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https://www.readbyqxmd.com/read/28728324/the-chicken-thigh-adductor-profundus-free-muscle-flap-a-novel-validated-non-living-microsurgery-simulation-training-model
#1
Georgios Pafitanis, Yasmine Serrar, Maria Raveendran, Ali Ghanem, Simon Myers
BACKGROUND: Simulation training is becoming an increasingly important component of skills acquisition in surgical specialties, including Plastic Surgery. Non-living simulation models have an established place in Plastic Surgical microsurgery training, and support the principles of replacement, reduction and refinement of animal use. A more sophisticated version of the basic chicken thigh microsurgery model has been developed to include dissection of a type 1-muscle flap and is described and validated here...
July 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/28712686/using-touch-surgery-to-improve-surgical-education-in-low-and-middle-income-settings-a-randomized-control-trial
#2
Gisele Juru Bunogerane, Kathryn Taylor, Yihan Lin, Ainhoa Costas-Chavarri
BACKGROUND/OBJECTIVE: There is a severe surgical workforce shortage in Rwanda. Innovative educational tools must be introduced to train more residents and increase surgical capacity. Touch Surgery (TS) is a smartphone application that offers trainees the opportunity to practice operations; however, its effect is unknown in low- and middle-income countries. Our objectives were to determine the training effect of TS and its feasibility for use in surgery education in a low-resource setting...
July 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28693386/development-methodology-of-the-novel-endoscopic-stone-treatment-step-1-est-s1-training-assessment-curriculum
#3
Domenico Veneziano, Kamran Ahmed, Ben S E P Van Cleynenbreugel, Ali Serdar Gözen, Joan Palou, Kemal Sarica, Evangelos N Liatsikos, Francesco Sanguedolce, Patrick Honeck, Mario Alvarez-Maestro, Athanasios Papatsoris, Panagiotis Kallidonis, Francesco Greco, Alberto Breda, Bhaskar Somani
Background Simulation based technical-skill assessment is a core topic of debate, especially in high-risk environments. After the introduction of the E-BLUS exam for basic laparoscopy, no more technical training/assessment urological protocols have been developed in Europe. Objective We describe the methodology used in the development of the novel Endoscopic Stone Treatment step 1 (EST s1) assessment curriculum. Materials and Methods The "full life cycle curriculum development" template was followed for curriculum development...
July 10, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28687048/a-core-undergraduate-curriculum-in-plastic-surgery-a-delphi-consensus-study-in-scandinavia
#4
Stian K Almeland, Andrew Lindford, Jais Oliver Berg, Emma Hansson
BACKGROUND AND AIMS: In recent years, undergraduate medical education has undergone a transition from a speciality-based to a more competence-based training system. Consequently, whilst medical knowledge is rapidly expanding, time for teaching of the surgical specialties is decreasing. Thus, there appears to be a need to define the core competences that are to be taught. The aim of this study was to establish a Scandinavian core undergraduate curriculum of competences in plastic surgery, using scientific methods...
July 7, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28669789/self-directed-interactive-video-based-instruction-versus-instructor-led-teaching-for-myanmar-house-surgeons-a-randomized-noninferiority-trial
#5
Albert Thein Lwin, Thein Lwin, Phyu Naing, Yee Oo, David Kidd, Marcelo Cerullo, Joshua Posen, Kyaw Hlaing, Gayane Yenokyan, Kyi Kyi Thinn, Zaw Wai Soe, Kent A Stevens
OBJECTIVE: To compare self-directed interactive video-based instruction (IVBI) with instructor-led teaching in the acquisition of basic surgical skills by House Surgeons at University of Medicine 1, Yangon. DESIGN: A prospective, 1:1 randomized controlled trial was conducted. Participants were randomized into 2 teaching arms: (1) self-directed IVBI or (2) instructor-led teaching. Self-directed IVBI participants were provided with a portable DVD player that could play, fast forward, rewind, and skip through skills modules...
June 29, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28669460/boot-camps-preparing-for-residency
#6
REVIEW
David H Yeh, Kevin Fung, Sonya Malekzadeh
Simulation-based boot camps are growing in popularity and are effective in onboarding novice residents with new knowledge, skills, and behaviors. These intensive and immersive courses may be used to train residents and allied health professionals in specific procedures, teamwork, and management of rare clinical scenarios. A needs assessment of learners determines the course curriculum. Boot camps are designed to encourage active and hands-on participation with deliberate practice and immediate feedback. As surgical education shifts toward competency-based medical education, there may be an even greater role for simulation-based boot camps as a training and assessment tool...
June 29, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28668549/design-and-implementation-of-a-robotic-surgery-training-experience-logging-system
#7
Kristin G Baldea, Ryan Thorwarth, Petar Bajic, Marcus L Quek, Gopal N Gupta
PURPOSE: Residents currently log robotic cases in the ACGME system as a "surgeon" if they performed any critical step of the procedure on the surgeon console. There is no standardization as to which steps or how much of the procedure should be performed by the resident. It was our objective to establish a tool for logging the true operative experience in robotic surgery to aid in assessing surgical competency as well as curriculum development. MATERIALS AND METHODS: We propose a tool to log surgical skill progression, experience, and feedback for robotic cases...
