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steven schwaitzberg

Steven D Schwaitzberg
No abstract text is available yet for this article.
January 6, 2017: Surgery
Denis Dorozhkin, Jaisa Olasky, Daniel B Jones, Steven D Schwaitzberg, Stephanie B Jones, Caroline G L Cao, Marcos Molina, Steven Henriques, Jinling Wang, Jeff Flinn, Suvranu De
BACKGROUND: The Virtual Electrosurgical Skill Trainer is a tool for training surgeons the safe operation of electrosurgery tools in both open and minimally invasive surgery. This training includes a dedicated team-training module that focuses on operating room (OR) fire prevention and response. The module was developed to allow trainees, practicing surgeons, anesthesiologist, and nurses to interact with a virtual OR environment, which includes anesthesia apparatus, electrosurgical equipment, a virtual patient, and a fire extinguisher...
December 30, 2016: Surgical Endoscopy
Paul J Gregory, Benjamin Robbins, Steven D Schwaitzberg, Larry Harmon
BACKGROUND: The current research evaluated the potential utility of a 360-degree survey feedback program for measuring leadership quality in potential committee leaders of a professional medical association (PMA). Emotional intelligence as measured by the extent to which self-other agreement existed in the 360-degree survey ratings was explored as a key predictor of leadership quality in the potential leaders. STUDY DESIGN: A non-experimental correlational survey design was implemented to assess the variation in leadership quality scores across the sample of potential leaders...
December 30, 2016: Surgical Endoscopy
(no author information available yet)
No abstract text is available yet for this article.
2016: Journal of Biomedical Informatics
Sameer Gupta, Jacqueline Boehme, Kelly Manser, Jannine Dewar, Amie Miller, Gina Siddiqui, Steven D Schwaitzberg
Background Google Glass has been used in a variety of medical settings with promising results. We explored the use and potential value of an asynchronous, near-real time protocol-which avoids transmission issues associated with real-time applications-for recording, uploading, and viewing of high-definition (HD) visual media in the emergency department (ED) to facilitate remote surgical consults. Study Design First-responder physician assistants captured pertinent aspects of the physical examination and diagnostic imaging using Google Glass' HD video or high-resolution photographs...
October 2016: Surgical Innovation
Arun Nemani, Woojin Ahn, Denise Gee, Xavier Intes, Steven Schwaitzberg, Meryem Yucel, Suvranu De
This study proposes a methodology to objectively differentiate surgical skill for physical and virtual trainers by measuring functional activation between expert and novice surgeons. Results indicate that there is a significant increase in functional activation for novices in the right lateral prefrontal cortex, and decrease in the left medial primary motor cortex, and the supplementary motor area for the physical trainer (p<0.05). Results also indicate that there is a significant lower functional activation for novices compared to experts in the left medial primary motor cortex for the virtual skills trainer (p<0...
2016: Studies in Health Technology and Informatics
Woojin Ahn, Denis Dorozhkin, Steven Schwaitzberg, Daniel B Jones, Suvranu De
Natural orifice translumenal endoscopic surgery (NOTES) procedures are rapidly being developed in diverse surgical fields. We are developing a Virtual Translumenal Endoscopic Surgery Trainer (VTEST™) built on a modularized platform that facilitates rapid development of virtual reality (VR) NOTES simulators. Both the hardware interface and software components consist of independent reusable and customizable modules. The developed modules are integrated to build a VR-NOTES simulator for training in the hybrid transvaginal NOTES cholecystectomy...
2016: Studies in Health Technology and Informatics
Jun J Pan, Woojin Ahn, Saurabh Dargar, Tansel Halic, Bai C Li, Ganesh Sankaranarayanan, Kurt Roberts, Steven Schwaitzberg, Suvranu De
BACKGROUND: Natural Orifice Transluminal Endoscopic Surgery (NOTES) provides an emerging surgical technique which usually needs a long learning curve for surgeons. Virtual reality (VR) medical simulators with vision and haptic feedback can usually offer an efficient and cost-effective alternative without risk to the traditional training approaches. Under this motivation, we developed the first virtual reality simulator for transvaginal cholecystectomy in NOTES (VTEST™). METHODS: This VR-based surgical simulator aims to simulate the hybrid NOTES of cholecystectomy...
