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https://www.readbyqxmd.com/read/29911477/surgical-simulation-current-practices-and-future-perspectives-for-technical-skills-training
#1
Flemming Bjerrum, Ann Sofia Skou Thomsen, Leizl Joy Nayahangan, Lars Konge
Simulation-based training (SBT) has become a standard component of modern surgical education, yet successful implementation of evidence-based training programs remains challenging. In this narrative review, we use Kern's framework for curriculum development to describe where we are now and what lies ahead for SBT within surgery with a focus on technical skills in operative procedures. Despite principles for optimal SBT (proficiency-based, distributed, and deliberate practice) having been identified, massed training with fixed time intervals or a fixed number of repetitions is still being extensively used, and simulators are generally underutilized...
June 17, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29905604/the-resurge-global-training-program-a-model-for-surgical-training-and-capacity-building-in-global-reconstructive-surgery
#2
Gloria R Sue, Woodrow C Covington, James Chang
BACKGROUND: A paradigm shift is underway in the world of humanitarian global surgery to address the large unmet need for reconstructive surgical services in low- and middle-income countries (LMICs). Here, we discuss the ReSurge Global Training Program (RGTP), a model for surgical training and capacity building in reconstructive surgery in the developing world. The program includes an online reconstructive surgery curriculum, visiting educator trips, expert reconstructive surgeon involvement, trainee competency tracking system, and identification of local outreach partners to provide safe reconstructive surgery to the neediest of patients in the developing world...
June 13, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29881183/pre-course-cognitive-training-using-a-smartphone-application-in-orthopaedic-intern-surgical-skills-boot-camps
#3
Adam S Levin, Ikram U Haq, Dawn M LaPorte
Background: We evaluated a cognitive task analysis-based application, Touch Surgery. Methods: Orthopaedic surgery interns completed a simulated ankle open reduction and internal fixation and a lag screw fixation before starting the boot camp. Surveys were administered before the simulation and after the boot camp. Results: Fourteen of 19 interns completed the study. Ten interns thought the application improved their baseline understanding...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29868617/clinically-prepared-veterinary-students-enhancing-veterinary-student-hands-on-experiences-and-supporting-hospital-caseload-using-shelter-medicine-program
#4
Jacob M Shivley, Wilson C Brookshire, Philip A Bushby, Kimberly A Woodruff
Referral-level medicine is important in the veterinary curriculum, however veterinary students also need a solid base knowledge of clinically relevant, routine surgical and diagnostic skills to be clinically prepared after graduation. Exposure to a referral-only, or primarily referral caseload, does not always provide veterinary students with the routine hands-on experiences and competencies expected by the American Veterinary Medical Association Council on Education, the Royal College of Veterinary Surgeons, the Australian Veterinary Boards Council, or prospective employers...
2018: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/29847824/development-and-assessment-of-a-transoral-robotic-surgery-curriculum-to-train-otolaryngology-residents
#5
Joseph White, Arun Sharma
PURPOSE OF THE STUDY: (1) To develop a multifaceted didactic and hands-on curriculum to prepare otolaryngology residents to perform transoral robotic surgery (TORS) and safely transition to the operating room. (2) To assess the effectiveness of the TORS curriculum. PROCEDURES: Learning objectives were developed and a curriculum was formulated utilizing five unique modalities: focused didactic reading, online training modules, backpack console simulations, videos of TORS cases, and hands-on cadaveric dissections with the robotic surgical system in a simulated operating room...
May 30, 2018: ORL; Journal for Oto-rhino-laryngology and its related Specialties
https://www.readbyqxmd.com/read/29809040/enhancing-residents-compassionate-communication-to-family-members-a-family-systems-breaking-bad-news-simulation
#6
Jacqueline Williams-Reade, Elsie Lobo, Abel Arvizú Whittemore, Laura Parra, Joanne Baerg
INTRODUCTION: Surgical residents often need to break bad news (BBN) to patients and family members. While communication skills are a core competency in residency training, these specific skills are rarely formally taught. We piloted a simulation training to teach pediatric surgical residents how to compassionately BBN of an unexpected, traumatic pediatric death to surviving family members. This training was unique in that it was influenced by family systems theory and was a collaborative effort between our institution's surgery residency and medical family therapy (MedFT) programs...
May 28, 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29803772/long-term-skills-retention-following-a-randomized-prospective-trial-on-adaptive-procedural-training
#7
Adriana G Ramirez, Yinin Hu, Helen Kim, Sara K Rasmussen
OBJECTIVE: Cumulative sum (CuSum) is a real-time proficiency-monitoring tool adapted for simulation-based training. This study's objective was to investigate long-term outcomes of a double blinded, randomized control trial conducted with medical students assessing CuSum-guided curriculum against volume-based standards. The trial found a nearly 20% reduction in practice time to reach proficiency using the CuSum curriculum but long-term effects of decreased practice volume on proficiency is unknown...
