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https://www.readbyqxmd.com/read/28122272/nicaraguan-and-us-nursing-collaborative-evaluation-study-identifying-similarities-and-differences-between-us-and-nicaraguan-curricula-and-teaching-modalities-using-the-community-engagement-model
#1
Donna Lake, Martha K Engelke, Debra A Kosko, Donna W Roberson, Joba Fany Jaime, Feliciana Rojas López, Fidelia Mercedes Poveda Rivas, Yolanda Matute Salazar, Juana Julia Salmeron
BACKGROUND: Curricula evaluation is an essential phase of curriculum development. Study describes the implementation of a formative evaluation used by faculty members between Universidad Nacional Autonóma de Nicaragua (UNAN-Leon) Escuela de Enfermeriá, Nicaragua and East Carolina University College of Nursing (ECU CON) in North Carolina, US. OBJECTIVES: Program evaluation study to conduct an assessment, comparison of a medical-surgical adult curriculum and teaching modalities...
January 16, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28120274/advanced-gi-surgery-training-a-roadmap-for-the-future-the-white-paper-from-the-ssat-task-force-on-advanced-gi-surgery-training
#2
Matthew M Hutter, Kevin E Behrns, Nathaniel J Soper, Fabrizio Michelassi
There is the need for well-trained advanced GI surgeons. The super specialization seen in academic and large community centers may not be applicable for surgeons practicing in other settings. The pendulum that has been swinging toward narrow specialization is swinging the other way, as many trained subspecialists are having a harder time finding positions after fellowship, and if they do find a position, the majority of their practice can actually be advanced GI surgery and not exclusively their area of focused expertise...
January 24, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28104385/an-evidence-based-approach-to-surgical-teaching-in-ophthalmology
#3
Alice C Lorch, Carolyn E Kloek
An apprenticeship model has traditionally been used in procedural and surgical teaching. As the pressures of work hours and patient outcome monitoring increase, surgical teachers need a more flexible plan for teaching procedural skills. We attempt to delineate a program of pre-, intra-, and post- procedural teaching that can be used in the field of ophthalmology to maximize a resident's skill acquisition in a constructive learning environment.We review the literature on surgical teaching from within ophthalmology as well as other surgical fields and combine this with teaching experience in an ophthalmic surgical training program to produce a collection of procedural teaching guidelines...
January 16, 2017: Survey of Ophthalmology
https://www.readbyqxmd.com/read/28089473/box-or-virtual-reality-trainer-which-tool-results-in-better-transfer-of-laparoscopic-basic-skills-a-prospective-randomized-trial
#4
Christian Brinkmann, Mathias Fritz, Ulrich Pankratius, Ralf Bahde, Philipp Neumann, Steffen Schlueter, Norbert Senninger, Emile Rijcken
OBJECTIVE: Simulation training improves laparoscopic performance. Laparoscopic basic skills can be learned in simulators as box- or virtual-reality (VR) trainers. However, there is no clear recommendation for either box or VR trainers as the most appropriate tool for the transfer of acquired laparoscopic basic skills into a surgical procedure. DESIGN: Both training tools were compared, using validated and well-established curricula in the acquirement of basic skills, in a prospective randomized trial in a 5-day structured laparoscopic training course...
January 12, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28062076/a-taxonomy-of-perioperative-surgical-learning-trending-resident-skill-acquisition
#5
John C Hardaway, Marc D Basson, Muhammad Ali, Alan T Davis, Pam S Haan, Rama N Gupta, Andi N Peshkepija, Cody A Nebeker, Michael K McLeod, Robert L Osmer, Cheryl I Anderson
BACKGROUND: Resident and curriculum evaluation require tracking surgical resident operative performance, yet what and when to measure remains unclear. METHODS: From a multi-institutional database, we reviewed 611 resident/surgeon-paired assessments of ACGME Milestones and modified OPRS ratings for different cases and postgraduate years. RESULTS: Faculty Milestone ratings increased with each PGY (p=<0.001) and correlated with resident self-ratings (ICC = 0...
February 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28032558/early-learners-as-health-coaches-for-older-adults-preparing-for-surgery
#6
Jennifer A Kaplan, Zabecca Brinson, Rebecca Hofer, Patricia O'Sullivan, Anna Chang, Helen Horvath, George J Chang, Emily Finlayson
BACKGROUND: Few opportunities exist for early learners to engage in authentic roles on health care teams. In a geriatric optimization clinic for frail high-risk surgical patients, first-year medical and nurse practitioner students were integrated into an interprofessional team as health coaches. MATERIALS AND METHODS: Frail surgical patients with planned operations were referred to a new preoperative optimization clinic to see a geriatrician, occupational, and physical therapists and a nutritionist...
