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surgical skills curriculum

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https://www.readbyqxmd.com/read/28993121/evaluating-surgical-residents-patient-centered-communication-skills-practical-alternatives-to-the-apprenticeship-model
#1
Anna Newcomb, Amber W Trickey, Elena Lita, Jonathan Dort
OBJECTIVES: The Accreditation Council for Graduate Medical Education (ACGME) requires residency programs to assess communication skills and provide feedback to residents. We aimed to develop a feasible data collection process that generates objective clinical performance information to guide training activities, inform ACGME milestone evaluations, and validate assessment instruments. DESIGN: Residents care for patients in the surgical clinic and in the hospital, and participate in a communication curriculum providing practice with standardized patients (SPs)...
October 6, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28990691/comparison-of-2-training-programs-for-basic-laparoscopic-skills-and-simulated-surgery-performance-in-veterinary-students
#2
Chi-Ya Chen, Claude A Ragle, Rachael Lencioni, Boel A Fransson
OBJECTIVE: To compare the effects of 2 training curricula on laparoscopic skills and performance of simulated surgery in veterinary students. STUDY DESIGN: Prospective study. SAMPLE POPULATION: Veterinary students (n = 33) with no prior hands-on experience in minimally invasive surgery. METHODS: Basic laparoscopic skills (BLS) were assessed based on 5 modified McGill inanimate system for training and evaluation of laparoscopic skills...
October 9, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/28989010/global-health-education-for-medical-students-when-learning-objectives-include-research
#3
Alison M Bales, Anthony R Oddo, David J Dennis, Robert C Siska, Echo VanderWal, Harry VanderWal, Nompumelelo Dlamini, Ronald J Markert, Mary C McCarthy
BACKGROUND: The Luke Commission, a provider of comprehensive mobile health outreach in rural Swaziland, focuses on human immunodeficiency virus testing and prevention, including the performance of over 100 circumcisions weekly. Educational objectives for medical student global health electives are essential. Learning research methodology while engaging in clinical activities reinforces curriculum goals. Medical care databases can produce clinically significant findings affecting international health policy...
October 5, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28989009/the-surgery-innovation-and-entrepreneurship-development-program-siedp-an-experiential-learning-program-for-surgery-faculty-to-ideate-and-implement-innovations-in-health-care
#4
Jonathan Servoss, Connie Chang, David Olson, Kevin R Ward, Michael W Mulholland, Mark S Cohen
OBJECTIVE: Surgeons are continually engaged in the incorporation of new technologies in their practice. In the operating room and beyond, they combine technical skill with creative problem solving to improve tools and techniques for patient care, making them natural innovators. However, despite their innovative tendencies, education on entrepreneurship and commercialization is severely lacking. Moreover, with increasing pressure to meet productivity metrics, their availability to learn the complexities of commercialization is limited...
October 5, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28988956/instituting-a-surgical-skills-competition-increases-technical-performance-of-surgical-clerkship-students-over-time
#5
Harold J Leraas, Morgan L Cox, Victoria A Bendersky, Shanna S Sprinkle, Brian F Gilmore, Rathnayaka M Gunasingha, Elisabeth T Tracy, Ranjan Sudan
INTRODUCTION: Surgical skills training varies greatly between institutions and is often left to students to approach independently. Although many studies have examined single interventions of skills training, no data currently exists about the implementation of surgical skills assessment as a component of the medical student surgical curriculum. We created a technical skills competition and evaluated its effect on student surgical skill development. METHODS: Second-year medical students enrolled in the surgery clerkship voluntarily participated in a surgical skills competition consisting of knot tying, laparoscopic peg transfer, and laparoscopic pattern cut...
October 4, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28974429/the-validation-of-a-novel-robot-assisted-radical-prostatectomy-virtual-reality-module
#6
Patrick Harrison, Nicholas Raison, Takashige Abe, William Watkinson, Faizan Dar, Ben Challacombe, Henk Van Der Poel, Muhammad Shamim Khan, Prokar Dasgupa, Kamran Ahmed
OBJECTIVE: To perform the first validation of a full procedural virtual reality robotic training module and analysis of novice surgeon's learning curves. DESIGN: Participants completed the bladder neck dissection task and urethrovesical anastomosis task (UVA) as part of the prostatectomy module. Surgeons completed feedback questionnaires assessing the realism, content, acceptability and feasibility of the module. Novice surgeons completed a 5.5-hour training programme using both tasks...
