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Surgical education

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21 papers 100 to 500 followers
By Axel Cayetano Urology Resident
Steven Yule, Stanley W Ashley
No abstract text is available yet for this article.
September 7, 2016: JAMA Surgery
Ian W Folkert, Robert E Roses
Emergency operations are associated with increased morbidity, mortality, and cost compared to elective operations. Palliative and emergent surgery for patients with advanced malignancies is associated with additional risk and remains controversial. Emergent or palliative interventions can be broadly categorized according to indication. Tumor related complications (bleeding, obstruction, or perforation) merit specific consideration, as do specific presentations such as pneumoperitoneum, pneumatosis intestinalis, or peritonitis from other causes that may arise during active therapy for malignancies...
September 2016: Journal of Surgical Oncology
Camilo Boza, Felipe León, Erwin Buckel, Arnoldo Riquelme, Fernando Crovari, Jorge Martínez, Rajesh Aggarwal, Teodor Grantcharov, Nicolás Jarufe, Julián Varas
BACKGROUND: Multiple simulation training programs have demonstrated that effective transfer of skills can be attained and applied into a more complex scenario, but evidence regarding transfer to the operating room is limited. OBJECTIVE: To assess junior residents trained with simulation performing an advanced laparoscopic procedure in the OR and compare results to those of general surgeons without simulation training and expert laparoscopic surgeons. METHODS: Experimental study: After a validated 16-session advanced laparoscopy simulation training program, junior trainees were compared to general surgeons (GS) with no simulation training and expert bariatric surgeons (BS) in performing a stapled jejuno-jejunostomy (JJO) in the OR...
May 2, 2016: Surgical Endoscopy
N R Bhatt, M Morris, A O'Neil, A Gillis, P F Ridgway
BACKGROUND: Retirement policies for surgeons differ worldwide. A range of normal human functional abilities decline as part of the ageing process. As life expectancy and their population increases, the performance ability of ageing surgeons is now a growing concern in relation to patient care. The aim was to explore the effects of ageing on surgeons' performance, and to identify current practical methods for transitioning surgeons out of practice at the appropriate time and age. METHODS: A narrative review was performed in MEDLINE using the terms 'ageing' and 'surgeon'...
January 2016: British Journal of Surgery
Youssof Oskrochi, Mahiben Maruthappu, Maria Henriksson, Alun H Davies, Joseph Shalhoub
BACKGROUND: Training as a physician has been demonstrated to be a source of personal and familial distress; we sought to assess and analyze the holistic impact of a surgical career by examining nonphysical effects on surgeons and their families. METHODS: The MEDLINE database was searched systematically from inception to June 2014 in accordance with PRISMA guidance. Two reviewers independently reviewed articles using predefined inclusion and exclusion criteria. RESULTS: We found 71 articles that met our inclusion criteria...
February 2016: Surgery
Gregory A Jaffe, Jason C Pradarelli, Christy Harris Lemak, Michael W Mulholland, Justin B Dimick
BACKGROUND: Although numerous leadership development programs (LDPs) exist in health care, no programs have been specifically designed to meet the needs of surgeons. This study aimed to elicit practicing surgeons' motivations and desired goals for leadership training to design an evidence-based LDP in surgery. MATERIALS AND METHODS: At a large academic health center, we conducted semistructured interviews with 24 surgical faculty members who voluntarily applied and were selected for participation in a newly created LDP...
January 2016: Journal of Surgical Research
Julia B Finkelstein, Jason P Van Batavia, James S Rosoff
OBJECTIVE: To evaluate the effect of a dedicated research year on academic productivity in a heterogeneous group of urology programs. METHODS: We obtained information on publication output for the past 5 years, from 2009 to 2013, of urology graduates from all 15 New York Section residency programs (n = 148). We recorded resident sex; whether the program has a dedicated year of research; number of residents per year; total number of publications per resident noting first, second, and third or greater authorship; and whether residents pursued fellowship training...
