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https://www.readbyqxmd.com/read/29442242/fuse-certification-enhances-performance-on-a-virtual-computer-based-simulator-for-dispersive-electrode-placement
#1
Michael Dombek, Carlos A Lopez, Zhongqing Han, Alyssa Lungarini, Nicole Santos, Steven Schwaitzberg, Caroline Cao, Daniel B Jones, Suvranu De, Jaisa Olasky
BACKGROUND: The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has developed the fundamental use of surgical energy (FUSE) didactic curriculum in order to further understanding of the safe use of surgical energy. The virtual electrosurgical skill trainer (VEST) is being developed as a complementary simulation-based curriculum, with several modules already existing. Subsequently, a new VEST module has been developed about dispersive electrode placement. The purpose of this study is to assess knowledge about dispersive electrode placement in surgeons and surgical trainees in addition to describing a new VEST module...
February 13, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29435758/laptrain-multi-modality-training-curriculum-for-laparoscopic-cholecystectomy-results-of-a-randomized-controlled-trial
#2
K F Kowalewski, C R Garrow, T Proctor, A A Preukschas, M Friedrich, P C Müller, H G Kenngott, L Fischer, B P Müller-Stich, F Nickel
BACKGROUND: Multiple training modalities for laparoscopy have different advantages, but little research has been conducted on the benefit of a training program that includes multiple different training methods compared to one method only. This study aimed to evaluate benefits of a combined multi-modality training program for surgical residents. METHODS: Laparoscopic cholecystectomy (LC) was performed on a porcine liver as the pre-test. Randomization was stratified for experience to the multi-modality Training group (12 h of training on Virtual Reality (VR) and box trainer) or Control group (no training)...
February 12, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29417393/introductory-tors-training-in-an-otolaryngology-residency-program
#3
Judd H Fastenberg, Marc J Gibber, Richard V Smith
Transoral robotic surgery (TORS) is becoming an integral part of the otolaryngology resident experience. While there is widespread agreement that a formal, validated curriculum for TORS training is needed for residents, none presently exists. The primary objective of this study is to evaluate an introductory resident curriculum for TORS training that could be easily adopted at other institutions. This is a prospective study of otolaryngology residents (PGY1-5) in an academic medical center from 2015 to 2016...
February 7, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29408606/mandatory-completion-of-a-box-trainer-curriculum-prior-to-laparoscopic-apprenticeship-in-the-or-for-surgical-residents-a-before-and-after-study
#4
P Crochet, A Schmitt, C Rambeaud, J P Estrade, G Karsenty, A Torre, A Agostini
INTRODUCTION: Training on laparoscopic box trainer (BT) improves surgical skills in the operating room (OR). Despite a large consensus on the educational value of the BT, its use is currently left up to local initiatives among French residency programs. This study evaluated the impact of a requirement to complete the Fundamentals of Laparoscopic Surgery (FLS) curriculum before starting companionship in the OR. METHODS: This was a 'Before and After' study conducted in two French academic hospitals in 2015-2017...
February 1, 2018: Journal of Gynecology Obstetrics and Human Reproduction
https://www.readbyqxmd.com/read/29407304/six-national-university-consortium-in-liver-transplant-professionals-training-snuc-lt-program-in-japan
#5
K Takagi, K Miura, S Nakanuma, S Sakamoto, H Yamamoto, T Yagi, S Eguchi, T Ohta, T Wakai, M Ohtsuka, S Uemoto, M Kasahara, Y Inomata
BACKGROUND: There has been no public structured training program for transplant surgeons in Japan. However, such a program is crucial for optimizing liver transplant surgery and training young professionals in liver transplant surgery. A comprehensive training program was recently developed and the underlying concepts, structure and curriculum, and results of this program are described here. METHODS: We developed a 3-year training program in 2014 called the Six National University Consortium in Liver Transplant Professionals Training (SNUC-LT) program supported by the Ministry of Education, Culture, Sports, Science, and Technology...
