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https://www.readbyqxmd.com/read/28183316/medical-students-situational-motivation-to-participate-in-simulation-based-team-training-is-predicted-by-attitudes-to-patient-safety
#1
Cecilia Escher, Johan Creutzfeldt, Lisbet Meurling, Leif Hedman, Ann Kjellin, Li Felländer-Tsai
BACKGROUND: Patient safety education, as well as the safety climate at clinical rotations, has an impact on students' attitudes. We explored medical students' self-reported motivation to participate in simulation-based teamwork training (SBTT), with the hypothesis that high scores in patient safety attitudes would promote motivation to SBTT and that intrinsic motivation would increase after training. METHODS: In a prospective cohort study we explored Swedish medical students' attitudes to patient safety, their motivation to participate in SBTT and how motivation was affected by the training...
February 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28166840/app-based-serious-gaming-for-training-of-chest-tube-insertion-study-protocol-for-a-randomized-controlled-trial
#2
Mirco Friedrich, Christian Bergdolt, Patrick Haubruck, Thomas Bruckner, Karl-Friedrich Kowalewski, Beat Peter Müller-Stich, Michael C Tanner, Felix Nickel
BACKGROUND: Chest tube insertion is a standard intervention for management of various injuries of the thorax. Quick and accurate execution facilitates efficient therapy without further complications. Here, we propose a new training concept comprised of e-learning elements as well as continuous rating using an objective structured assessment of technical skills (OSATS) tool. The study protocol is presented for a randomized trial to evaluate e-learning with app-based serious gaming for chest drain insertion...
February 6, 2017: Trials
https://www.readbyqxmd.com/read/28161793/frankfurt-microsurgery-course-the-first-175-trainees
#3
G Perez-Abadia, M Janko, L Pindur, M Sauerbier, J H Barker, I Joshua, I Marzi, J Frank
INTRODUCTION: Microsurgery courses, taught external to surgical training programs, are essential for acquiring the high level of technical skill required for clinical proficiency. METHODS: The Frankfurt microsurgery course is a 5-day, intensive course that teaches arterial and venous anastomosis using end-to-end, end-to-side, one-way-up, continuous-suture, and vessel graft techniques. During the course, the instructor records the level of skill (in-course data) achieved by each trainee by assessing anastomosis completion and patency...
February 4, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/28139201/do-female-surgeons-learn-or-teach-differently
#4
Cody A Nebeker, Marc D Basson, Pam S Haan, Alan T Davis, Muhammad Ali, Rama N Gupta, Robert L Osmer, John C Hardaway, Andi N Peshkepija, Michael K McLeod, Cheryl I Anderson
BACKGROUND: Gender and/or gender-stereotypes might influence surgical education. We hypothesized that female surgeons might focus their learning and teaching differently from male surgeons. METHODS: Residents and surgeons (multi-institutional) individually recorded preoperatively discussed learning objectives (LO) for matching cases. Narratives were classified as knowledge-based, skill-based, or attitude-based. Multinomial logistic regression analyses, LO = dependent variable; independent variables = resident/surgeon gender, PGY level, timing of entry-to-procedure date, and quarters-of-year...
February 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28128813/-simulation-training-in-ophthalmology
#5
Juan Carlos Serna-Ojeda, Enrique O Graue-Hernández, Pablo José Guzmán-Salas, José Luis Rodríguez-Loaiza
BACKGROUND: Simulation in medicine is an indispensable tool to improve doctors' responses to different situations, enhancing their performance. However, simulation in ophthalmology is a very recent trend, mainly because of the high complexity of developing newer teaching tools, with the need for highly realistic models, mostly in surgical ophthalmic simulation. DISCUSSION: The whole development of simulation in ophthalmology, from the very first attempts that used basic models, to the newer virtual reality models, allows for a comprehensive, faster, and more efficient development of skills necessary in basic and advance procedures in ophthalmology, creating a better learning environment, improving costs, and developing a very promising panorama, in which simulation can be incorporated in teaching programs all around the globe...
January 2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/28125940/evaluation-of-arthroscopic-training-using-a-porcine-knee-model
#6
Hee-June Kim, Dong-Hyun Kim, Hee-Soo Kyung
INTRODUCTION: The purpose of this study was to evaluate the effectiveness of arthroscopic skills training. METHODS: A routine diagnostic arthroscopic exercise using a porcine knee was performed. A checklist of 10 tasks was used in the training and the time taken to complete the checklist was evaluated, and the Arthroscopic Surgery Skill Evaluation Tool (ASSET) score was used to score the training and evaluate the practice session. A total of 14 residents attended this training, including five first- and second-year residents, five third- and fourth-year residents, and four orthopedic fellows...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28122272/nicaraguan-and-us-nursing-collaborative-evaluation-study-identifying-similarities-and-differences-between-us-and-nicaraguan-curricula-and-teaching-modalities-using-the-community-engagement-model
#7
Donna Lake, Martha K Engelke, Debra A Kosko, Donna W Roberson, Joba Fany Jaime, Feliciana Rojas López, Fidelia Mercedes Poveda Rivas, Yolanda Matute Salazar, Juana Julia Salmeron
BACKGROUND: Curricula evaluation is an essential phase of curriculum development. Study describes the implementation of a formative evaluation used by faculty members between Universidad Nacional Autonóma de Nicaragua (UNAN-Leon) Escuela de Enfermeriá, Nicaragua and East Carolina University College of Nursing (ECU CON) in North Carolina, US. OBJECTIVES: Program evaluation study to conduct an assessment, comparison of a medical-surgical adult curriculum and teaching modalities...