September 30, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28967423/implementation-of-a-novel-portfolio-of-structured-curriculum-aligned-simulation-based-cardiothoracic-surgery-training-courses-evolving-the-delivery-of-surgical-education
#7
Narain Moorjani, Michael Lewis, Rajesh Shah, Sion Barnard, Tim Graham, Sridhar Rathinam
OBJECTIVE: The provision of high-quality cardiothoracic surgical training faces many challenges. This has generated an increased interest in simulation-based learning, which can provide a less stressful environment for deliberate practice. We developed a comprehensive, structured program of knowledge and simulation-based learning aligned to the official cardiothoracic surgery curriculum. METHODS: A portfolio of 10 curriculum-aligned training courses was designed for cardiothoracic surgical trainees during their 6-year training program...
August 24, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28956165/towards-standardized-robotic-surgery-in-gastrointestinal-oncology
#8
REVIEW
Lawrence M Knab, Amer H Zureikat, Herbert J Zeh, Melissa E Hogg
PURPOSE: Minimally invasive techniques have revolutionized the field of surgery over the past several decades. Specifically, robotic surgery is increasingly being used for complex operations, although the appreciable learning curve required to become proficient has deterred many surgeons. We describe how use of a proficiency-based training program can decrease the learning curve and lead to standardized robotic surgery. METHODS: The steps of a proficiency-based robotic training program are described, including (1) a proficiency-based virtual reality simulation curriculum, (2) an inanimate biotissue curriculum, (3) a video library training, (4) intraoperative evaluation, and (5) skill maintenance with ongoing assessment...
September 27, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28941765/a-review-of-teaching-methods-and-outcomes-of-resident-phacoemulsification
#9
Kevin Kaplowitz, Mohammad Yazdanie, Azin Abazari
Cataract surgery with phacoemulsification is a challenging procedure for surgeons in training to learn to perform safely, efficiently, and effectively. We review the auxiliary learning tools outside the operating room that residency programs have incorporated into their curriculum to improve surgical skills, including wet lab and surgical simulators. We then discuss different methods of teaching cataract surgery in the operating room. Our goal is to define a learning curve for cataract surgery. We demonstrate that complication rates decline significantly after a resident performs an average of 70 cases...
September 20, 2017: Survey of Ophthalmology
https://www.readbyqxmd.com/read/28918007/the-effect-of-visual-spatial-ability-on-the-learning-of-robot-assisted-surgical-skills
#10
Takashige Abe, Nicholas Raison, Nobuo Shinohara, M Shamim Khan, Kamran Ahmed, Prokar Dasgupta
BACKGROUND: The aim of this study was to determine the correlation of visual-spatial ability with progression along the learning curve for robotic surgical skills training. METHODS: A total of 21 novice participants were recruited. All participants completed a training program consisting of 5 training sessions of 30 minutes of virtual reality (VR) simulation and 30 minutes of dry laboratory training. The VR simulation part was the subject of the present study. During VR simulation training, participants performed the basic skill exercises of Camera Targeting 1, Pick and Place, and Peg Board 1 followed by advanced skill exercises of Suture Sponge 1 and Thread the Rings...
September 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28913597/trauma-leagues-a-novel-option-to-attract-medical-students-to-a-surgical-career
#11
Romeo Lages Simões, Alcir Escocia Dorigatti, Henrique José Virgili Silveira, Thiago Rodrigues Araujo Calderan, Sandro Rizoli, Gustavo Pereira Fraga
BACKGROUND: In Brazil, most medical schools do not offer trauma surgery in their undergraduate curriculum. The Trauma Leagues arose in Brazil as an important promoter of trauma education and stimulated activities related to surgical skills and practices. In recent decades, studies have demonstrated that the number of surgical residency applicants has decreased worldwide. Strategies to motivate medical students to choose surgery are needed. OBJECTIVE: To evaluate the impact of participation in the Unicamp Trauma League (UTL) during a 20-year period in the choice for a surgical career...