January 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29397357/using-technological-advances-to-improve-surgery-curriculum-experience-with-a-mobile-application
#6
Courtney A Green, Edward H Kim, Patricia S O'Sullivan, Hueylan Chern
OBJECTIVE: Our previous home-video basic surgical skills curriculum required substantial faculty time and resources, and was limited by delayed feedback and technical difficulties. Consequently, we integrated that curriculum with a mobile application platform. Our purpose is to describe this application and learner satisfaction. MATERIALS AND METHODS: The mobile platform incorporates a patented pedagogical design based on Ericsson's deliberate practice and Bandura's social learning theory...
January 31, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29326127/skill-sets-required-for-the-management-of-military-head-face-and-neck-trauma-a-multidisciplinary-consensus-statement
#7
John Breeze, R Blanch, J Baden, A M Monaghan, D Evriviades, S E Harrisson, S Roberts, A Gibson, N MacKenzie, D Baxter, A J Gibbons, S Heppell, J G Combes, R F Rickard
INTRODUCTION: The evolution of medical practice is resulting in increasing subspecialisation, with head, face and neck (HFN) trauma in a civilian environment usually managed by a combination of surgical specialties working as a team. However, the full combination of HFN specialties commonly available in the NHS may not be available in future UK military-led operations, necessitating the identification of a group of skill sets that could be delivered by one or more deployed surgeons. METHOD: A systematic review was undertaken to identify those surgical procedures performed to treat acute military head, face, neck and eye trauma...
January 10, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29323794/skills-transfer-to-sinus-surgery-via-a-low-cost-simulation-based-curriculum
#8
R Alex Harbison, Jennifer Dunlap, Ian M Humphreys, Greg E Davis
BACKGROUND: Surgical skill development outside the operating room aims to improve technique and subsequent patient safety. The purpose of this study was to evaluate the correlation between technical and cognitive skills with cadaveric endoscopic sinus surgery (ESS) performance and change in ESS performance before and after implementation of a dedicated ESS simulation-based and knowledge-based curriculum. METHODS: A before-after study design was implemented among 10 medical students and 10 junior otolaryngology residents...
January 11, 2018: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/29313124/development-of-a-train-to-proficiency-curriculum-for-the-technical-skills-component-of-the-fundamentals-of-endoscopic-surgery-exam
#9
Susan Gearhart, Michael Marohn, Saowanee Ngamruengphong, Gina Adrales, Oluwafemi Owodunni, Kim Duncan, Emil Petrusa, Pamela Lipsett
BACKGROUND: The demonstration of competency in endoscopy is required prior to obtaining American Board of Surgery Certification. To demonstrate competency, the resident must pass a national high-stakes cognitive test and a technical skills exam on a virtual reality simulator. The purpose of this preliminary study was to design a proficiency-based endoscopy simulation curriculum to meet this competency requirement. METHODS: This is a mixed methods prospective cohort study at a single academic medical institution...
January 8, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29306578/utility-of-a-standardized-fourth-year-medical-student-surgical-preparatory-curriculum-program-director-perceptions
#10
Melissa K Stewart, Rebecca C Henry, Jesse M Ehrenfeld, Kyla P Terhune
OBJECTIVE: Each July, surgical interns arrive to residency with variable skills, knowledge, and clinical experience. To standardize and improve intern preparation, the American College of Surgeons (ACS), Association of Program Directors in Surgery, and Association for Surgical Education developed a pilot Resident Prep Curriculum (RPC). To date, no studies have analyzed these efforts. We aimed to discern program director (PD) perceptions of RPC participants as an initial means of analysis...
