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https://www.readbyqxmd.com/read/29785984/residency-evaluation-and-adherence-design-study-iii-ophthalmology-residency-training-in-india-then-and-now-improving-with-time
#1
Partha Biswas, Parikshit Madhav Gogate, Quresh Badr Maskati, Sundaram Natarajan, Lalit Verma, Payal K Bansal
Purpose: To gauge the differences in ophthalmology residency training, academic, clinical and surgical, in the last three decades of the 20th century and the first decade of the 21st century. Methods: A survey was conducted by the Academic and Research Committee of the All India Ophthalmological Society, in 2014-2016, using a prevalidated questionnaire, which was circulated to ophthalmologists to gauge the practicality of the teaching protocols of clinical and surgical skills during postgraduate residency program...
June 2018: Indian Journal of Ophthalmology
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
#2
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/29769371/how-are-we-currently-training-and-maintaining-clinical-readiness-of-us-and-uk-military-surgeons-responsible-for-managing-head-face-and-neck-wounds-on-deployment
#3
John Breeze, J G Combes, J DuBose, D B Powers
INTRODUCTION: The conflicts in Iraq and Afghanistan provided military surgeons from the USA and the UK with extensive experience into the management of injuries to the head, face and neck (HFN) from high energy bullets and explosive weaponry. The challenge is now to maintain the expertise in managing such injuries for future military deployments. METHODS: The manner in which each country approaches four parameters required for a surgeon to competently treat HFN wounds in deployed military environments was compared...
May 16, 2018: Journal of the Royal Army Medical Corps
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
#4
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/29724664/cognitive-skills-training-in-digital-era-a-paradigm-shift-in-surgical-education-using-the-tatme-model
#5
REVIEW
Joep Knol, Deborah S Keller
Surgical competence is a complex, multifactorial process, requiring ample time and training. Optimal training is based on acquiring knowledge and psychomotor and cognitive skills. Practicing surgical skills is one of the most crucial tasks for both the novice surgeon learning new procedures and surgeons already in practice learning new techniques. Focus is placed on teaching traditional technical skills, but the importance of cognitive skills cannot be underestimated. Cognitive skills allow recognizing environmental cues to improve technical performance including situational awareness, mental readiness, risk assessment, anticipating problems, decision-making, adaptation, and flexibility, and may also accelerate the trainee's understanding of a procedure, formalize the steps being practiced, and reduce the overall training time to become technically proficient...
April 30, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29702440/nurse-educators-critical-thinking-a-mixed-methods-exploration
#6
Christy Raymond, Joanne Profetto-McGrath, Florence Myrick, William B Strean
Nurse educator's critical thinking remains unexamined as a key factor in the development of students' critical thinking. OBJECTIVES: The objective of this study is to understand how nurse educators reveal their critical thinking in the clinical setting while supervising students. DESIGN: This study uses a single-phase triangulation mixed methods design with multiple data gathering techniques. PARTICIPANTS/SETTINGS: Participants for this study are clinical nurse educators from a large Western Canadian baccalaureate nursing program who teach 2nd or 3rd year students in medical-surgical settings...
April 18, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29697426/does-mindfulness-training-enhance-the-professional-development-of-residents-a-qualitative-study
#7
Hanne Verweij, Hiske van Ravesteijn, Madelon L M van Hooff, Antoine L M Lagro-Janssen, Anne E M Speckens
PURPOSE: In addition to developing diagnostic and clinical skills, postgraduate medical education should stimulate residents' professional development. Teaching medical professionalism is challenging and is often left largely to the informal and hidden curricula. An intervention that might be beneficial for medical residents is Mindfulness-Based Stress Reduction (MBSR). The authors implemented MBSR as an optional course for residents and qualitatively explored how it influenced residents professionally...
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
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
#8
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
#9
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...
April 16, 2018: New Zealand Veterinary Journal
https://www.readbyqxmd.com/read/29658679/iatrogenic-spleen-injury-during-minimally-invasive-left-colonic-flexure-mobilization-the-quest-for-evidence-based-results
#10
Alberto Mangano, Federico Gheza, Pier C Giulianotti
INTRODUCTION: To assess the frequency, risk factors and outcomes of iatrogenic spleen injury during minimally invasive colo-rectal surgery with a particular focus on the routine splenic flexure mobilization tehcnique. EVIDENCE ACQUISITION: Exclusion criteria: 1. topic not pertinent to the main topic of the review; 2. All case reports, editorials, conference highlights were excluded. After a title and abstract first selection and a final full-text analysis has been performed...
April 13, 2018: Minerva Chirurgica
https://www.readbyqxmd.com/read/29650486/a-vascular-anastomosis-simulation-can-provide-a-safe-and-effective-environment-for-resident-skills-development
#11
Alicia A Heelan Gladden, Kendra D Conzen, Michael J Benge, Jane Gralla, Peter T Kennealey
OBJECTIVE: Vascular anastomoses are complex surgical procedures, performed in time-sensitive circumstances, making intraoperative teaching more challenging. We sought to evaluate whether a vascular anastomosis simulation was effective in developing resident skills. DESIGN, SETTING, PARTICIPANTS: General surgery residents participated in a vascular anastomosis simulation for 1 to 2hours during their transplant rotation. An attending transplant surgeon at the University of Colorado guided the resident through end-to-end and end-to-side anastomoses using bovine carotid artery (Artegraft)...