June 28, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28656341/educational-implications-for-surgical-telementoring-a-current-review-with-recommendations-for-future-practice-policy-and-research
#8
K M Augestad, H Han, J Paige, T Ponsky, C M Schlachta, B Dunkin, J Mellinger
BACKGROUND: Surgical telementoring (ST) was introduced in the sixties, promoting videoconferencing to enhance surgical education across large distances. Widespread use of ST in the surgical community is lacking. Despite numerous surveys assessing ST, there remains a lack of high-level scientific evidence demonstrating its impact on mentorship and surgical education. Despite this, there is an ongoing paradigm shift involving remote presence technologies and their application to skill development and technique dissemination in the international surgical community...
June 27, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28647793/training-in-robotic-surgery-an-overview
#9
REVIEW
Ashwin N Sridhar, Tim P Briggs, John D Kelly, Senthil Nathan
PURPOSE OF REVIEW: There has been a rapid and widespread adoption of the robotic surgical system with a lag in the development of a comprehensive training and credentialing framework. A literature search on robotic surgical training techniques and benchmarks was conducted to provide an evidence-based road map for the development of a robotic surgical skills for the novice robotic surgeon. RECENT FINDINGS: A structured training curriculum is suggested incorporating evidence-based training techniques and benchmarks for progress...
August 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28634630/development-and-validation-of-a-tool-for-non-technical-skills-evaluation-in-robotic-surgery-the-icars-system
#10
Nicholas Raison, Thomas Wood, Oliver Brunckhorst, Takashige Abe, Talisa Ross, Ben Challacombe, Mohammed Shamim Khan, Giacomo Novara, Nicolo Buffi, Henk Van Der Poel, Craig McIlhenny, Prokar Dasgupta, Kamran Ahmed
BACKGROUND: Non-technical skills (NTS) are being increasingly recognised as vital for safe surgical practice. Numerous NTS rating systems have been developed to support effective training and assessment. Yet despite the additional challenges posed by robotic surgery, no NTS rating systems have been developed for this unique surgical environment. This study reports the development and validation of the first NTS behavioural rating system for robotic surgery. METHODS: A comprehensive index of all relevant NTS behaviours in robotic surgery was developed through observation of robotic theatre and interviews with robotic surgeons...
June 20, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28614638/development-and-validation-of-a-3d-printed-model-of-the-ostiomeatal-complex-and-frontal-sinus-for-endoscopic-sinus-surgery-training
#11
Abdulaziz S Alrasheed, Lily H P Nguyen, Luc Mongeau, W Robert J Funnell, Marc A Tewfik
BACKGROUND: Endoscopic sinus surgery poses unique training challenges due to complex and variable anatomy, and the risk of major complications. We sought to create and provide validity evidence for a novel 3D-printed simulator of the nose and paranasal sinuses. METHODS: Sinonasal computed tomography (CT) images of a patient were imported into 3D visualization software. Segmentation of bony and soft tissue structures was then performed. The model was printed using simulated bone and soft tissue materials...
June 14, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/28584869/development-of-the-competency-based-medical-curriculum-for-the-new-augsburg-university-medical-school
#12
Anja Härtl, Pascal Berberat, Martin R Fischer, Helmuth Forst, Stefanie Grützner, Thomas Händl, Felix Joachimski, Renate Linné, Bruno Märkl, Markus Naumann, Reinhard Putz, Werner Schneider, Claus Schöler, Markus Wehler, Reinhard Hoffmann
Aim: With the resolution from April 28, 2014, the Bavarian state government in Germany decided to found a new medical school at Augsburg University, thereby requiring the development of a competency-based medical curriculum. Methods: Two interdisciplinary groups developed a spiral curriculum (following Harden) employing the model of Thumser-Dauth & Öchsner. The curriculum focuses on specifically defined competencies: medical expertise, independent scientific reasoning, argumentation and scholarship, as well as communication skills...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/28578981/robotic-pancreatoduodenectomy-biotissue-curriculum-has-validity-and-improves-technical-performance-for-surgical-oncology-fellows
#13
Vernissia Tam, Mazen Zenati, Stephanie Novak, Yong Chen, Amer H Zureikat, Herbert J Zeh, Melissa E Hogg
OBJECTIVE: Obtaining the proficiency on the robotic platform necessary to safely perform a robotic pancreatoduodenectomy is particularly challenging. We hypothesize that by instituting a proficiency-based robotic training curriculum we can enhance novice surgeons' skills outside of the operating room, leading to a shorter learning curve. DESIGN: A biotissue curriculum was designed consisting of sewing artificial organs to simulate a hepaticojejunostomy (HJ), gastrojejunostomy (GJ), and pancreaticojejunostomy (PJ)...