May 23, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29784634/evaluation-of-app-based-serious-gaming-as-a-training-method-in-teaching-chest-tube-insertion-to-medical-students-randomized-controlled-trial
#8
Patrick Haubruck, Felix Nickel, Julian Ober, Tilman Walker, Christian Bergdolt, Mirco Friedrich, Beat Peter Müller-Stich, Franziska Forchheim, Christian Fischer, Gerhard Schmidmaier, Michael C Tanner
BACKGROUND: The insertion of a chest tube should be as quick and accurate as possible to maximize the benefit and minimize possible complications for the patient. Therefore, comprehensive training and assessment before an emergency situation are essential for proficiency in chest tube insertion. Serious games have become more prevalent in surgical training because they enable students to study and train a procedure independently, and errors made have no effect on patients. However, up-to-date evidence regarding the effect of serious games on performance in procedures in emergency medicine remains scarce...
May 21, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29764631/introduction-to-surgical-and-perioperative-clinical-pharmacy-for-third-year-pharmacy-students-a-pilot-study-of-an-elective-course
#9
Eric G Johnson, Douglas R Oyler
INTRODUCTION: The objective of this study was to implement and assess an elective course that exposes pharmacy students to clinical pharmacy in the surgical and perioperative setting. METHODS: A blended-design elective that included synchronous and asynchronous learning was developed and offered to third-year pharmacy students. Students' knowledge and perception regarding clinical topics in perioperative pharmacy was assessed using pre- and post-course assessments, online quizzes, a journal club, and course assignments...
March 2018: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29712603/effectiveness-of-an-early-ultrasound-training-curriculum-for-general-surgery-residents
#10
Motahar Hosseini, Astha Bhatt, Gopal C Kowdley
Ultrasound (US) is fast becoming an extension of the physical examination in most surgical settings. Unfortunately, few residency programs offer a formal US training curriculum to their general surgical residents. This study aimed to assess the efficacy of a formal US training module for general surgery residents. We studied the degree of improvement observed between junior and senior residents. A training-based study was conducted to evaluate baseline knowledge and skills. Subsequently, a formal didactic and practical training program for our surgery residents was instituted...
April 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29674109/mixed-method-evaluation-of-a-cadaver-dissection-course-for-general-surgery-interns-an-innovative-approach-for-filling-the-gap-between-gross-anatomy-and-the-operating-room
#11
Yen-Yi Juo, Christina Hanna, Quach Chi, Grace Chang, Warwick J Peacock, Areti Tillou, Catherine E Lewis
OBJECTIVE: To evaluate an innovative whole cadaver dissection curriculum designed to focus on teaching procedure-relevant anatomy and surgical skills to surgery interns. DESIGN: A mixed methods explanatory sequential design incorporating both quantitative and qualitative evaluations was used to evaluate the cadaver dissection course. Quantitative data were prospectively collected and retrospectively reviewed in order to compare anatomy knowledge and operative skills before and after the course...
April 16, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29661064/experience-and-confidence-of-final-year-veterinary-students-in-performing-desexing-surgeries
#12
M C Gates, T F Odom, R K Sawicki
AIMS: To describe the level of experience and confidence of veterinary students in performing canine and feline desexing procedures at the end of their final clinical year. METHOD: A cross-sectional survey was conducted with veterinary students at Massey University in November 2017 after completion of their final clinical year. The questions included career plans after graduation, number of assisted and unassisted desexing procedures performed, approximate time to complete desexing surgeries, level of confidence with different aspects of desexing surgeries, what aspects of their desexing surgery training were most helpful, and what could be done to improve training in desexing surgical skills in veterinary school...
July 2018: New Zealand Veterinary Journal
https://www.readbyqxmd.com/read/29650503/instructional-video-and-medical-student-surgical-knot-tying-proficiency-randomized-controlled-trial
#13
Katarzyna Bochenska, Magdy P Milad, John Ol DeLancey, Christina Lewicky-Gaupp
BACKGROUND: Many senior medical students lack simple surgical and procedural skills such as knot tying. OBJECTIVE: The aim of this study was to determine whether viewing a Web-based expert knot-tying training video, in addition to the standard third-year medical student curriculum, will result in more proficient surgical knot tying. METHODS: At the start of their obstetrics and gynecology clerkship, 45 students were videotaped tying surgical knots for 2 minutes using a board model...
April 12, 2018: JMIR Medical Education
https://www.readbyqxmd.com/read/29629066/the-challenges-of-clinical-education-in-a-baccalaureate-surgical-technology-students-in-iran-a-qualitative-study
#14
Roghayeh Zardosht, Hossein Karimi Moonaghi, Mohammad Etezad Razavi, Soleiman Ahmady
Background: Clinical education is an integral part of the surgical technology curriculum, in which students combine and integrate knowledge, skills, attitudes, values and philosophies of the profession. It is difficult to learn and adapt to different types of skills and roles in the operating room environment. Objective: This qualitative study examines the difference between the clinical education of Surgical Technology and other clinical settings, and the challenges faced by students in the field, within the course...
