scholarly journals New Age Teaching: Beyond Didactics

2006 ◽  
Vol 6 ◽  
pp. 2370-2380 ◽  
Author(s):  
Peter D. Vlaovic ◽  
Elspeth M. McDougall
Keyword(s):  
Operating Room ◽  
Surgical Simulation ◽  
Public Awareness ◽  
Skills Training ◽  
Surgical Skills ◽  
Surgical Simulators ◽  
Surgical Trainees ◽  
Surgical Skills Training ◽  
Increasing Demand

Widespread acceptance of laparoscopic urology techniques has posed many challenges to training urology residents and allowing postgraduate urologists to acquire often difficult new surgical skills. Several factors in surgical training programs are limiting the ability to train residents in the operating room, including limited-hours work weeks, increasing demand for operating room productivity, and general public awareness of medical errors. As such, surgical simulation may provide an opportunity to enhance residency experience and training, and optimize post-graduate acquisition of new skills and maintenance of competency. This review article explains and defines the various levels of validity as it pertains to surgical simulators. The most recently and comprehensively validity tested simulators are outlined and summarized. The potential role of surgical simulation in the formative and summative assessment of surgical trainees, as well as, the certification and recertification process of postgraduate surgeons will be delineated. Surgical simulation will be an important adjunct to the traditional methods of surgical skills training and will allow surgeons to maintain their proficiency in the technically challenging aspects of minimally invasive urologic surgery.

The role of multimedia in surgical skills training and assessment

The Surgeon ◽  
2016 ◽  
Vol 14 (3) ◽  
pp. 150-163 ◽  
Author(s):  
Umar Shariff ◽  
Charalampos Seretis ◽  
Doreen Lee ◽  
Saba P. Balasubramanian
Keyword(s):  
Skills Training ◽  
Surgical Skills ◽  
Surgical Skills Training

scholarly journals Disparity Between Resident and Attending Physician Perceptions of Intraoperative Supervision and Education

2010 ◽  
Vol 2 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Kimberly L. Levinson ◽  
Joyce N. Barlin ◽  
Kristiina Altman ◽  
Andrew J. Satin
Keyword(s):  
Operating Room ◽  
Significant Proportion ◽  
Skills Training ◽  
Surgical Skills ◽  
Surgical Skills Training ◽  
The Difference ◽  
Attending Physician ◽  
Attending Physicians ◽  
Room Time ◽  
Operating Room Time

Abstract Background As part of an ongoing evaluation of our residency program, a needs assessment was performed to assess resident and attending perspectives on current methods of surgical skills training in the operating room. Methods Participants included obstetrics-gynecology residents and faculty at a university program. Two surveys were developed and validated. Results were analyzed with 2-sample t tests, comparing Likert scores. Findings were significant if the difference between means was >1. Results Thirty of 31 residents and 40 of 60 attending physicians responded to the survey. Residents and attending physicians agreed that the surgical skills training program needs improvement (difference in mean, −0.39; confidence interval [CI]: −0.98 to 0.20). The areas of most disagreement were regarding feedback on surgical skills and instrument handling (difference in mean, 2.53; CI: 1.81–3.26, and difference in mean, 2.24; CI: 1.44–3.05). Conclusions A significant proportion of surgical skills training during residency occurs as on-the-job training, and operating room time provides a key learning opportunity. This report demonstrates that there is a noteworthy difference in the perception of attending physicians and residents about the quality of teaching and feedback that is currently occurring in the operating room. The difference in perspectives among residents and attending physicians reported in this survey suggests a need for improved communication and systematic feedback in order to capitalize on operating room time as a critical surgical skills training arena.

Validation of laparoscopic surgical skills training outside the operating room: a long road

2009 ◽  
Vol 23 (7) ◽  
pp. 1476-1482 ◽  
Author(s):  
N. J. Hogle ◽  
L. Chang ◽  
V. E. M. Strong ◽  
A. O. U. Welcome ◽  
M. Sinaan ◽  
...  
Keyword(s):  
Operating Room ◽  
Skills Training ◽  
Surgical Skills ◽  
Surgical Skills Training

scholarly journals Novel Use of Household Items in Open and Robotic Surgical Skills Resident Education

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Keri Rowley ◽  
Deepak Pruthi ◽  
Osamah Al-Bayati ◽  
Joseph Basler ◽  
Michael A. Liss
Keyword(s):  
Skills Training ◽  
Surgical Skills ◽  
Face Validity ◽  
Knot Tying ◽  
Training Tool ◽  
Training Models ◽  
Surgical Simulators ◽  
Surgical Skills Training ◽  
Laparoscopic Simulator ◽  
Reasonable Cost