June 1, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28567070/the-cutting-edge-training-modalities-and-educational-platforms-for-accredited-surgical-training-a-systematic-review
#14
REVIEW
Antonello Forgione, Salman Y Guraya
BACKGROUND: Historically, operating room (OR) has always been considered as a stand-alone trusted platform for surgical education and training. However, concerns about financial constraints, quality control, and patient safety have urged the surgical educators to develop more cost-effective, surgical educational platforms that can be employed outside the OR. Furthermore, trained surgeons need to regularly update their surgical skills to keep abreast with the emerging surgical technologies...
2017: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/28566217/integration-of-hands-on-team-training-into-existing-curriculum-improves-both-technical-and-nontechnical-skills-in-laparoscopic-cholecystectomy
#15
Robert C Caskey, Lily Owei, Raghavendra Rao, Elijah W Riddle, Ari D Brooks, Daniel T Dempsey, Jon B Morris, Christopher J Neylan, Noel N Williams, Kristoffel R Dumon
OBJECTIVE: Nontechnical skills are an essential component of surgical education and a major competency assessed by the ACGME milestones project. However, the optimal way to integrate nontechnical skills training into existing curricula and then objectively evaluate the outcome is still unknown. The aim of this study was to determine the effect laparoscopic team-based task training would have on the nontechnical skills needed for laparoscopic surgery. DESIGN: 9 PGY-1 residents underwent an established training curriculum for teaching the knowledge and technical skills involved in laparoscopic cholecystectomy...
May 26, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28566115/development-and-evaluation-of-an-endoscopic-surgery-course-for-medical-students
#16
Cecilia Nilsson, Flemming Bjerrum, Morten Stadeager, Bent Ottesen, Jette Led Sorensen
INTRODUCTION: Surgical training has changed with the introduction of endoscopic surgery. However, a gap in undergraduate medical training has become evident regarding theoretical principles of and basic skills training in endoscopic surgery. The objective of this study was to develop and evaluate a course in endoscopic surgery for medical students. METHODS: Kern's six-step approach in curriculum development was used. A course including interactive, faculty-led didactic sessions (14 hours, distributed over three days) and simulation-based basic skills training in endoscopic surgery (nine hours, distributed over four sessions) was developed...
June 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/28511894/incorporating-simulation-into-gynecologic-surgical%C3%A2-training
#17
REVIEW
Kyle Wohlrab, J Eric Jelovsek, Deborah Myers
Today's educational environment has made it more difficult to rely on the Halstedian model of "see one, do one, teach one" in gynecologic surgical training. There is decreased surgical volume, but an increased number of surgical modalities. Fortunately, surgical simulation has evolved to fill the educational void. Whether it is through skill generalization or skill transfer, surgical simulation has shifted learning from the operating room back to the classroom. This article explores the principles of surgical education and ways to introduce simulation as an adjunct to residency training...
May 13, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28507426/performance-of-high-school-students-in-a-laparoscopic-training-program
#18
Scott Furer, Sarah Alam, James Rosser
BACKGROUND AND OBJECTIVES: We hypothesized that high school students can be subjected to the same laparoscopic surgical training curriculum used by surgeons and successfully complete it. The goal of this study was to evaluate the appropriateness of early training in minimally invasive surgical techniques. METHODS: Thirteen high school students, ages 15-18, participated in the validated Top Gun Surgeon Laparoscopic Skills and Suturing program. The students performed 3 preparatory drills 10 times each...
April 2017: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/28505682/-implementation-of-a-laparoscopic-simulation-training-in-undergraduate-medical-education-the-l%C3%A3-beck-toolbox-curriculum
#19
Tilman Laubert, Michael Thomaschewski, Paul Auerswald, Markus Zimmermann, Linda Brüheim, Tobias Keck, Claudia Benecke
Background Simulation-based training has become increasingly relevant in minimally invasive surgery (MIS). It is unclear whether or not the established Lübeck Toolbox (LTB) Curriculum for the acquisition of basic MIS skills can be implemented to supplement standard undergraduate education in surgery and how it would be accepted. Materials und Methods Since 04/2015, students at the medical school of the University of Lübeck have had the option to complete the highly standardized and validated LTB Curriculum...
May 15, 2017: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/28501116/usefulness-of-virtual-reality-in-assessment-of-medical-student-laparoscopic-skill
#20
Josh Matzke, Craig Ziegler, Kevin Martin, Stuart Crawford, Erica Sutton
BACKGROUND: This study evaluates if undergraduate medical trainees' laparoscopic skills acquisition could be assessed using a virtual reality (VR) simulator and how the resultant metrics correlate with performance of Fundamentals of Laparoscopic Surgery (FLS) tasks. Our hypothesis is that the VR simulator metrics will correlate with passing results in a competency-based curriculum (FLS). MATERIALS AND METHODS: Twenty-eight fourth-year medical students applying for surgical residency were recruited to participate in a VR training curriculum comprised of camera navigation, hand eye coordination, and FLS tasks: circle cutting (CC), ligating loop (LL), peg transfer (PT), and intracorporeal knot tying (IKT)...
May 1, 2017: Journal of Surgical Research
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