September 14, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28885872/teaching-tip-simulated-tumors-as-an-aid-to-teaching-principles-of-surgical-oncology
#12
Christopher Tan, Rachel Basa, Peter Bennett, Neil Hannan, William R Walsh, Christopher Bellenger
Tumors of the skin and subcutaneous tissues are an important cause of morbidity and mortality in small animals. In many cases, surgical excision is an essential component of successful therapy and it should be performed in a specific way based on the type and grade of the tumor. Students require adequate training to develop both clinical decision-making skills and technical surgical skills, which we believe contribute to optimal clinical results. We have developed an inexpensive and simple technique that aims to replicate a naturally occurring subcutaneous tumor and allows trainees to plan and perform three common surgical procedures: incisional biopsy, marginal excision, and wide surgical excision...
September 8, 2017: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/28864265/effect-of-continuous-motion-parameter-feedback-on-laparoscopic-simulation-training-a-prospective-randomized-controlled-trial-on-skill-acquisition-and-retention
#13
Julian Frederik Buescher, Anne-Sophie Mehdorn, Philipp-Alexander Neumann, Felix Becker, Ann-Kathrin Eichelmann, Ulrich Pankratius, Ralf Bahde, Daniel Foell, Norbert Senninger, Emile Rijcken
OBJECTIVE: To investigate the effect of motion parameter feedback on laparoscopic basic skill acquisition and retention during a standardized box training curriculum. DESIGN: A Lap-X Hybrid laparoscopic simulator was designed to provide individual and continuous motion parameter feedback in a dry box trainer setting. In a prospective controlled trial, surgical novices were randomized into 2 groups (regular box group, n = 18, and Hybrid group, n = 18) to undergo an identical 5-day training program...
August 29, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28862111/how-can-we-improve-education-of-breast-surgeons-across-europe
#14
Agnieszka Kolacinska
The proposed global curriculum developed by the American Society of Surgical Oncology (SSO) and the European Society of Surgical Oncology (ESSO) and the textbook: provides a state-of- the- art of breast cancer surgery, complements the syllabus and curriculum of the Union Europeenne des Medecins Specialistes (UEMS) examination in breast surgery/ European Board of Surgery Qualification in Breast Surgery (EBSQinBS) administered by ESSO (1) Knowledge and understanding of the principles of breast cancer incidence, aetiology, risk factors, genetics, premalignant and high-risk lesions, pathology, prognostic and predictive factors, risk prediction models, screening, diagnosis and imaging, breast cancer, oncoplastic, reconstructive breast surgery, axillary surgery and future perspective for this, radiation therapy, neoadjuvant and adjuvant systemic treatment- endocrine-, immuno- and chemotherapy, side effects and toxicities of treatment, locoregional recurrence, follow-up, locally advanced breast cancer, metastatic breast cancer, breast cancer in young and elderly patients, survivor issues, lymphedema, palliative care, chroni pain, body image and sexuality, fertility issues, cognitive functions, etc...
July 2017: Chirurgia
https://www.readbyqxmd.com/read/28827182/surgical-practical-skills-learning-curriculum-implementation-and-interns-confidence-perceptions
#15
Danilo Acosta, Manuel Castillo-Angeles, Alejandro Garces-Descovich, Ammara A Watkins, Alok Gupta, Jonathan F Critchlow, Tara S Kent
OBJECTIVE: To provide an overview of the practical skills learning curriculum and assess its effects over time on the surgical interns' perceptions of their technical skills, patient management, administrative tasks, and knowledge. DESIGN: An 84-hour practical skills curriculum composed of didactic, simulation, and practical sessions was implemented during the 2015 to 2016 academic year for general surgery interns. Totally, 40% of the sessions were held during orientation, whereas the remainder sessions were held throughout the academic year...
