB - A prosthesis is a replacement limb that must be functionally sound, comfortably fit, durable, and aesthetically pleasing. Difficulty in prescription is further amplified by each patient's unique needs and the variability within patient data. The clinician's education and prior training is critical in effectively navigating the wealth of patient specific information needed to prescribe a prosthesis and rehabilitation plan that increases the likelihood of long-term patient success. Education and training significantly vary, however, from country to country, and in Lower Income Countries (LIC) a lack of formalized prosthetic training contributes to a lower quality of life for resident amputees. Prosthetists and technicians in LICs face further challenges due to a lack of material resources and formal medical infrastructure. This study was motivated to understand the types of patient information that influence decision-making strategies during prosthetic prescription and compare strategies across expert and novice groups. The results of this study suggest that salient factors are different between each clinician group and is influenced by the complexity of the patients' case. Activity level of the amputee influenced novices' prescription, whereas amputee's motivation, insurance, and health history influenced experts' prosthetic prescription. Future work exploring the utility of complimentary or supplemental prescription tools, particularly for prosthetists in LICs, is discussed.
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U2 - 10.1115/DETC2020-22197
DO - 10.1115/DETC2020-22197
M3 - Conference contribution
AN - SCOPUS:85096305683
T3 - Proceedings of the ASME Design Engineering Technical Conference
BT - 46th Design Automation Conference (DAC)
PB - American Society of Mechanical Engineers (ASME)
Y2 - 17 August 2020 through 19 August 2020
ER -