January 16, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28118680/surgical-wisdom-and-genghis-khan-s-pax-mongolica
#8
Jakob Köstenbauer
BACKGROUND: The unrivalled conquests of Genghis Khan (CE c.1162-1227) led to the establishment of the Greater Mongolian Empire. By 1279, the Mongol dynasty controlled a vast Empire which, for the first time in history, unified Europe and China via the famous Silk Road. The ensuing century of peace and stability is referred to by historians as the Pax Mongolica, which facilitated Europe's renaissance and remarkably contributed to the rise of modern medicine and surgery. METHODS: Secondary sources from published literature, primary sources from manuscripts and illustrations courtesy of universities, museum libraries and archives...
January 24, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28117541/the-effect-of-repeated-testing-vs-repeated-practice-on-skills-learning-in-undergraduate-dental-education
#9
S Sennhenn-Kirchner, Y Goerlich, B Kirchner, M Notbohm, S Schiekirka, A Simmenroth, T Raupach
OBJECTIVES: Recent studies in undergraduate medical education have demonstrated the advantage of repeated testing over repeated practice with regard to knowledge and skills retention. The aim of this study was to investigate whether this "testing effect" also applies to skills retention in undergraduate dental education. METHODS: In this prospective, randomised controlled trial, fourth-year dental students at Göttingen University Medical Centre participated in a training session on surgical suturing in winter term 2014/2015...
January 24, 2017: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/28104385/an-evidence-based-approach-to-surgical-teaching-in-ophthalmology
#10
Alice C Lorch, Carolyn E Kloek
An apprenticeship model has traditionally been used in procedural and surgical teaching. As the pressures of work hours and patient outcome monitoring increase, surgical teachers need a more flexible plan for teaching procedural skills. We attempt to delineate a program of pre-, intra-, and post- procedural teaching that can be used in the field of ophthalmology to maximize a resident's skill acquisition in a constructive learning environment.We review the literature on surgical teaching from within ophthalmology as well as other surgical fields and combine this with teaching experience in an ophthalmic surgical training program to produce a collection of procedural teaching guidelines...
January 16, 2017: Survey of Ophthalmology
https://www.readbyqxmd.com/read/28073736/development-of-an-educational-game-to-set-up-surgical-instruments-on-the-mayo-stand-or-back-table-applied-research-in-production-technology
#11
Crislaine Pires Padilha Paim, Silvia Goldmeier
BACKGROUND: Existing research suggests that digital games can be used effectively for educational purposes at any level of training. Perioperative nursing educators can use games to complement curricula, in guidance and staff development programs, to foster team collaboration, and to give support to critical thinking in nursing practice because it is a complex environment. OBJECTIVE: To describe the process of developing an educational game to set up surgical instruments on the Mayo stand or back table as a resource to assist the instructor in surgical instrumentation training for students and nursing health professionals in continued education...
January 10, 2017: JMIR Serious Games
https://www.readbyqxmd.com/read/28070329/mastering-minimally-invasive-esophagectomy-requires-a-mentor-experience-of-a-personal-mentorship
#12
Miguel A Cuesta, Nicole van der Wielen, Jennifer Straatman, Donald L van der Peet
Since the first laparoscopic procedure, there has been an steady increase in advanced minimally invasive surgery. These procedures include oncological colorectal, hepatobiliary and upper gastrointestinal surgery. Implementation of these procedures requires different and new skills for the surgeons who wish to perform these procedures. To accomplish this surgical teaching program, a mentorship seems the most ideal method to teach the apprentice surgeon these specific skills. At the VU medical center a teaching program for a minimally-invasive esophagectomy for esophageal cancer started in 2009...
January 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28062329/managing-symptoms-enhancing-patients-self-management-knowledge-and-skills-for-surgical-recovery
#13
REVIEW
Jan Odom-Forren, Susan Wesmiller
OBJECTIVES: To review postoperative symptoms experienced by patients following surgery for cancer and discuss focused, evidenced-based methods to teach the patient acute pain and symptom management to include both pharmacological and non-pharmacological strategies. DATA SOURCES: Peer reviewed articles and national guidelines. CONCLUSION: Although significant advances have been made in providing effective acute pain control, pain remains a serious consequence after cancer surgery...
