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Medical simulation training

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https://www.readbyqxmd.com/read/28636498/a-novel-clinical-simulated-suture-education-for-basic-surgical-skill-suture-on-the-biological-tissue-fixed-on-standardized-patient-evaluated-with-objective-structured-assessment-of-technical-skill-osats-tools
#1
Zhanlong Shen, Fan Yang, Pengji Gao, Li Zeng, Guanchao Jiang, Shan Wang, Yingjiang Ye, Fengxue Zhu
BACKGROUND: Clinical-simulated training has shown benefit in the education of medical students. However, the role of clinical simulation for surgical basic skill training such as suturing techniques remains unclear. MATERIALS AND METHODS: Forty-two medical students were asked to perform specific suturing tasks at three stations with the different settings within four minutes (Station 1: Synthetic suture pad fixed on the bench, Station 2: Synthetic suture pad fixed on the standardized patient, Station 3: Pig skin fixed on the standardized patient); the OSATS (Objective Structured Assessment of Technical Skill) tool was used to evaluate the performance of students...
June 21, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/28634679/establishment-of-two-forensic-medicine-osce-stations-on-the-subject-of-external-post-mortem-examination
#2
S Heide, R Lessig, V Hachmann, D Stiller, M Rönsch, D Stoevesandt, A Biolik, S Watzke, J Kellner
An improvement in quality of medical external post-mortem examinations among others can be achieved by more intensive training of medical students. Modern learning and teaching methods such as e-learning modules and SkillsLab stations should be used for this. The introduction of corresponding methods of assessment such as the OSCE procedure is necessary to test the success of learning. In Halle (Germany), two OSCE stations on the subject of external post-mortem examinations were introduced in 2016. The 'practical external post-mortem examination' station test skills and abilities students have learned during practical external post-mortem examination in small group classes on a simulation doll...
June 21, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/28626175/characteristics-and-gender-differences-in-the-medical-interview-skills-of-japanese-medical-students
#3
Akiko Sugawara, Kazunobu Ishikawa, Ryo Motoya, Gen Kobayashi, Yoko Moroi, Tetsuhito Fukushima
Objective To examine the characteristics of the communication skills of medical students, we observed their performance during introductory medical interview training with simulated patients (SPs). Methods The subjects of the present study included fifth-year medical students (male, n=180, female, n=99) who were undergoing clinical training in Japan from 2012 to 2014. Each student was assigned to one of four 10-minute clinical scenarios, which was conducted with an SP. Three or four teachers observed and assessed the performance of each of the students...
2017: Internal Medicine
https://www.readbyqxmd.com/read/28623922/use-of-simulation-based-medical-training-in-swiss-pediatric-hospitals-a-national-survey
#4
Martin Stocker, Kathryn Laine, Francis Ulmer
BACKGROUND: Simulation-based medical training (SBMT) is a powerful tool for continuing medical education. In contrast to the Anglo-Saxon medical education community, up until recently, SBMT was scarce in continental Europe's pediatric health care education: In 2009, only 3 Swiss pediatric health care institutions used SBMT. The Swiss catalogue of objectives in Pediatrics does not acknowledge SBMT. The aim of this survey is to describe and analyze the current state of SBMT in Swiss pediatric hospitals and health care departments...
June 17, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28622671/low-dose-ct-with-a-residual-encoder-decoder-convolutional-neural-network-red-cnn
#5
Hu Chen, Yi Zhang, Mannudeep K Kalra, Feng Lin, Yang Chen, Peixo Liao, Jiliu Zhou, Ge Wang
Given the potential risk of X-ray radiation to the patient, low-dose CT has attracted a considerable interest in the medical imaging field. Currently, the main stream low-dose CT methods include vendor-specific sinogram domain filtration and iterative reconstruction algorithms, but they need to access raw data whose formats are not transparent to most users. Due to the difficulty of modeling the statistical characteristics in the image domain, the existing methods for directly processing reconstructed images cannot eliminate image noise very well while keeping structural details...
June 13, 2017: IEEE Transactions on Medical Imaging
https://www.readbyqxmd.com/read/28619402/global-health-values-of-a-multidirectional-near-peer-training-program-in-surgery-pathology-anatomy-research-methodology-and-medical-education-for-haitian-rwandan-and-canadian-medical-students
#6
Malik Elharram, Trish Dinh, Annie Lalande, Susan Ge, Sophie Gao, Geoffroy Noël
BACKGROUND: As health care delivery increasingly requires providers to cross international borders, medical students at McGill University, Canada, developed a multidirectional exchange program with Haiti and Rwanda. The program integrates surgery, pathology, anatomy, research methodology, and medical education. OBJECTIVE: The aim of the present study was to explore the global health value of this international training program to improve medical education within the environment of developing countries, such as Haiti and Rwanda, while improving sociocultural learning of Canadian students...