Background. The aim of this study was to investigate the effectiveness of surgical simulators created using household items and to determine their potential role in surgical skills training. Methods. Ten urology residents attended a surgical skills workshop and practiced using surgical simulators and models. These included a wound closure model, an open prostatectomy model, a delicate tissue simulation, a knot-tying station, and a laparoscopic simulator. After the workshop, the residents completed a 5-point Likert questionnaire. Primary outcome was face validity of the models. Secondary outcomes included usefulness as a training tool and ability to replicate the models. Results. All models were easily created and successfully represented the surgical task being simulated. Residents evaluated the activities as being useful for training purposes overall. They also felt confident that they could recreate the simulators. Conclusion. Low-fidelity training models can be used to improve surgical skills at a reasonable cost. The models will require further evaluation to determine construct validity and to determine how the improvements translate to OR performance. While high-fidelity simulators may continue to be utilized in formal surgical training, residents should be encouraged to supplement their training with innovative homemade models.

scholarly journals 934 Remote one-to-one virtual surgical skills training: Evolving the delivery of operative skills training in the UK

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
Christian Asher ◽  
Ibrahim Ibrahim ◽  
Eyfrossini Katsarma
Keyword(s):  
Surgical Training ◽  
Wound Closure ◽  
Cost Effective ◽  
Skills Training ◽  
Training Programme ◽  
Surgical Skills ◽  
Wound Closure Techniques ◽  
Surgical Skills Training ◽  
Speciality Training ◽  
One To One

Abstract Introduction COVID-19 has had an unprecedented effect on surgical training, including prerequisite entry-level courses to speciality training. We describe the implementation of a virtual, one-to-one training programme aimed at the acquisition and retention of operative skills. Methods Enrolment commenced 8th May 2020 for wound closure techniques or an extended programme including tendon repairs, delivered by Specialist Registrars in Plastic Surgery using Zoom® (v. 5.0.5) via mobile device. Participant feedback was collected retrospectively using a 5-point scale following course completion. Results 5 participants completed the wound closure programme, and 3 the extended programme, over an average of 5 weeks, with 2 sessions per week. 5 participants were male, 3 female and were of the following grades: 2 CT2, 4 FY2, 1 FY1 and 1 medical student. A total of 103.5 hours of training was recorded to 7 September 2020. Participants reported that all virtual skills taught were readily transferable to the theatre environment. Following the course, all participants felt confident to complete the skills learnt independently, rating the course as excellent. Conclusions The COVID-19 crisis has placed insurmountable obstacles in the face of surgical training. With further validation, we aim to develop surgical skills training with virtual, easily reproducible, cost-effective, trainee centred programmes.

scholarly journals Development of a High-Fidelity, 3D Printed Otoplasty Surgical Simulator

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Chelsey Wallace, M.S. ◽  
Zahra Nourmohammadi, Ph.D. ◽  
David A. Zopf, M.D., M.S.
Keyword(s):  
Surgical Simulation ◽  
Low Cost ◽  
Cost Effective ◽  
Occurrence Rate ◽  
Surgical Simulator ◽  
Risk Environment ◽  
Surgical Simulators ◽  
Protruding Ears ◽  
Surgical Trainees ◽  
Ear Cartilage

Background and Hypothesis: Protruding ears, also known as prominauris, are prevalent worldwide at an occurrence rate of about 5%. Children with prominauris report lower self-esteem and experience increased teasing and social isolation at school. From a functional standpoint, protruding ears can make wearing prescription glasses difficult. This increased stress and anxiety and impaired functionality lead children and families to seek treatment. One of the most effective treatments for protruding ears is otoplasty. This procedure involves an incision in the back of the ear and the placement of non-resorbable sutures to reform the ear. Alternatively, the procedure can be performed using an incisionless technique. As this is an elective procedure done commonly in children, adequate education of medical trainees is critical to ensure the proper level of skill is attained and patient satisfaction is maximized. Currently, teaching otoplasty is done with cadavers and supervised procedures with an attending. Surgical simulators are employed in the instruction of a variety of surgical procedures and allow residents to practice in a zero-risk environment. In addition, 3D printing has facilitated the development of surgical simulators allowing for a more cost-effective, consistent, and anatomically correct simulator. We developed an ear model made from silicone for trainees to practice traditional and incisionless otoplasty. Project Methods: The otoplasty surgical simulator was developed by isolating an ear from a computed-tomography scan in the Materialise software to create a 3D model. This model was then altered to create a negative mold. The mold was printed using fusion deposition printing with 1.75 MM polylactic acid filament. After printing, the mold was filled with Dragon Skin Silicone Shore 20 to simulate ear cartilage. The model was then coated in a layer of Dragon Skin Silicone Shore 10 to simulate a layer of skin. Conclusion and Potential Impact: This otoplasty simulator will next be validated by expert surgeons and then used in a surgical simulation workshop for surgical trainees. Because of the low-cost of the surgical simulator and the ease of manufacturing, this simulator can also be used to train surgeons abroad where access to surgical training may not be readily available. 

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