August 18, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28822819/-reflection-before-practice-improves-self-assessment-and-end-performance-in-laparoscopic-surgical-skills-training
#16
Sandeep Ganni, Sanne M B I Botden, Dennis P Schaap, Bas H Verhoeven, Richard H M Goossens, Jack J Jakimowicz
OBJECTIVE: To establish whether a systematized approach to self-assessment in a laparoscopic surgical skills course improves accordance between expert- and self-assessment. DESIGN: A systematic training course in self-assessment using Competency Assessment Tool was introduced into the normal course of evaluation within a Laparoscopic Surgical Skills training course for the test group (n = 30). Differences between these and a control group (n = 30) who did not receive the additional training were assessed...
August 16, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28812196/convergent-validation-and-transfer-of-learning-studies-of-a-virtual-reality-based-pattern-cutting-simulator
#17
Arun Nemani, Woojin Ahn, Clairice Cooper, Steven Schwaitzberg, Suvranu De
INTRODUCTION: Research has clearly shown the benefits of surgical simulators to train laparoscopic motor skills required for positive patient outcomes. We have developed the Virtual Basic Laparoscopic Skill Trainer (VBLaST) that simulates tasks from the Fundamentals of Laparoscopic Surgery (FLS) curriculum. This study aims to show convergent validity of the VBLaST pattern cutting module via the CUSUM method to quantify learning curves along with motor skill transfer from simulation environments to ex vivo tissue samples...
August 15, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28756146/two-year-experience-implementing-a-curriculum-to-improve-residents-patient-centered-communication-skills
#18
Amber W Trickey, Anna B Newcomb, Melissa Porrey, Franco Piscitani, Jeffrey Wright, Paula Graling, Jonathan Dort
OBJECTIVES: Surgery milestones from The Accreditation Council for Graduate Medical Education have encouraged a focus on training and assessment of residents' nontechnical skills, including communication. We describe our 2-year experience implementing a simulation-based curriculum, results of annual communication performance assessments, and resident evaluations. DESIGN: Eight quarterly modules were conducted on various communication topics. Former patient volunteers served as simulation participants (SP) who completed annual assessments using the Communication Assessment Tool (CAT)...
July 26, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28753871/european-association-of-urology-section-of-urolithiasis-eulis-consensus-statement-on-simulation-training-and-assessment-in-urolithiasis
#19
Kamran Ahmed, Sachin Patel, Abdullatif Aydin, Domenico Veneziano, Ben van Cleynenbreugel, Ali Serdar Gözen, Andreas Skolarikos, Christian Sietz, Sven Lahme, Thomas Knoll, Juan Palou Redorta, Bhaskar Kumar Somani, Francesco Sanguedolce, Evangelos Liatsikos, Jens Rassweiler, Muhammad Shamim Khan, Prokar Dasgupta, Kemal Sarica
BACKGROUND: Simulation-based training offers an acceptable adjunct to the traditional mentor-apprentice model in helping trainees to traverse the early stages of the learning curve for ureteroscopy and percutaneous renal surgery. In addition, nontechnical skills are increasingly important in preventing adverse events in the operating room, and simulation-based training can be used for training in such skills. Incorporation of simulation into formalised, standardised, and validated curricula offers an applicable method for training residents...
March 31, 2017: European Urology Focus
https://www.readbyqxmd.com/read/28740664/development-of-a-novel-ex-vivo-porcine-laparoscopic-heller-myotomy-and-nissen-fundoplication-training-model-toronto-lap-nissen-simulator
#20
Hideki Ujiie, Tatsuya Kato, Hsin-Pei Hu, Patrycja Bauer, Priya Patel, Hironobu Wada, Daiyoon Lee, Kosuke Fujino, Colin Schieman, Andrew Pierre, Thomas K Waddell, Shaf Keshavjee, Gail E Darling, Kazuhiro Yasufuku
BACKGROUND: Surgical trainees are required to develop competency in a variety of laparoscopic operations. Developing laparoscopic technical skills can be difficult as there has been a decrease in the number of procedures performed. This study aims to develop an inexpensive and anatomically relevant model for training in laparoscopic foregut procedures. METHODS: An ex vivo, anatomic model of the human upper abdomen was developed using intact porcine esophagus, stomach, diaphragm and spleen...
June 2017: Journal of Thoracic Disease
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