October 20, 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/28027975/the-transferability-of-virtual-reality-simulation-based-robotic-suturing-skills-to-a-live-porcine-model-in-novice-surgeons-a-single-blind-randomized-controlled-trial-1
#7
Maria V Vargas, Gaby Moawad, Kathryn Denny, Lindsey Happ, Nana Yaa Misa, Samantha Margulies, Jessica Opoku-Anane, Elias Abi Khalil, Cherie Marfori
OBJECTIVE: To assess whether a robotic simulation curriculum for novice surgeons can improve performance of a suturing task in a live porcine model. DESIGN: Randomized controlled trial: (Canadian Task Force Classification I) SETTING: Academic medical center PATIENTS: 35 medical students without robotic surgical experience INTERVENTIONS: Participants were enrolled in an online session of training modules followed by an in-person orientation. Baseline performance testing on the Mimic Technologies daVinci Surgical Simulator (dVSS) was also performed...
December 24, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28011260/cost-comparison-of-fundamentals-of-laparoscopic-surgery-training-completed-with-standard-fundamentals-of-laparoscopic-surgery-equipment-versus-low-cost-equipment
#8
Brenton R Franklin, Sarah B Placek, Mercy D Wagner, Sarah M Haviland, Mary T O'Donnell, E Matthew Ritter
OBJECTIVE: Training for the Fundamentals of Laparoscopic Surgery (FLS) skills test can be expensive. Previous work demonstrated that training on an ergonomically different, low-cost platform does not affect FLS skills test outcomes. This study compares the average training cost with standard FLS equipment and medical-grade consumables versus training on a lower cost platform with non-medical-grade consumables. DESIGN: Subjects were prospectively randomized to either the standard FLS training platform (n = 19) with medical-grade consumables (S-FLS), or the low-cost platform (n = 20) with training-grade products (LC-FLS)...
December 20, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/28009735/mock-pages-are-a-valid-construct-for-assessment-of-clinical-decision-making-and-interprofessional-communication
#9
Margaret L Boehler, Cathy J Schwind, Stephen J Markwell, Rebecca M Minter
IMPORTANCE: Answering pages from nurses about patients in need of immediate attention is one of the most difficult challenges a resident faces during their first days as a physician. A Mock Page program has been developed and adopted into a national surgical resident preparatory curriculum to prepare senior medical students for this important skill. OBJECTIVE: The purpose of this study is to assess standardized mock page cases as a valid construct to assess clinical decision making and interprofessional communication skills...
January 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28004190/systematic-review-of-the-implementation-of-simulation-training-in-surgical-residency-curriculum
#10
REVIEW
Yo Kurashima, Satoshi Hirano
PURPOSE: We reviewed the literature regarding the specific methods and strategies for implementing simulation-based training into the modern surgical residency curriculum. Residency programs are still struggling with how best to implement it into their curricula from a practical viewpoint. METHODS: A systematic review was performed using Ovid MEDLINE, EMBASE, PubMed, PsycINFO, Web of Science, and other resources for studies involving the use of simulation for technical skills training in the surgical residency curriculum...
December 22, 2016: Surgery Today
https://www.readbyqxmd.com/read/27916362/effectiveness-of-a-mental-skills-curriculum-to-reduce-novices-stress
#11
Nicholas E Anton, Lisa D Howley, Manuel Pimentel, Cameron K Davis, Charles Brown, Dimitrios Stefanidis
BACKGROUND: Stress has been shown to negatively impact surgical performance, and surgical novices are particularly susceptible to its effects. Mental skills are psychological strategies designed to enhance performance and reduce the impact of stress to consistently facilitate the ideal mental conditions that enable performers to perform their best. Mental skills have been used routinely in other high-stress domains (e.g., with Navy SEALs, military pilots, elite athletes, and so forth) to facilitate optimal performance in challenging situations...
November 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27909067/concept-and-evaluation-of-the-german-war-surgery-course-einsatzchirurgie-kurs-der-bundeswehr
#12
David A Back, K Waldmann, T Hauer, N Huschitt, M W Bowyer, U Wesemann, A Lieber, C Willy
INTRODUCTION: Military surgeons must be prepared to care for severe and complex life-threatening injuries rarely seen in the civilian setting. Typical civilian training and practice do not provide adequate exposure to the broad set of surgical skills required. The German Bundeswehr Medical Service has developed and refined the War Surgery Course (WSC) to meet this training gap. This article describes the recent experience with this readiness curriculum. METHODS: Run annually since 1998, WSC consists nowadays of 5 days with 20 theoretical modules...
December 1, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27908500/effectiveness-of-a-comprehensive-mental-skills-curriculum-in-enhancing-surgical-performance-results-of-a-randomized-controlled-trial
#13
Dimitrios Stefanidis, Nicholas E Anton, Lisa D Howley, Eric Bean, Ashley Yurco, Manuel E Pimentel, Cameron K Davis
INTRODUCTION: We hypothesized that the implementation of a novel mental skills curriculum (MSC) during laparoscopic simulator training would improve mental skills and performance, and decrease stress. METHODS: Sixty volunteer novices were randomized into intervention and control groups. All participants received FLS training while the intervention group also participated in the MSC. Skill transfer and retention were assessed on a live porcine model after training and 2 months later, respectively...