April 2016: Journal of Biomedical Informatics
Jacqueline Boehme, Sophia McKinley, L Michael Brunt, Tina D Hunter, Daniel B Jones, Daniel J Scott, Steven D Schwaitzberg
BACKGROUND: An understanding of the relationship between patient factors and healthcare resource utilization represents a major point of interest for optimizing clinical care and overall net savings, yet maintaining financial margins for provider revenues. This study aims to review resource utilization after cholecystectomy in order to characterize patient factors associated with increased postoperative ED visits and 30-day readmissions. METHODS: A total of 53,632 open and laparoscopic cholecystectomies were reviewed from July 2009 to December 2010 in a large private payer claims database...
June 2016: Surgical Endoscopy
Thomas N Robinson, Jaisa Olasky, Patricia Young, Liane S Feldman, Pascal R Fuchshuber, Stephanie B Jones, Amin Madani, Michael Brunt, Dean Mikami, Gretchen P Jackson, Jessica Mischna, Steven Schwaitzberg, Daniel B Jones
INTRODUCTION: The Fundamental Use of Surgical Energy (FUSE) program includes a Web-based didactic curriculum and a high-stakes multiple-choice question examination with the goal to provide certification of knowledge on the safe use of surgical energy-based devices. The purpose of this study was (1) to set a passing score through a psychometrically sound process and (2) to determine what pretest factors predicted passing the FUSE examination. METHODS: Beta-testing of multiple-choice questions on 62 topics of importance to the safe use of surgical energy-based devices was performed...
March 2016: Surgical Endoscopy
Suliat M Nurudeen, Gifty Kwakye, William R Berry, Elliot L Chaikof, Keith D Lillemoe, Frederick Millham, Marc Rubin, Steven Schwaitzberg, Robert C Shamberger, Michael J Zinner, Luke Sato, Stuart Lipsitz, Atul A Gawande, Alex B Haynes
BACKGROUND: Medical organizations have increased interest in identifying and improving behaviors that threaten team performance and patient safety. Three hundred and sixty degree evaluations of surgeons were performed at 8 academically affiliated hospitals with a common Code of Excellence. We evaluate participant perceptions and make recommendations for future use. STUDY DESIGN: Three hundred and eighty-five surgeons in a variety of specialties underwent 360-degree evaluations, with a median of 29 reviewers each (interquartile range 23 to 36)...
October 2015: Journal of the American College of Surgeons
Helena M Mentis, Amine Chellali, Kelly Manser, Caroline G L Cao, Steven D Schwaitzberg
BACKGROUND: Distractions during surgical procedures have been linked to medical error and team inefficiency. This systematic review identifies the most common and most significant forms of distraction in order to devise guidelines for mitigating the effects of distractions in the OR. METHODS: In January 2015, a PubMed and Google Scholar search yielded 963 articles, of which 17 (2 %) either directly observed the occurrence of distractions in operating rooms or conducted a laboratory experiment to determine the effect of distraction on surgical performance...
May 2016: Surgical Endoscopy
Amin Madani, Yusuke Watanabe, Melina C Vassiliou, Pascal Fuchshuber, Daniel B Jones, Steven D Schwaitzberg, Gerald M Fried, Liane S Feldman
BACKGROUND: Despite the value of simulation for surgical training, it is unclear whether acquired competencies persist long term. A prior randomized trial showed that structured simulation improves knowledge of the safe use of electrosurgery (ES) amongst trainees up to 3 months after the curriculum (Madani et al. in Surg Endosc 28(10):2772-2782, 2014). We now analyse long-term knowledge retention. This study estimates the effects of a structured simulation-based curriculum to teach the safe use of ES on knowledge after 1 year...
March 2016: Surgical Endoscopy
Ganesh Sankaranarayanan, Baichun Li, Kelly Manser, Stephanie B Jones, Daniel B Jones, Steven Schwaitzberg, Caroline G L Cao, Suvranu De
INTRODUCTION: Surgical performance is affected by distractors and interruptions to surgical workflow that exist in the operating room. However, traditional surgical simulators are used to train surgeons in a skills laboratory that does not recreate these conditions. To overcome this limitation, we have developed a novel, immersive virtual reality (Gen2-VR) system to train surgeons in these environments. This study was to establish face and construct validity of our system. METHODS AND PROCEDURES: The study was a within-subjects design, with subjects repeating a virtual peg transfer task under three different conditions: Case I: traditional VR; Case II: Gen2-VR with no distractions and Case III: Gen2-VR with distractions and interruptions...