January 3, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29304194/the-montreal-augmentation-mammoplasty-operation-mamo-simulator-an-alternative-method-to-train-and-assess-competence-in-breast-augmentation-procedures
#11
Roy Kazan, Alex Viezel-Mathieu, Shantale Cyr, Thomas M Hemmerling, Mirko S Gilardino
Background: Surgical residents' exposure to aesthetic procedures remains limited in residency training. The development of the Montreal Augmentation Mammoplasty Operation (MAMO) simulator aims to provide an adjunctive training method and assessment tool to complement the evolving competency-based surgical curriculum. Objectives: To perform face, content and construct validations of the MAMO simulator for subpectoral breast augmentation procedures and assess the reliability of the assessment scales used...
January 3, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29301735/integrating-patient-centered-electronic-health-record-communication-training-into-resident-onboarding-curriculum-development-and-post-implementation-survey-among-housestaff
#12
Maria Alcocer Alkureishi, Wei Wei Lee, Sandra Webb, Vineet Arora
BACKGROUND: Electronic health record (EHR) use can enhance or undermine the ability of providers to deliver effective, humanistic patient-centered care. Given patient-centered care has been found to positively impact patient health outcomes, it is critical to provide formal education on patient-centered EHR communication skills. Unfortunately, despite increasing worldwide EHR adoption, few institutions educate trainees on EHR communication best practices. OBJECTIVE: The goal of this research was to develop and deliver mandatory patient-centered EHR training to all incoming housestaff at the University of Chicago...
January 4, 2018: JMIR Medical Education
https://www.readbyqxmd.com/read/29291178/a-competency-based-simulation-curriculum-for-surgical-resident-trauma-resuscitation-skills
#13
Matthew L Moorman, Tony R Capizzani, Michelle A Feliciano, Judith C French
Background: Evidence-based curricula for nonprocedural simulation training in general surgery are lacking. Residency programs are required to implement simulation training despite this shortcoming. The goal of this project was the development of a simulation curriculum that measurably improves milestone performance and replaces traditional experienced-based training with a competency-based model. Materials and Methods: SimMan 3G® (Laerdal Medical, Wappingers Falls, NY, USA) was utilized for simulation...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29288789/see-do-teach-a-review-of-contemporary-literature-and-call-to-action-for-communication-skills-teaching-in-urology
#14
Kathleen Kieran, Norman M Jensen, Marcy Rosenbaum
OBJECTIVE: To assess the current state of published literature on communication skill teaching in urology in order to inform future directions for research and teaching. Excellent patient-physician communication skills increase understanding of medical conditions, facilitate shared decision making regarding treatment planning, improve clinical outcomes, and decrease lawsuits. Surgical and procedure-based subspecialties, including urology, have generally been slow to incorporate formal communication skill teaching into curricula for postgraduate trainees...
December 27, 2017: Urology
https://www.readbyqxmd.com/read/29246590/developing-a-national-simulation-based-surgical-skills-bootcamp-in-general-thoracic-surgery
#15
Colin Schieman, Hideki Ujiie, Laura Donahoe, Waël Hanna, Richard Malthaner, Simon Turner, Kasia Czarnecka, Kazuhiro Yasufuku
BACKGROUND: The use surgical simulation across all subspecialties has gained widespread adoption in the last decade. A number of factors, including the small number of trainees, identified gaps in surgical skill training from cross-sectional surveys, increased national collaboration, and support from the national specialty committee identified a need to construct a surgical skills "bootcamp" in thoracic surgery in Canada. OBJECTIVE: The goals of the surgical skills bootcamp, as identified by the residency training program directors and the national specialty committee were to create a national, centralized, simulation-based skills workshop that focused on key foundational procedures within thoracic surgery, particularly those identified as areas of weakness by former residents; to smooth the transition to intraoperative teaching; to provide exposure to important but not necessarily universally available procedures such as advanced endoscopy; to teach non-medical expert competencies, and lastly to provide a venue for networking for residents across the country...