February 2017: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/28041770/individualised-expert-feedback-is-not-essential-for-improving-basic-clinical-skills-performance-in-novice-learners-a-randomized-trial
#14
Alexander W Phillips, Joanna Matthan, Lucy R Bookless, Ian J Whitehead, Anantha Madhavan, Paul Rodham, Anna L R Porter, Craig I Nesbitt, Gerard Stansby
OBJECTIVE: To determine whether unsupervised video feedback (UVF) is as effective as direct expert feedback (DEF) in improving clinical skills performance for medical students learning basic surgical skills-intravenous cannulation, catheterization, and suturing. BACKGROUND: Feedback is a vital component of the learning process, yet great variation persists in its quality, quantity, and methods of delivery. The use of video technology to assist in the provision of feedback has been adopted increasingly...
December 29, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/28032187/using-telemedicine-to-teach-paediatric-surgery-in-resource-limited-countries
#15
REVIEW
Alp Numanoglu
Halstedian method of surgical training has been the mainstay of surgical education for many decades. Onsite knowledge sources in surgery have traditionally been textbooks, which are often a number of years out of date or teaching rounds with a Professor or senior colleague that enables a small number of trainees to benefit from. Congresses have been a good way of learning new developments in the field, but they often require travelling and are very costly. We have identified web-based education as a means of linking experts with trainees, regardless of their geographic location and often without requiring any substantial capital...
December 28, 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/28003104/role-of-simulation-in-endovascular-aneurysm-repair-evar-training-a-preliminary-study
#16
A Saratzis, T Calderbank, D Sidloff, M J Bown, R S Davies
BACKGROUND: Endovascular aneurysm repair (EVAR) requires a high-level of technical-competency to avoid device-related complications. Virtual reality simulation-based training (SBT) may offer an alternative method of psychomotor skill acquisition; however, its role in EVAR training is undefined. This study aimed to: a) benchmark competency levels using EVAR SBT, and b) investigate the impact of supervised SBT on trainee performance. METHODS: EVAR procedure-related metrics were benchmarked by six experienced consultants using a Simbionix Angiomentor EVAR simulator...
December 18, 2016: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28002644/a-novel-phased-concept-course-for-the-delivery-of-anatomy-and-orthopedics-training-in-medical-education
#17
Stefan Klima, Pierre Hepp, Sabine Löffler, Jon Cornwall, Niels Hammer
Integration of anatomy and clinical teaching is a theoretical ideal, yet there is a worldwide paucity of such amalgamation. These teaching models provide support for medical trainees, an important element in Germany where orthopedic intern numbers have declined and anecdotal evidence suggests disinterest in orthopedics. The aim of the study was to develop an integrated anatomy-surgical course for undergraduate medical training, assess the model developed, and explore how medical students perceive orthopedics as a career...
December 21, 2016: Anatomical Sciences Education
https://www.readbyqxmd.com/read/27986236/surgical-management-and-reconstruction-training-smart-course-for-international-orthopedic-surgeons
#18
Hao-Hua Wu, Kushal R Patel, Amber M Caldwell, R Richard Coughlin, Scott L Hansen, Joseph N Carey
BACKGROUND: The burden of complex orthopedic trauma in low- and middle-income countries (LMICs) is exacerbated by soft-tissue injuries, which can often lead to amputations. This study's purpose was to create and evaluate the Surgical Management and Reconstruction Training (SMART) course to help orthopedic surgeons from LMICs manage soft-tissue defects and reduce the rate of amputations. METHODS: In this prospective observational study, orthopedic surgeons from LMICs were recruited to attend a 2-day SMART course taught by plastic surgery faculty in San Francisco...
July 2016: Annals of Global Health
https://www.readbyqxmd.com/read/27973648/complementing-operating-room-teaching-with-video-based-coaching
#19
Yue-Yung Hu, Laura M Mazer, Steven J Yule, Alexander F Arriaga, Caprice C Greenberg, Stuart R Lipsitz, Atul A Gawande, Douglas S Smink
Importance: Surgical expertise demands technical and nontechnical skills. Traditionally, surgical trainees acquired these skills in the operating room; however, operative time for residents has decreased with duty hour restrictions. As in other professions, video analysis may help maximize the learning experience. Objective: To develop and evaluate a postoperative video-based coaching intervention for residents. Design, Setting, and Participants: In this mixed methods analysis, 10 senior (postgraduate year 4 and 5) residents were videorecorded operating with an attending surgeon at an academic tertiary care hospital...
December 14, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27969560/an-assessment-of-the-continuing-surgical-education-program-a-surgical-preceptor-program-for-faculty-members
#20
Geoffrey W Cundiff, Roxana Geoffrion
OBJECTIVE: The Continuing Surgical Education Preceptor program (CSEP) was designed to meet population needs by facilitating development of new skills by practising surgeons. Elements include entry criteria, dedicated OR time, assigned preceptors, structured assessment of competence, a mechanism for credentialing, and a reimbursement model. This study analyzed the effectiveness of the CSEP in increasing the number of clinician educators performing laparoscopic hysterectomy (LH) without compromising rates of vaginal hysterectomy (VH) and in enhancing residents' training in performing minimally invasive hysterectomy (MIH; either LH or VH)...
November 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
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