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Surgical skills Simulation

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https://www.readbyqxmd.com/read/28924283/a-framework-for-laparoscopic-simulations
#1
Osman Hasan, Sohail Iqbal
Due to their numerous advantages, laparoscopic surgical procedures are increasingly becoming common in the operation theatres over the past few decades. Virtual reality training simulators have played a significant role during this transition from traditional to laparoscopic procedures by enhancing surgical skills, such as hand-eye coordination in laparoscopy, and practising surgical scenarios that cannot be easily created using physical models. This paper presents a general framework for such a training simulator while identifying its key components and their specific roles in enhancing various laparoscopic skills...
September 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28922302/resident-knowledge-surgical-skill-and-confidence-in-transobturator-vaginal-tape-placement-the-value-of-a-cadaver-laboratory
#2
Woojin Chong, Keith Downing, Ava Leegant, Erika Banks, Dmitry Fridman, Sherry Downie
OBJECTIVES: The objective of this study is to examine the effect of additional cadaver laboratory use in training obstetrics and gynecology (OBGYN) residents on transobturator vaginal tape (TOT) insertion. METHODS: Thirty-four OBGYN residents were randomized into 2 groups (group 1, control; group 2, intervention; 17 in each group). Before and after the interventions, written knowledge and confidence levels were assessed. Both groups received didactic lectures using a bony pelvis and an instructional video on TOT insertion; group 2 participated in a half day cadaver laboratory...
September 15, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28918007/the-effect-of-visual-spatial-ability-on-the-learning-of-robot-assisted-surgical-skills
#3
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/28888420/transition-to-residency-the-successful-development-and-implementation-of-a-nonclinical-elective-in-perioperative-management
#4
Heather McDonald, Nada Gawad, Isabelle Raîche, Fraser D Rubens
OBJECTIVE: Few medical school programs in Canada address challenges related to the significant increase in responsibility for patient care between medical school and residency. This is particularly important in surgery and anesthesia due to the high-acuity care required during the perioperative period. The purpose of this study was to develop and assess a program that would help students transition to surgical and anesthesia residencies, in terms of knowledge acquisition, clinical decision-making skills, and subjective preparedness...
September 6, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28885872/teaching-tip-simulated-tumors-as-an-aid-to-teaching-principles-of-surgical-oncology
#5
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/28865902/immediate-auditory-feedback-is-superior-to-other-types-of-feedback-for-basic-surgical-skills-acquisition
#6
Mohammed J Al Fayyadh, Ramy A Hassan, Zachary K Tran, Jason W Kempenich, Leonid Bunegin, Daniel L Dent, Ross E Willis
OBJECTIVE: We examined the effect of timing and type of feedback on medical students' knot-tying performance using visual versus auditory and immediate versus delayed feedback. We hypothesized that participants who received immediate auditory feedback would outperform those who received delayed and visual feedback. METHODS: Sixty-nine first- and second-year medical students were taught to tie 2-handed knots. All participants completed 3 pretest knot-tying trials without feedback...
August 30, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28864400/effects-of-transcranial-direct-current-stimulation-on-neurosurgical-skill-acquisition-a-randomized-controlled-trial
#7
Patrick Ciechanski, Adam Cheng, Steven Lopushinsky, Kent Hecker, Liu Shi Gan, Stefan Lang, Kourosh Zareinia, Adam Kirton
BACKGROUND: Recent changes in surgical training environments may have limited opportunities for trainees to gain proficiency in skill. Complex skills such as neurosurgery required extended periods of training. Methods to enhance surgical training are required to overcome duty-hour restrictions, to ensure skill proficiency is met. Transcranial direct-current stimulation (tDCS) can enhance motor skill learning but is untested in surgical procedural training. We aimed to determine the effects of tDCS on simulation-based neurosurgical skill acquisition...