March 2016: Surgical Endoscopy
Ganesh Sankaranarayanan, Baichun Li, Amie Miller, Hussna Wakily, Stephanie B Jones, Steven Schwaitzberg, Daniel B Jones, Suvranu De, Jaisa Olasky
BACKGROUND: Electrosurgery is a modality that is widely used in surgery, whose use has resulted in injuries, OR fires and even death. The SAGES has established the FUSE program to address the knowledge gap in the proper and safe usage of electrosurgical devices. Complementing it, we have developed the Virtual Electrosurgery Skill Trainer (VEST(©)), which is designed to train subjects in both cognitive and motor skills necessary to safely operate electrosurgical devices. The objective of this study is to asses the face validity of the VEST(©) simulator...
February 2016: Surgical Endoscopy
Pascal R Fuchshuber, Thomas N Robinson, Liane S Feldman, L Michael Brunt, Amin Madani, Stephanie B Jones, Marc A Rozner, Malcolm G Munro, Jessica Mishna, Steven D Schwaitzberg, Daniel B Jones
No abstract text is available yet for this article.
July 2015: Annals of Surgery
Grace H Taylor, Steven D Schwaitzberg
INTRODUCTION: Symptoms of severe intestinal dysmotility decrease patients' quality of life and may prevent them from sustaining adequate oral intake. Dronabinol is a synthetic cannabinoid that is labeled for use in AIDS-related anorexia and chemotherapy-associated nausea and vomiting that has additional efficacy in patients with other etiologies of nausea, vomiting, and anorexia. PRESENTATION OF CASE: We present a 58-year-old female with a history of nausea, vomiting, abdominal pain, and inability to maintain oral intake after multiple laparotomies for ectopic pregnancy, recurrent caecal volvulus, and cholecystitis...
2015: International Journal of Surgery Case Reports
Jaisa Olasky, Ganesh Sankaranarayanan, Neal E Seymour, J Harvey Magee, Andinet Enquobahrie, Ming C Lin, Rajesh Aggarwal, L Michael Brunt, Steven D Schwaitzberg, Caroline G L Cao, Suvranu De, Daniel B Jones
OBJECTIVES: To conduct a review of the state of virtual reality (VR) simulation technology, to identify areas of surgical education that have the greatest potential to benefit from it, and to identify challenges to implementation. BACKGROUND DATA: Simulation is an increasingly important part of surgical training. VR is a developing platform for using simulation to teach technical skills, behavioral skills, and entire procedures to trainees and practicing surgeons worldwide...
October 2015: Surgical Innovation
Steven D Schwaitzberg, Denis Dorozhkin, Ganesh Sankaranarayanan, Kai Matthes, Daniel B Jones, Suvranu De
INTRODUCTION AND STUDY AIM: A virtual translumenal endoscopic surgical trainer (VTEST) is being developed to accelerate the development of natural orifice translumenal endoscopic surgery (NOTES) procedures and devices in a safe and risk-free environment. For a rapidly developing field such as NOTES, a needs analysis must be conducted regularly to discover emerging research trends and areas of potential high impact for a virtual simulator. This paper presents a survey-based study which follows a similar study conducted by this group in 2011 (Sankaranarayanan et al...
January 2016: Surgical Endoscopy
Milton E Hammerly, Larry Harmon, Steven D Schwaitzberg
The past decade has seen intense interest and dramatic change in how hospitals and physician organizations review physician behaviors. The characteristics of successful physicians extend past their technical and cognitive skills. Two of the six core clinical competencies (professionalism and interpersonal/communication skills) endorsed by the Accreditation Council for Graduate Medical Education, the American Board of Medical Specialties, and The Joint Commission require physicians to succeed in measures associated with emotional intelligence (EI)...
September 2014: Journal of Healthcare Management / American College of Healthcare Executives
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