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surgical skills curriculum

Mark T Dawidek, Victoria A Roach, Michael C Ott, Timothy D Wilson
OBJECTIVE: A major challenge in laparoscopic surgery is the lack of depth perception. With the development and continued improvement of 3D video technology, the potential benefit of restoring 3D vision to laparoscopy has received substantial attention from the surgical community. Despite this, procedures conducted under 2D vision remain the standard of care, and trainees must become proficient in 2D laparoscopy. This study aims to determine whether incorporating 3D vision into a 2D laparoscopic simulation curriculum accelerates skill acquisition in novices...
October 4, 2016: Journal of Surgical Education
Sarah Haldane, Kenneth Hinchcliff, Peter Mansell, Chi Baik
Good communication skills are an important entry-level attribute of graduates of professional degrees. The inclusion of communication training within the curriculum can be problematic, particularly in programs with a high content load, such as veterinary science. This study examined the differences between the perceptions of students and qualified veterinarians with regards to the entry-level communication skills required of new graduates in clinical practice. Surveys were distributed to students in each of the four year levels of the veterinary science degree at the University of Melbourne and to recent graduates and experienced veterinarians registered in Victoria, Australia...
September 30, 2016: Journal of Veterinary Medical Education
Mihai Oltean, Paolo Sassu, Mats Hellström, Peter Axelsson, Lars Ewaldsson, Anders G Nilsson, Michael Axelsson
OBJECTIVE: Microsurgical techniques are increasingly used in routine surgical practice as well as in biomedical research. The training opportunities at standardised training courses are limited, and no microsurgical training facility or programme existed in Scandinavia before 2013. METHODS: A microsurgery laboratory was set up and two different courses were started, aiming separately at biomedical researchers and surgeons. The course for biomedical researchers teaches basic microsurgical skills such as vessel isolation, cannulation, and arterial microvascular suture under magnification...
August 12, 2016: Journal of Plastic Surgery and Hand Surgery
A Nabavi, J Schipper
BACKGROUND: Patient safety during operations hinges on the surgeon's skills and abilities. However, surgical training has come under a variety of restrictions. To acquire dexterity with decreasingly "simple" cases, within the legislative time constraints and increasing expectations for surgical results is the future challenge. OBJECTIVES: Are there alternatives to traditional master-apprentice learning? MATERIALS AND METHODS: A literature review and analysis of the development, implementation, and evaluation of surgical simulation are presented...
September 28, 2016: HNO
Dimitrios Stefanidis, Nicholas E Anton, Graham McRary, Lisa D Howley, Manuel Pimentel, Cameron Davis, Ashley M Yurco, Nick Sevdalis, Charles Brown
BACKGROUND: Mental skills training refers to the implementation of cognitive performance-enhancing strategies to promote optimal performance. We aimed to develop a surgery-specific mental skills curriculum (MSC) and obtain initial evidence of efficacy. METHODS: The developed MSC consisted of 8 proven performance-enhancing modules. Its efficacy was assessed during laparoscopic simulator-based practice by novices using validated instruments of mental skills, workload, and stress, in addition to a skill transfer test to a porcine model...
August 22, 2016: American Journal of Surgery
Ellen Morrow, Abebe Bekele, Ayalew Tegegne, Berhanu Kotisso, Elizabeth Warner, Jedediah Kaufman, Anne-Marie Amies Oelschlager, Brant Oelschlager
BACKGROUND: We aimed to develop and implement a laparoscopic skills curriculum in an Ethiopian surgical residency program. We hypothesized that residents would improve with practice. METHODS: We developed a laparoscopic curriculum by adapting existing training models. Six courses were conducted during 2012 and 2013 in a teaching hospital in Ethiopia. Eighty-eight surgical residents participated. Main outcome measures were laboratory task completion times and student survey responses...
October 2016: American Journal of Surgery
Cianna Pender, Vladimir Kiselov, Qingzhao Yu, Jennifer Mooney, Patrick Greiffenstein, John T Paige
BACKGROUND: We evaluated the effectiveness of implementing a proficiency-driven, simulation-based knot tying and suturing curriculum for medical students during their 3rd-year surgery clerkship. METHODS: Medical students on the 3rd-year surgical clerkship completed a proficiency-driven, simulation-based knot tying and suturing curriculum consisting of 6 tasks. The effectiveness was evaluated by comparing the initial presession scores to the final postsession scores on an 8-item self-efficacy scale and evaluating pass rates on end of clerkship skills testing...