August 29, 2017: World Neurosurgery
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
#8
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/28861850/novel-simulator-for-robotic-surgery
#9
Francisco Schlottmann, Marco G Patti
Surgical simulation avoids practicing skills in patients, allowing trainees to learn in a safe, controlled, and standardized environment. Current robotic surgical simulators available include virtual reality simulators, human cadavers, and live animals. The use of cadavers has the highest possible fidelity available to practice entire operations. Nevertheless, their cost, availability, tissue compliance, and infection risk outweigh the advantages of cadaver models. Drawbacks of using live animals include anatomical differences with humans, high costs due to their housing and handling requirements, and ethical concerns...
August 31, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28856142/preoperative-surgical-rehearsal-using-cadaveric-fresh-tissue-surgical-simulation-increases-resident-operative-confidence
#10
Erin L Weber, Hyuma A Leland, Beina Azadgoli, Michael Minneti, Joseph N Carey
BACKGROUND: Rehearsal is an essential part of mastering any technical skill. The efficacy of surgical rehearsal is currently limited by low fidelity simulation models. Fresh cadaver models, however, offer maximal surgical simulation. We hypothesize that preoperative surgical rehearsal using fresh tissue surgical simulation will improve resident confidence and serve as an important adjunct to current training methods. METHODS: Preoperative rehearsal of surgical procedures was performed by plastic surgery residents using fresh cadavers in a simulated operative environment...
August 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/28844460/barriers-to-the-implementation-and-uptake-of-simulation-based-training-programs-in-general-surgery-a-multinational-qualitative-study
#11
Shady G Hosny, Maximilian J Johnston, Philip H Pucher, Simon Erridge, Ara Darzi
BACKGROUND: Despite evidence demonstrating the advantages of simulation training in general surgery, it is not widely integrated into surgical training programs worldwide. The aim of this study was to identify barriers and facilitators to the implementation and uptake of surgical simulation training programs. METHODS: A multinational qualitative study was conducted using semi-structured interviews of general surgical residents and experts. Each interview was audio recorded, transcribed verbatim, and underwent emergent theme analysis...
August 24, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28842763/development-of-a-surgical-training-model-for-bilateral-axillo-breast-approach-robotic-thyroidectomy
#12
Hyeong Won Yu, Jin Wook Yi, Chan Yong Seong, Jong-Kyu Kim, In Eui Bae, Hyungju Kwon, Young Jun Chai, Su-Jin Kim, June Young Choi, Kyu Eun Lee
BACKGROUND: Bilateral axillo-breast approach robotic thyroidectomy (BABA RT) is an excellent surgical method, being oncologically safe and with anatomic views similar to those of open surgery. BABA RT, however, requires training and a learning curve for proficiency. We evaluated the educational effectiveness of a surgical training model for BABA RT, comparing objective BABA scores with scores on the da Vinci Skills Simulator (dVSS). METHODS: Medical students, surgical residents, and surgical fellows performed structured tasks with the BABA training model and dVSS under the same conditions...
August 25, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28840332/can-fatigue-affect-acquisition-of-new-surgical-skills-a-prospective-trial-of-pre-and-post-call-general-surgery-residents-using-the-da-vinci-surgical-skills-simulator
#13
Weston Robison, Sonya K Patel, Akshat Mehta, Tristan Senkowski, John Allen, Eric Shaw, Christopher K Senkowski
OBJECTIVE: To study the effects of fatigue on general surgery residents' performance on the da Vinci Skills Simulator (dVSS). METHODS: 15 General Surgery residents from various postgraduate training years (PGY2, PGY3, PGY4, and PGY5) performed 5 simulation tasks on the dVSS as recommended by the Robotic Training Network (RTN). The General Surgery residents had no prior experience with the dVSS. Participants were assigned to either the Pre-call group or Post-call group based on call schedule...