August 2015: Urology
Ahsan Rao, Ian Tait, Afshin Alijani
BACKGROUND: Mental training is rehearsal of mental imagery without physically performing the task. The aim of the study was to perform systematic review and meta-analysis on all the available data to evaluate the role of mental training in the acquisition of surgical technical skills. METHODS: The following search databases were used: EMBASE, MEDLINE, Web of Science,, SIGN guidelines, NICE guidelines, and Cochrane review register. Meta-analysis was performed using Revman 5...
September 2015: American Journal of Surgery
Shaun C Daly, Matthew M Klairmont, Daniel Rinewalt, Minh B Luu, Jonathan A Myers
BACKGROUND: Lack of continuity of care for patients managed by general surgery residents is a commonly recognized problem but objective data evaluating its incidence are limited. The goal of this pilot study was to determine the extent to which senior residents at a large American urban academic center participate in the full course of care for patients on whom they operate. METHODS: Two hundred twenty-eight total cases performed between January 1, 2012 and December 31, 2012 were reviewed and the operative senior resident was noted: laparoscopic cholecystectomy (n = 50), breast lumpectomy (n = 33), thyroidectomy (n = 50), laparoscopic appendectomy (n = 50), and open partial colectomy (n = 45)...
July 2015: American Journal of Surgery
Dorotea Mutabdzic, Maria Mylopoulos, Michael Lucas Murnaghan, Priyanka Patel, Nathan Zilbert, Natashia Seemann, Glenn Regehr, Carol-Anne Moulton
OBJECTIVE: To explore surgeons' perceptions of and potential concerns about coaching. BACKGROUND: There is growing recognition that the traditional model of continuing professional development is suboptimal. This has led to increasing interest in alternative strategies that take place within the actual practice environment such as coaching. However, if coaching is to be a successful strategy for continuing professional development, it will need to be accepted by surgeons...
August 2015: Annals of Surgery
Kamran Ahmed, Oliver Anderson, Muhammad Jawad, Tanya Tierney, Ara Darzi, Thanos Athanasiou, George B Hanna
BACKGROUND: Ward round skills are essential for the best management of surgical inpatients, but assessment of their quality has received inadequate attention. This study aims to design and validate the surgical ward round assessment tool (SWAT). METHODS: We used modified Healthcare Failure Mode and Effects Analysis to develop the SWAT by identifying ward round steps. We assessed the validity of the SWAT using simulated and real surgical ward rounds. RESULTS: The Healthcare Failure Mode and Effects Analysis identified 30 ward round steps that were developed into the SWAT...
April 2015: American Journal of Surgery
Jen Hoogenes, Polina Mironova, Oleg Safir, Sydney A McQueen, Hesham Abdelbary, Michael Drexler, Markku Nousiainen, Peter Ferguson, William Kraemer, Benjamin Alman, Richard K Reznick, Ranil R Sonnadara
BACKGROUND: Competency-based education and simulation are being used more frequently in surgical skills curricula. We explored a novel student-led learning paradigm, which allows trainees to become more active participants in the learning process while maintaining expert guidance and supervision. METHODS: Twelve first-year orthopedic residents were randomized to either a student-led (SL) or a traditional instructor-led group during an intensive, month-long, laboratory-based technical skills training course...
January 2015: American Journal of Surgery
Roy Phitayakorn, Michael W Nick, Adnan Alseidi, David Scott Lind, Ranjan Sudan, Gerald Isenberg, Jeannette Capella, Mary A Hopkins, Emil R Petrusa
BACKGROUND: E-learning is increasingly common in undergraduate medical education. Internet-based multimedia materials should be designed with millennial learner utilization preferences in mind for maximal impact. METHODS: Medical students used all 20 Web Initiative for Surgical Education of Medical Doctors modules from July 1, 2013 to October 1, 2013. Data were analyzed for topic frequency, time and week day, and access to questions. RESULTS: Three thousand five hundred eighty-seven students completed 35,848 modules...