August 22, 2016: American Journal of Surgery
Michail Sideris, Apostolos Papalois, Korina Theodoraki, Ioannis Dimitropoulos, Elizabeth O Johnson, Efstratia-Maria Georgopoulou, Nikolaos Staikoglou, Georgios Paparoidamis, Panteleimon Pantelidis, Ismini Tsagkaraki, Stefanos Karamaroudis, Michael E Potoupnis, Eleftherios Tsiridis, Panagiotis Dedeilias, Savvas Papagrigoriadis, Vassilios Papalois, Georgios Zografos, Aggeliki Triantafyllou, Georgios Tsoulfas
BACKGROUND: Undergraduate Surgical Education is becoming an essential element in the training of the future generation of safe and efficient surgeons. Essential Skills in the Management of Surgical Cases (ESMSC), is an international, joint applied surgical science and simulation-based learning wet lab course. METHODS: We performed a review of the existing literature on the topic of undergraduate surgical education. Following that, we analyzed the feedback questionnaire received 480 from 2 recent series of ESMSC courses (May 2015, n = 49 and November 2015, n = 40), in order to evaluate European Union students' (UK, Germany, Greece) views on the ESMSC course, as well as on the undergraduate surgical education...
September 9, 2016: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
Lihan Zhang, Ian Kamaly, Pramod Luthra, Peter Whitfield
Simulation has played an increasing role in surgical training in recent years, this follows from various reports such as the Chief Medical Officer annual report and Sir John Temple's 'Time for Training' and also from other factors such as increasing focus on efficiency and transparency within the healthcare system. Evidence has shown that simulation can develop and improve technical, clinical, communication and management skills. With technological advances, the quality of simulation has also improved with more realistic models and environment...
October 2016: British Journal of Neurosurgery
Nizar Saleh Abdelfattah, Ahmed E Radwan, Srinivas R Sadda
PURPOSE: To evaluate the perspective of ophthalmology residents in the US about their residency programs and compare the competency of residency programs to international competency levels set by the International Council of Ophthalmology (ICO). METHODS: A cross-sectional web-based survey extracted from the ICO published competency standards was sent to program directors of ophthalmology residency programs in the US to forward it to current PGY-3, 4 residents, and residency graduates from 2011 to 2014...
September 2016: Journal of Current Ophthalmology
Mostafa El-Beheiry, Greig McCreery, Christopher M Schlachta
BACKGROUND: The objective of this study was to assess the effect of a serious game skills competition on voluntary usage of a laparoscopic simulator among first-year surgical residents' standard simulation curriculum. METHODS: With research ethics board approval, informed consent was obtained from first-year surgical residents enrolled in an introductory surgical simulation curriculum. The class of 2013 served as a control cohort following the standard curriculum which mandates completion of six laparoscopic simulator skill tasks...
August 29, 2016: Surgical Endoscopy
Mohamed Elessawy, Moritz Skrzipczyk, Christel Eckmann-Scholz, Nicolai Maass, Liselotte Mettler, Veronika Guenther, Marion van Mackelenbergh, Dirk O Bauerschlag, Ibrahim Alkatout
OBJECTIVE: The primary objective of our study was to test the construct validity of the HystSim hysteroscopic simulator to determine whether simulation training can improve the acquisition of hysteroscopic skills regardless of the previous levels of experience of the participants. The secondary objective was to analyze the performance of a selected task, using specially designed scoring charts to help reduce the learning curve for both novices and experienced surgeons. DESIGN: The teaching of hysteroscopic intervention has received only scant attention, focusing mainly on the development of physical models and box simulators...
August 23, 2016: Journal of Surgical Education
Ellen C Benya, Mary R Wyers, Ellen K O'Brien
BACKGROUND: Life-threatening midgut volvulus usually occurs in infants with malrotation and requires rapid diagnosis and surgical treatment to prevent bowel necrosis and death. However, because of the low frequency of upper gastrointestinal studies performed in infants younger than 1 month, many diagnostic radiology residents finish their residency training having limited or no opportunity to perform or observe an upper gastrointestinal (GI) series for evaluation of bilious emesis in a neonate...