February 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/27884677/mastery-based-virtual-reality-robotic-simulation-curriculum-the-first-step-toward-operative-robotic-proficiency
#14
Melissa E Hogg, Vernissia Tam, Mazen Zenati, Stephanie Novak, Jennifer Miller, Amer H Zureikat, Herbert J Zeh
OBJECTIVE: Hepatobiliary surgery is a highly complex, low-volume specialty with long learning curves necessary to achieve optimal outcomes. This creates significant challenges in both training and measuring surgical proficiency. We hypothesize that a virtual reality curriculum with mastery-based simulation is a valid tool to train fellows toward operative proficiency. This study evaluates the content and predictive validity of robotic simulation curriculum as a first step toward developing a comprehensive, proficiency-based pathway...
November 21, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27884391/basic-airway-skills-acquisition-using-the-american-college-of-surgeons-association-for-surgical-education-medical-student-simulation-based-surgical-skills-curriculum-initial-results
#15
Sydne Muratore, Michael Kim, Jaisa Olasky, Andre Campbell, Robert Acton
BACKGROUND: The ACS/ASE Medical Student Simulation-Based Skills Curriculum was developed to standardize medical student training. This study aims to evaluate the feasibility and validity of implementing the basic airway curriculum. METHODS: This single-center, prospective study of medical students participating in the basic airway module from 12/2014-3/2016 consisted of didactics, small-group practice, and testing in a simulated clinical scenario. Proficiency was determined by a checklist of skills (1-15), global score (1-5), and letter grade (NR-needs review, PS-proficient in simulation scenario, CP-proficient in clinical scenario)...
February 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/27847048/the-joint-council-on-thoracic-surgery-education-jctse-educate-the-educators-faculty-development-course-analysis-of-the-first-5-years
#16
Stephen C Yang, Ara A Vaporciyan, Rebecca J Mark, Deborah A DaRosa, Frank T Stritter, Maura E Sullivan, Edward D Verrier
BACKGROUND: Since 2010, the Joint Council on Thoracic Surgery Education, Inc (JCTSE) has sponsored an annual "Educate the Educators" (EtE) course. The goal is to provide United States academic cardiothoracic surgeons (CTS) the fundamentals of teaching skills, educational curriculum development, and using education for academic advancement. This report describes the course development and evaluation along with attendee's self-assessment of skills through the first 5 years of the program...
December 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27842730/surgical-skills-curricula-in-american-college-of-surgeons-accredited-education-institutes-an-international-survey
#17
Iman Ghaderi, Shimae Fitzgibbons, Yusuke Watanabe, Alexander Lachapelle, John Paige
BACKGROUND: A clear understanding of simulation-based curricula in use at American College of Surgeons Accredited Education Institutes (ACS-AEIs) is lacking. METHODS: A 25-question online survey was sent to ACS-AEIs. RESULTS: The response rate approached 60%. The most frequent specialties to use the ACS-AEIs are general surgery and obstetrics/gynecology (94%). Residents are the main target population for programming/training (96%). Elements of the ACS/Association of Program Directors in Surgery Surgical Skills Curriculum are used by 77% of responding ACS-AEIs...
September 3, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27825662/talk-the-talk-implementing-a-communication-curriculum-for-surgical-residents
#18
Anna B Newcomb, Amber W Trickey, Melissa Porrey, Jeffrey Wright, Franco Piscitani, Paula Graling, Jonathan Dort
OBJECTIVES: The Accreditation Council for Graduate Medical Education milestones provide a framework of specific interpersonal and communication skills that surgical trainees should aim to master. However, training and assessment of resident nontechnical skills remains challenging. We aimed to develop and implement a curriculum incorporating interactive learning principles such as group discussion and simulation-based scenarios to formalize instruction in patient-centered communication skills, and to identify best practices when building such a program...
November 4, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27785819/visual-research-in-clinical-education
#19
Jeff Bezemer
AIM: The aim of this paper is to explore what might be gained from collecting and analysing visual data, such as photographs, scans, drawings, video and screen recordings, in clinical educational research. Its focus is on visual research that looks at teaching and learning 'as it naturally occurs' in the work place, in simulation centres and other sites, and also involves the collection and analysis of visual learning materials circulating in these sites. BACKGROUND: With the ubiquity of digital recording devices, video data and visual learning materials are now relatively cheap to collect...
January 2017: Medical Education
https://www.readbyqxmd.com/read/27754613/otolaryngology-residency-education-a-scoping-review-on-the-shift-towards-competency-based-medical-education
#20
N Wagner, C Fahim, K Dunn, D Reid, R R Sonnadara
BACKGROUND: Residency training programmes worldwide are experiencing a shift from the traditional time-based curriculum to competency-based medical education (CBME), due to changes in the healthcare system that have impacted clinical learning opportunities. Otolaryngology-Head and Neck Surgery (OTL-HNS) programmes are one of the first North American surgical specialties to adopt the new CBME curriculum. OBJECTIVE OF REVIEW: The purpose of this scoping review is to examine the literature pertaining to CBME in OTL-HNS programmes worldwide, to identify the tools that have been developed and identify potential barriers to the implementation of CBME...
October 18, 2016: Clinical Otolaryngology
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