March 2017: Annals of Global Health
https://www.readbyqxmd.com/read/28616430/training-and-validation-of-standardized-patients-for-assessing-communication-and-counseling-skills-of-pharmacy-students-a-pilot-study
#7
Mahboobeh Khabaz Mafinejad, Mansoor Rastegarpanah, Fereshteh Moosavi, Mandana Shirazi
OBJECTIVE: The objective of this study is to describe the process of training valid simulated patients (SPs) for assessing communication and counseling skills of pharmacy students' performance. METHODS: This is a cross-sectional and correlational study. Psychometric properties of checklist and SPs' portrayals and their filling of the checklist regarding assessing pharmacy students were assessed. Five SPs who were working in the simulated patient's pool were volunteered to take part in the project, which one of the SPs failed...
April 2017: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/28610692/a-didactic-experiment-showing-the-compton-scattering-by-means-of-a-clinical-gamma-camera
#8
Ernesto Amato, Lucrezia Auditore, Alfredo Campennì, Fabio Minutoli, Mariapaola Cucinotta, Alessandro Sindoni, Sergio Baldari
We describe a didactic approach aimed to explain the effect of Compton scattering in nuclear medicine imaging, exploiting the comparison of a didactic experiment with a gamma camera with the outcomes from a Monte Carlo simulation of the same experimental apparatus. We employed a (99m)Tc source emitting 140.5keV photons, collimated in the upper direction through two pinholes, shielded by 6mm of lead. An aluminium cylinder was placed on the source at 50mm of distance. The energy of the scattered photons was measured on the spectra acquired by the gamma camera...
June 2017: Physica Medica: PM
https://www.readbyqxmd.com/read/28600218/systematic-review-of-patient-specific-surgical-simulation-toward-advancing-medical-education-%C3%A2
#9
Won Hyung A Ryu, Navjit Dharampal, Ahmed E Mostafa, Ehud Sharlin, Gail Kopp, William Bradley Jacobs, Robin John Hurlbert, Sonny Chan, Garnette R Sutherland
OBJECTIVE: Simulation-based education has been shown to be an effective tool to teach foundational technical skills in various surgical specialties. However, most of the current simulations are limited to generic scenarios and do not allow continuation of the learning curve beyond basic technical skills to prepare for more advanced expertise, such as patient-specific surgical planning. The objective of this study was to evaluate the current medical literature with respect to the utilization and educational value of patient-specific simulations for surgical training...
June 6, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28599039/manikin-human-patient-simulator-training
#10
Gregory T Horn
BACKGROUND: Human-patient simulators (HPSs) may help enhance medical education. Manikin HPS devices respond to common field medical interventions, such as cricothyroidotomy, and have realistic feedback features, such as respirations and pulses. This study surveys Special Operations Medics for evaluations of HPS features. METHODS: Of 518 subjects, 376 completed testing and surveys with valid responses. A total of 102 variables were divided into three categories-general characteristics, procedures, and injuries-and assessed on a fivepoint Likert scale...
2017: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/28598959/microinvasive-glaucoma-stent-migs-surgery-with-concomitant-phakoemulsification-cataract-extraction-outcomes-and-the-learning-curve
#11
Toby S Al-Mugheiry, Heidi Cate, Allan Clark, David C Broadway
PURPOSE: To evaluate learning effects with respect to outcomes of a microinvasive glaucoma stent (MIGS) inserted during cataract surgery in glaucoma patients. PATIENTS AND METHODS: Single surgeon, observational cohort study of 25 consecutive Ivantis Hydrus microstent insertions, with a minimum follow-up of 12 months. A learning curve analysis was performed by assessing hypotensive effect, adverse effects, and surgical procedure duration, with respect to consecutive case number...
June 8, 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28594858/factors-associated-with-delayed-defibrillation-in-cardiopulmonary-resuscitation-a-prospective-simulation-study
#12
Christoph Castan, Alexander Münch, Moritz Mahling, Leopold Haffner, Jan Griewatz, Anne Hermann-Werner, Reimer Riessen, Jörg Reutershan, Nora Celebi
INTRODUCTION: Early defibrillation is an important factor of survival in cardiac arrest. However, novice resuscitators often struggle with cardiac arrest patients. We investigated factors leading to delayed defibrillation performed by final-year medical students within a simulated bystander cardiac arrest situation. METHODS: Final-year medical students received a refresher lecture and basic life support training before being confronted with a simulated cardiac arrest situation in a simulation ambulance...
2017: PloS One
https://www.readbyqxmd.com/read/28585104/can-teenage-novel-users-perform-as-well-as-general-surgery-residents-upon-initial-exposure-to-a-robotic-surgical-system-simulator
#13
A Mehta, S Patel, W Robison, T Senkowski, J Allen, E Shaw, C Senkowski
New techniques in minimally invasive and robotic surgical platforms require staged curricula to insure proficiency. Scant literature exists as to how much simulation should play a role in training those who have skills in advanced surgical technology. The abilities of novel users may help discriminate if surgically experienced users should start at a higher simulation level or if the tasks are too rudimentary. The study's purpose is to explore the ability of General Surgery residents to gain proficiency on the dVSS as compared to novel users...