April 9, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29649669/360%C3%A2-virtual-reality-video-for-the-acquisition-of-knot-tying-skills-a-randomised-control-trial
#12
S Yoganathan, D A Finch, Ed Parkin, James Pollard
BACKGROUND: 360° virtual reality (VR) video is an exciting and evolving field. Current technology promotes a totally immersive, 3-dimensional (3D), 360° experience anywhere in the world using simply a smart phone and virtual reality headset. The potential for its application in the field of surgical education is enormous. The aim of this study was to determine knot tying skills taught with a 360-degree VR video compared to conventional 2D video teaching. MATERIAL AND METHODS: This trial was a prospective, randomised controlled study...
April 9, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29629933/using-tabletop-exercises-as-an-innovative-and-practical-teaching-strategy-in-response-to-external-disaster-scenarios
#13
Cathleen A Evans, Rose Schwartz
Transferring previous learning to novel and unfamiliar health care situations is a challenge that nurses face daily. As a nursing classroom experience, tabletop exercises provide nursing students with open-ended decision-making opportunities to manage realistic practice problems. This article describes an innovative tabletop exercise with a disaster healthcare context and patient scenarios that senior nursing students used to demonstrate foundational nursing education knowledge, skills, and abilities. Students demonstrated a transfer of knowledge from early medical-surgical coursework to a complex, novel situation using the nursing process and evidence-based clinical judgment...
April 6, 2018: Nursing Education Perspectives
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/29625708/is-video-observation-as-effective-as-live-observation-in-improving-teamwork-in-the-operating-room
#15
Anthony H Bui, Shanice Guerrier, David L Feldman, Patricia Kischak, Santosh Mudiraj, Donna Somerville, Minimole Shebeen, Cynthia Girdusky, I Michael Leitman
BACKGROUND: Teamwork in the operating room decreases the risk of preventable patient harm. Observation in the operating room allows for evaluation of compliance with best-practice surgical guidelines. This study examines the relative ability of video and live observation to promote operating room teamwork. METHODS: Video and audio cameras were installed in 2014 into all operating rooms at an 875-bed, urban teaching hospital. Recordings were chosen at random for review by an internal quality improvement team...
April 3, 2018: Surgery
https://www.readbyqxmd.com/read/29616172/pork-belly-a-simulation-training-model-for-intramuscular-perforator-dissection
#16
Georgios Pafitanis, Damjan Veljanoski, Ali M Ghanem, Simon Myers
Background: Free tissue transfer has evolved from muscle flaps to fasciocutaneous flaps. Dissection of the intramuscular course of feeding vessels is technically challenging. Simulation-based microsurgery skills acquisition is moving toward nonliving training models. Living porcine model or human cadavers are currently cost-ineffective methods for the early learning curve in teaching intramuscular dissection. The aim of this study was to validate an inexpensive ex vivo porcine model simulating harvest of the deep inferior epigastric artery perforator (DIEAP) flap, specifically including perforator intramuscular dissection...
February 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29607733/face-content-and-construct-validity-of-a-simulator-for-training-in-endovascular-procedures
#17
Sara Sinceri, Raffaella Berchiolli, Michele Marconi, Roberto Cioni, Vincenzo Ferrari, Mauro Ferrari, Andrea Moglia, Marina Carbone
AIM: In recent years the interest in structured training programs in endovascular surgical procedures has increased. In this study we assess face, content, and construct validity of a simulator to teach basic skills of endovascular surgery. MATERIAL AND METHODS: A cohort of 21 medical students, 26 residents, and 14 expert surgeons participated in the study. Experts assessed face and content validity. Then, they executed four tasks once, while medical students and residents were allowed two attempts to reach a five-minute threshold under expert supervision...
April 1, 2018: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/29578907/technical-performance-as-a-predictor-of-clinical-outcomes-in-laparoscopic-gastric-cancer-surgery
#18
Andras B Fecso, Junaid A Bhatti, Peter K Stotland, Fayez A Quereshy, Teodor P Grantcharov
OBJECTIVE: The purpose of this study was to evaluate the relationship between technical performance and patient outcomes in laparoscopic gastric cancer surgery. BACKGROUND: Laparoscopic gastrectomy for cancer is an advanced procedure with high rate of postoperative morbidity and mortality. Many variables including patient, disease, and perioperative management factors have been shown to impact postoperative outcomes; however, the role of surgical performance is insufficiently investigated...
March 23, 2018: Annals 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/29567014/simulation-in-paediatric-urology-and-surgery-part-1-an-overview-of-educational-theory
#20
REVIEW
Ramesh M Nataraja, Nathalie Webb, Pedro-Jose Lopez
Surgical training has changed radically in the last few decades. The traditional Halstedian model of time-bound apprenticeship has been replaced with competency-based training. Advanced understanding of mastery learning principles has vastly altered educational methodology in surgical training, in terms of instructional design, delivery of educational content, assessment of learning, and programmatic evaluation. As part of this educational revolution, fundamentals of simulation-based education have been adopted into all levels and aspects of surgical training, requiring an understanding of concepts of fidelity and realism and the impact they have on learning...
March 1, 2018: Journal of Pediatric Urology
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