August 24, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28838833/using-gopro-to-give-video-assisted-operative-feedback-for-surgery-residents-a-feasibility-and-utility-assessment
#14
Maureen D Moore, Jonathan S Abelson, Paul O'Mahoney, Iskander Bagautdinov, Heather Yeo, Anthony C Watkins
OBJECTIVE: As an adjunct to simulation-based teaching, laparoscopic video-based surgical coaching has been an effective tool to augment surgical education. However, the wide use of video review in open surgery has been limited primarily due to technological and logistical challenges. The aims of our study were to (1) evaluate perceptions of general surgery (GS) residents on video-assisted operative instruction and (2) conduct a pilot study using a head-mounted GoPro in conjunction with the operative performance rating system to assess feasibility of providing video review to enhance operative feedback during open procedures...
August 21, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28827901/applied-research-on-laparoscopic-simulator-in-the-resident-surgical-laparoscopic-operation-technical-training
#15
Shangxi Fu, Xiao Liu, Li Zhou, Meisheng Zhou, Liming Wang
The purpose of this study was to estimate the effects of surgical laparoscopic operation course on laparoscopic operation skills after the simulated training for medical students with relatively objective results via data gained before and after the practice course of laparoscopic simulator of the resident standardized trainees. Experiment 1: 20 resident standardized trainees with no experience in laparoscopic surgery were included in the inexperienced group and finished simulated cholecystectomy according to simulator videos...
August 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28827182/surgical-practical-skills-learning-curriculum-implementation-and-interns-confidence-perceptions
#16
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/28822578/improving-rhinology-skills-with-simulation
#17
REVIEW
Andrew Y Lee, Marvin P Fried, Marc Gibber
The convergence of technology and medicine has led to many advances in surgical training. Novel surgical simulators have led to significantly improved skills of graduating surgeons, leading to decreased time to proficiency, improved efficiency, decreased errors, and improvement in patient safety. Endoscopic sinus surgery poses a steep learning curve given the complex 3-dimensional anatomy of the nasal and paranasal cavities, and the necessary visual-spatial motor skills and bimanual dexterity. This article focuses on surgical simulation in rhinological training and how innovative high-fidelity and low-fidelity simulators can maximize resident training and improve procedural skills before operating in the live environment...
August 16, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28817346/performances-on-simulator-and-da-vinci-robot-on-subjects-with-and-without-surgical-background
#18
Andrea Moglia, Vincenzo Ferrari, Franca Melfi, Mauro Ferrari, Franco Mosca, Alfred Cuschieri, Luca Morelli
OBJECTIVE: To assess whether previous training in surgery influences performance on da Vinci Skills Simulator and da Vinci robot. MATERIAL AND METHODS: In this prospective study, thirty-seven participants (11 medical students, 17 residents, and 9 attending surgeons) without previous experience in laparoscopy and robotic surgery performed 26 exercises at da Vinci Skills Simulator. Thirty-five then executed a suture using a da Vinci robot. RESULTS: The overall scores on the exercises at the da Vinci Skills Simulator show a similar performance among the groups with no statistically significant pair-wise differences (p < ...
August 17, 2017: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/28812196/convergent-validation-and-transfer-of-learning-studies-of-a-virtual-reality-based-pattern-cutting-simulator
#19
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/28801082/-how-to-videos-improve-residents-performance-of-essential-perioperative-electronic-medical-records-and-clinical-tasks
#20
Veronica Zoghbi, Robert C Caskey, Kristoffel R Dumon, Jacqueline M Soegaard Ballester, Ari D Brooks, Jon B Morris, Daniel T Dempsey
OBJECTIVE: The ability to use electronic medical records (EMR) is an essential skill for surgical residents. However, frustration and anxiety surrounding EMR tasks may detract from clinical performance. We created a series of brief, 1-3 minutes "how to" videos demonstrating 7 key perioperative EMR tasks: booking OR cases, placing preprocedure orders, ordering negative-pressure wound dressing supplies, updating day-of-surgery history and physical notes, writing brief operative notes, discharging patients from the postanesthesia care unit, and checking vital signs...
August 8, 2017: Journal of Surgical Education
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