June 5, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28581914/technical-skills-training-for-veterinary-students-a-comparison-of-simulators-and-video-for-teaching-standardized-cardiac-dissection
#14
Rachel E Allavena, Andrea B Schaffer-White, Hanna Long, John I Alawneh
The goal of the study was to evaluate alternative student-centered approaches that could replace autopsy sessions and live demonstration, and to explore refinements in assessment procedures for standardized cardiac dissection. Simulators and videos were identified as feasible, economical, student-centered teaching methods for technical skills training in medical contexts, and a direct comparison was undertaken. A low-fidelity anatomically correct simulator approximately the size of a horse's heart with embedded dissection pathways was constructed and used with a series of laminated photographs of standardized cardiac dissection...
June 5, 2017: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/28578981/robotic-pancreatoduodenectomy-biotissue-curriculum-has-validity-and-improves-technical-performance-for-surgical-oncology-fellows
#15
Vernissia Tam, Mazen Zenati, Stephanie Novak, Yong Chen, Amer H Zureikat, Herbert J Zeh, Melissa E Hogg
OBJECTIVE: Obtaining the proficiency on the robotic platform necessary to safely perform a robotic pancreatoduodenectomy is particularly challenging. We hypothesize that by instituting a proficiency-based robotic training curriculum we can enhance novice surgeons' skills outside of the operating room, leading to a shorter learning curve. DESIGN: A biotissue curriculum was designed consisting of sewing artificial organs to simulate a hepaticojejunostomy (HJ), gastrojejunostomy (GJ), and pancreaticojejunostomy (PJ)...
June 1, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28573097/validation-of-a-cognitive-task-simulation-and-rehearsal-tool-for-open-carpal-tunnel-release
#16
John A M Paro, Anna Luan, Gordon K Lee
BACKGROUND: Carpal tunnel release is one of the most common surgical procedures performed by hand surgeons. The authors created a surgical simulation of open carpal tunnel release utilizing a mobile and rehearsal platform app. This study was performed in order to validate the simulator as an effective training platform for carpal tunnel release. METHODS: The simulator was evaluated using a number of metrics: construct validity (the ability to identify variability in skill levels), face validity (the perceived ability of the simulator to teach the intended material), content validity (that the simulator was an accurate representation of the intended operation), and acceptability validity (willingness of the desired user group to adopt this method of training)...
May 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/28566570/research-using-the-roter-method-of-interaction-process-analysis-rias-for-communication-education-in-the-pharmaceutical-sciences
#17
Etsuko Arita
 The ability to communicate effectively as a healthcare professional has come into greater focus as the role of pharmacists expands from "medicine-based" to "client-based" (e.g., working with patients, their families, and in multidisciplinary interactions). The ability to communicate cannot be acquired solely in the classroom; a large part of acquiring such skill is based on practical experience. Role-playing with simulated patients has already been implemented in pharmaceutical education; in that sense, opportunities to receive education in practical communication are increasing...
2017: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
https://www.readbyqxmd.com/read/28566115/development-and-evaluation-of-an-endoscopic-surgery-course-for-medical-students
#18
Cecilia Nilsson, Flemming Bjerrum, Morten Stadeager, Bent Ottesen, Jette Led Sorensen
INTRODUCTION: Surgical training has changed with the introduction of endoscopic surgery. However, a gap in undergraduate medical training has become evident regarding theoretical principles of and basic skills training in endoscopic surgery. The objective of this study was to develop and evaluate a course in endoscopic surgery for medical students. METHODS: Kern's six-step approach in curriculum development was used. A course including interactive, faculty-led didactic sessions (14 hours, distributed over three days) and simulation-based basic skills training in endoscopic surgery (nine hours, distributed over four sessions) was developed...
June 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/28562460/team-communication-influence-on-procedure-performance-findings-from-interprofessional-simulations-with-nursing-and-medical-students
#19
Deanna L Reising, Douglas E Carr, Sally Gindling, Roxie Barnes, Derrick Garletts, Zulfukar Ozdogan
Interprofessional team performance is believed to be dependent on the development of effective team communication skills. Yet, little evidence exists in undergraduate nursing programs on whether team communication skills affect team performance. A secondary analysis of a larger study on interprofessional student teams in simulations was conducted to determine if there is a relationship between team communication and team procedure performance. The results showed a positive, significant correlation between interprofessional team communication ratings and procedure accuracy in the simulation...
May 29, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28558697/does-an-electronic-cognitive-aid-have-an-effect-on-the-management-of-severe-gynaecological-turp-syndrome-a-prospective-randomised-simulation-study
#20
Michael St Pierre, Georg Breuer, Dieter Strembski, Christopher Schmitt, Bjoern Luetcke
BACKGROUND: Lack of familiarity with the content of current guidelines is a major factor associated with non-compliance by clinicians. It is conceivable that cognitive aids with regularly updated medical content can guide clinicians' task performance by evidence-based practices, even if they are unfamiliar with the actual guideline. Acute hyponatraemia as a consequence of TURP syndrome is a rare intraoperative event, and current practice guidelines have changed from slow correction to rapid correction of serum sodium levels...
May 30, 2017: BMC Anesthesiology
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