February 2018: Electronic Physician
https://www.readbyqxmd.com/read/29605027/determining-the-educational-value-of-a-technical-and-nontechnical-skills-medical-student-curriculum
#15
Edward S Shipper, Sarah E Miller, Brittany N Hasty, Monica M De La Cruz, Sylvia Bereknyei Merrell, Dana T Lin, James N Lau
BACKGROUND: Residency application rates to general surgery remain low. The purpose of this study is to describe the educational value of a curriculum designed to increase preclinical medical student interest in surgical careers to better understand the process by which medical students decide to pursue a career in surgery. MATERIALS AND METHODS: We used qualitative methodology to describe the educational value of a technical and nontechnical skills curriculum offered to preclinical medical students at our institution...
May 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29603003/validity-evidence-for-procedural-competency-in-virtual-reality-robotic-simulation-establishing-a-credible-pass-fail-standard-for-the-vaginal-cuff-closure-procedure
#16
Lisette Hvid Hovgaard, Steven Arild Wuyts Andersen, Lars Konge, Torur Dalsgaard, Christian Rifbjerg Larsen
BACKGROUND: The use of robotic surgery for minimally invasive procedures has increased considerably over the last decade. Robotic surgery has potential advantages compared to laparoscopic surgery but also requires new skills. Using virtual reality (VR) simulation to facilitate the acquisition of these new skills could potentially benefit training of robotic surgical skills and also be a crucial step in developing a robotic surgical training curriculum. The study's objective was to establish validity evidence for a simulation-based test for procedural competency for the vaginal cuff closure procedure that can be used in a future simulation-based, mastery learning training curriculum...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29600241/a-standardized-needs-assessment-tool-to-inform-the-curriculum-development-process-for-pediatric-resuscitation-simulation-based-education-in-resource-limited-settings
#17
Nicole Shilkofski, Amanda Crichlow, Julie Rice, Leslie Cope, Ye Myint Kyaw, Thazin Mon, Sarah Kiguli, Julianna Jung
Introduction: Under five mortality rates (UFMR) remain high for children in low- and middle-income countries (LMICs) in the developing world. Education for practitioners in these environments is a key factor to improve outcomes that will address United Nations Sustainable Development Goals 3 and 10 (good health and well being and reduced inequalities). In order to appropriately contextualize a curriculum using simulation, it is necessary to first conduct a needs assessment of the target learner population...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29581688/introducing-in-vivo-dissection-modules-for-undergraduate-level-trainees-what-is-the-actual-benefit-and-how-could-we-make-it-more-efficient
#18
Michail Sideris, Apostolos Papalois, Korina Theodoraki, Georgios Paparoidamis, Nikolaos Staikoglou, Ismini Tsagkaraki, Efstratios Koletsis, Panagiotis Dedeilias, Nikolaos Lymperopoulos, Konstantinos Imprialos, Savvas Papagrigoriadis, Vassilios Papalois, Georgios Zografos, Georgios Tsoulfas
Essential Skills in the Management of Surgical Cases (ESMSC) is an international wet lab simulation course aimed at undergraduate students. It combines basic science workshops, case-based lectures and ex vivo skills modules, as well as in vivo dissections using a swine model. This study aims to evaluate the effectiveness of high-fidelity In Vivo Simulation-Based Learning for undergraduate level trainees. Also our goal was to compare the skill-based performance of final year students vs. more junior-level ones...
February 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29573429/assessing-nontechnical-skills-in-otolaryngology-emergencies-through-simulation-based-training
#19
Kitty Y Wu, Stephanie Kim, Kevin Fung, Kathryn Roth
OBJECTIVE: Nontechnical skills (NTS) are essential to emergency crisis management. Due to the rarity of true emergencies, they are challenging to teach and assess within a competency-based curriculum. Our purpose is to evaluate the utility of the Non-Technical Skills in Surgery (NOTSS) scale in NTS assessment in simulated otolaryngology and head and neck surgery (OTO-HNS) emergencies and identify common challenges that residents encounter. METHODS: Mixed methods analysis of 15 junior OTO-HNS resident teams in four simulated emergency scenarios...
March 24, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29559262/integration-of-simulation-components-enhances-team-training-in-cardiac-surgery
#20
David L Joyce, Brian D Lahr, Simon Maltais, Sameh M Said, John M Stulak, Gregory A Nuttall, Lyle D Joyce
OBJECTIVES: Simulation in resident medical education has traditionally focused on isolated components of a surgical procedure. We hypothesized that incorporating an interdisciplinary team into a high-fidelity simulation laboratory would enhance the modeling of real-world challenges during cardiac surgery. METHODS: Simulation exercises were performed with staffing by surgeons, anesthesiologists, perfusionists, surgical assistants, and operating room technicians. Twelve accredited cardiothoracic surgical residents were divided into 3 teams...
June 2018: Journal of Thoracic and Cardiovascular Surgery
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