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The FLS program is being embraced internationally for training and credentialing surgeons. Manual skills assessment is performed during a proctored exam. In spite of its growing popularity, there are several major problems with the manual skills component of the FLS. Herein, we will summarize our efforts in establishing functional Near InfraRed Spectroscopy (fNIRS) as a fast and robust method to support this segment of the FLS program, especially leveraging recent development in Machine Learning. Moreover, we will report on the potential of using concurrent video stream towards enhanced multimodal surgical skill assessment.
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