January 2015: American Journal of Surgery
O Brunckhorst, B Challacombe, H Abboudi, M S Khan, P Dasgupta, K Ahmed
BACKGROUND: Live surgical demonstrations are commonly performed for surgical conferences. These live procedures have recently come under scrutiny, in particular with issues pertaining to patient safety. This systematic review aimed to explore the evidence for live surgery as a training tool, and to investigate the safety of live surgical broadcasts. METHODS: PubMed, Embase, MEDLINE and Cochrane Library databases were searched using a predefined search strategy from January 1980 to October 2013...
December 2014: British Journal of Surgery
M Graafland, J M C Schraagen, M A Boermeester, W A Bemelman, M P Schijven
BACKGROUND: Surgical errors result from faulty decision-making, misperceptions and the application of suboptimal problem-solving strategies, just as often as they result from technical failure. To date, surgical training curricula have focused mainly on the acquisition of technical skills. The aim of this review was to assess the validity of methods for improving situational awareness in the surgical theatre. METHODS: A search was conducted in PubMed, Embase, the Cochrane Library and PsycINFO using predefined inclusion criteria, up to June 2014...
January 2015: British Journal of Surgery
Pritam Singh, Rajesh Aggarwal, Boris Zevin, Teodor Grantcharov, Ara Darzi
BACKGROUND: Evidence suggests that patient outcomes can be associated with the quality of surgical training. To raise the standards of surgical training, a tool to measure training quality is needed. The objective of this study was to define the elements of high-quality surgical training and methods to measure them. STUDY DESIGN: Modified Delphi methodology was used to achieve international expert consensus. Seventy statements about indicators and measures of training quality were developed based on themes from semi-structured interviews of surgeons...
September 2014: Journal of the American College of Surgeons
S R Dawe, G N Pena, J A Windsor, J A J L Broeders, P C Cregan, P J Hewett, G J Maddern
BACKGROUND: Simulation-based training assumes that skills are directly transferable to the patient-based setting, but few studies have correlated simulated performance with surgical performance. METHODS: A systematic search strategy was undertaken to find studies published since the last systematic review, published in 2007. Inclusion of articles was determined using a predetermined protocol, independent assessment by two reviewers and a final consensus decision...
August 2014: British Journal of Surgery
Shahid A A Khan, Richard T M Chang, Kamran Ahmed, Thomas Knoll, Roland van Velthoven, Ben Challacombe, Prokar Dasgupta, Abhay Rane
OBJECTIVE: To evaluate the experience and views regarding live surgical broadcasts (LSB) among European urologists attending the European Association of Urology Robotic Urology Society (ERUS) congress in September 2012. MATERIALS AND METHODS: An anonymous survey was distributed via email inviting the participants of the ERUS congress with experience of LSB to share their opinions about LSB. The outcomes measured included; personal experience of LSB, levels of anxiety faced and the perceived surgical quality...
July 2014: BJU International
Dwight C Kellicut, Eric J Kuncir, Hope M Williamson, Pamela C Masella, Peter E Nielsen
BACKGROUND: Simulation and team training are accepted as critical patient safety strategies to improve team performance and can help achieve better outcomes. Standardized and realistic drills conducted by skilled physicians and nurses who demonstrate consistent use of principles which enhance communication and teamwork increase the likelihood of improved clinical outcomes. METHODS: Two, 4-member surgeon/nurse teams traveled to 8 Army surgical resuscitation medical treatment facilities in Iraq during July and August 2011...
August 2014: American Journal of Surgery
Nada Gawad, Boris Zevin, Esther M Bonrath, Nicolas J Dedy, Marisa Louridas, Teodor P Grantcharov
BACKGROUND: First- and second-year medical students have limited exposure to basic surgical skills. An introductory, comprehensive, simulation-based curriculum in basic laparoscopic skills may improve medical students' knowledge and technical and nontechnical skills and may raise their interest in a career in surgery. The purpose of this study was to (1) design a comprehensive, simulation-based training curriculum (STC) aimed to introduce junior medical students to basic laparoscopic skills and (2) compare structured and supervised learning and practice to a self-directed approach...
September 2014: Surgery
2014-06-16 13:10:11
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