August 25, 2016: Pediatric Radiology
Tomokazu Kishiki, Brittany Lapin, Ryota Tanaka, Taylor Francis, Kathryn Hughes, JoAnn Carbray, Michael B Ujiki
BACKGROUND: The objective of this randomized controlled trial was to determine whether a goal-setting program integrated into a surgical training curriculum would improve performance on simulation testing times and confidence with laparoscopic operative skills. METHODS: Beginning in 2013, 36 students and 26 general surgery residents were randomized separately into 3 groups. Trainees were either given no time goals for each of 5 Fundamentals of Laparoscopic Surgery (FLS) tasks or were given time goals that were the mean time scores or the best time scores reported in the literature for passing each FLS task...
October 2016: Surgery
Gunter De Win, Siska Van Bruwaene, Jyotsna Kulkarni, Ben Van Calster, Rajesh Aggarwal, Christopher Allen, Ann Lissens, Dirk De Ridder, Marc Miserez
BACKGROUND: Surgical simulation is becoming increasingly important in surgical education. However, the method of simulation to be incorporated into a surgical curriculum is unclear. We compared the effectiveness of a proficiency-based preclinical simulation training in laparoscopy with conventional surgical training and conventional surgical training interspersed with standard simulation sessions. MATERIALS AND METHODS: In this prospective single-blinded trial, 30 final-year medical students were randomized into three groups, which differed in the way they were exposed to laparoscopic simulation training...
2016: Advances in Medical Education and Practice
Crystal B Chen, Francesco Palazzo, Stephen M Doane, Jordan M Winter, Harish Lavu, Karen A Chojnacki, Ernest L Rosato, Charles J Yeo, Michael J Pucci
BACKGROUND: Laparoscopic cholecystectomy (LC) is a commonly performed surgical procedure; however, it is associated with an increased rate of bile duct injury (BDI) when compared to the open approach. The critical view of safety (CVS) provides a secure method of ductal identification to help avoid BDI. CVS is not universally utilized by practicing surgeons and/or taught to surgical residents. We aimed to pilot a safe cholecystectomy curriculum to demonstrate that educational interventions could improve resident adherence to and recognition of the CVS during LC...
August 5, 2016: Surgical Endoscopy
Thomas C Sauter, Wolf E Hautz, Simone Hostettler, Monika Brodmann-Maeder, Luca Martinolli, Beat Lehmann, Aristomenis K Exadaktylos, Dominik G Haider
BACKGROUND: Sedation is a procedure required for many interventions in the Emergency department (ED) such as reductions, surgical procedures or cardioversions. However, especially under emergency conditions with high risk patients and rapidly changing interdisciplinary and interprofessional teams, the procedure caries important risks. It is thus vital but difficult to implement a standard operating procedure for sedation procedures in any ED. Reports on both, implementation strategies as well as their success are currently lacking...
2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Steven Arild Wuyts Andersen
Virtual reality (VR) simulation-based training is increasingly used in surgical technical skills training including in temporal bone surgery. The potential of VR simulation in enabling high-quality surgical training is great and VR simulation allows high-stakes and complex procedures such as mastoidectomy to be trained repeatedly, independent of patients and surgical tutors, outside traditional learning environments such as the OR or the temporal bone lab, and with fewer of the constraints of traditional training...
August 2016: Danish Medical Journal
D Pförringer, B Markgraf, M Weber, F Seidl, M Crönlein, G Friedl, R Hoffmann, P Biberthaler
BACKGROUND: Trauma surgery is a discipline in which the training phase for specialization requires a technical and time-intensive learning curve, including the repetitive training of manual skills. This results in prolonged operation times and thus elevated costs. OBJECTIVES: The present study retrospectively examines operations in trauma surgery and orthopaedics at a Munich university hospital according to the required curriculum for further specialist training...
July 28, 2016: Der Unfallchirurg
Mark S Hochberg, Russell S Berman, Adina L Kalet, Sondra Zabar, Colleen Gillespie, H Leon Pachter
OBJECTIVES: Professionalism education is a vital component of surgical training. This research attempts to determine whether an annual, year-long professionalism curriculum in a large surgical residency can effectively change professionalism attitudes. SUMMARY OF BACKGROUND DATA: The ACGME mandated 6 competencies in 2003. The competencies of Professionalism and Interpersonal/Professional Communication Skills had never been formally addressed in surgical resident education in the past...
September 2016: Annals of Surgery
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