December 12, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29229134/animal-models-in-plastic-and-reconstructive-surgery-simulation-a-review
#16
REVIEW
Charles Yuen Yung Loh, Aline Yen Ling Wang, Vincent Tze Yang Tiong, Thanassi Athanassopoulos, Meiling Loh, Philip Lim, Huang-Kai Kao
BACKGROUND: The use of live and cadaveric animal models in surgical training is well established as a means of teaching and improving surgical skill in a controlled setting. We aim to review, evaluate, and summarize the models published in the literature that are applicable to Plastic Surgery training. MATERIALS AND METHODS: A PubMed search for keywords relating to animal models in Plastic Surgery and the associated procedures was conducted. Animal models that had cross over between specialties such as microsurgery with Neurosurgery and pinnaplasty with ear, nose, and throat surgery were included as they were deemed to be relevant to our training curriculum...
January 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29214515/robotic-skills-can-be-aided-by-laparoscopic-training
#17
Daniel G Davila, Melissa C Helm, Matthew J Frelich, Jon C Gould, Matthew I Goldblatt
BACKGROUND: General Surgery is currently the fastest growing specialty with regards to robotic surgical system utilization. Contrary to the experience in laparoscopy, simulator training for robotic surgery is not widely employed partly because robotic surgical simulators are expensive. We sought to determine the effect of a robotic simulation curriculum and whether robotic surgical skills could be derived from those psychomotor skills attained in laparoscopic training. METHODS: Twenty-seven trainees with no prior robotic experience and limited laparoscopy exposure were randomly assigned to one of three training groups: no simulator training, training on a fundamentals of laparoscopic surgery (FLS™) standard box trainer, and training on a robotic computer based simulator (da Vinci Skills Simulator™)...
December 6, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29176812/generation-y-and-surgical-residency-passing-the-baton-or-the-end-of-the-world-as-we-know-it-results-from-a-survey-among-medical-students-in-germany
#18
Robert Kleinert, Claudia Fuchs, Vanessa Romotzky, Laura Knepper, Marie-Luise Wasilewski, Wolfgang Schröder, Christiane Bruns, Christiane Woopen, Jessica Leers
INTRODUCTION: The current student generation have their own expectations toward professional life and pay particular attention to their work-life balance. Less interest in work-intensive specialties leads to a shortage of skilled candidates especially in surgery. In order to motivate students into a surgical residency, new priorities become important. A deeper understanding of the underlying arguments and students' expectations towards a surgical training are necessary to counteract a future shortage of specialized surgeons...
2017: PloS One
https://www.readbyqxmd.com/read/29175058/instituting-ultrasound-guided-fna-for-thyroid-nodules-into-a-general-surgery-residency-program-what-we-learned
#19
James R Davis, Allyson L Hale, Joseph A Ewing, Jonathan S Lokey
BACKGROUND: Evaluation of a thyroid nodule is a common referral seen by surgeons and frequently requires ultrasound-guided fine needle aspiration (US-guided FNA). While surgical residents may have sufficient exposure to thyroid surgery, many lack exposure to office-based procedures, such as US-guided FNA. General surgery residents should be provided with knowledge and practical skills in the application of diagnostic and interventional neck ultrasound to manage the common workup of a thyroid nodule...
November 22, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29174164/resident-attitudes-and-compliance-towards-robotic-surgical-training
#20
Vernissia Tam, Waseem Lutfi, Stephanie Novak, Ahmad Hamad, Kenneth K Lee, Amer H Zureikat, Herbert J Zeh, Melissa E Hogg
BACKGROUND: Adoption of robotics in general surgery has expanded but there is no mandatory national standardized curriculum for general surgery residents (GSR). METHODS: A survey was administered to all GSRs in 2014 addressing future practice and robotic experience. A non-mandatory robotic curriculum was available for residents to train. Compliance was assessed. In 2016, the same survey was re-administered. Barriers to completing the curriculum were identified. RESULTS: Interest in improving robotic skills remained high (2014 = 97...
November 14, 2017: American Journal of Surgery
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