Surgical teaching of the lateral tarsal strip technique: simulation of periosteum using a plastic skull model and duct tape

Abstract Background An Anorectal Malformation (ARM) is a rare congenital malformation, which requires proper correction to ensure the best long-term prognosis. These procedures are relatively infrequent and complex, in which a structured approach is important. Therefore, training on an affordable model could be beneficial. Methods A low-cost ARM model was developed. The base was reusable and the perineal body disposable. Both expert pediatric surgeons (Experts) and residents/fellows (Target group) were recruited for this study. After testing the model, they completed a questionnaire regarding the realism and didactic value of the model, using a 5-point Likert scale. Results Forty-four participants were recruited (Target group n = 20, Experts n = 24). The model has high mean scores of 3.8–4.4 for the total group and even higher on several aspects by the Target group. The experts regarded the haptics and manipulation of the fistula less realistic than the Target group (3.7 versus 4.3, p = 0.021 and 4.2 versus 4.6, p = 0.047). It was considered to be a very good training tool (mean 4.3), without significant differences between the groups. Conclusions These results show general consensus that this model is a potent training tool for the component steps of the repair of an ARM with recto-perineal fistula by sagittal approach.

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“If I Had Some Duct Tape, I Could Fix That”

Anesthesia & Analgesia ◽

10.1213/ane.0000000000001550 ◽

2016 ◽

Vol 123 (5) ◽

pp. 1072-1073 ◽

Cited By ~ 3

Author(s):

Keith J. Ruskin ◽

Avery Tung

Keyword(s):

Duct Tape

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Development and validation of a systematic approach for the quantitative assessment of the quality of duct tape physical fits

Forensic Science International ◽

10.1016/j.forsciint.2019.110103 ◽

2020 ◽

Vol 307 ◽

pp. 110103 ◽

Cited By ~ 1

Author(s):

Meghan Prusinowski ◽

Evie Brooks ◽

Tatiana Trejos

Keyword(s):

Quantitative Assessment ◽

Systematic Approach ◽

Duct Tape ◽

Development And Validation

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234 Remote Surgical Teaching During COVID-19: Early Feedback from Students and Teachers

British Journal of Surgery ◽

10.1093/bjs/znab134.126 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

H Harris ◽

G Khera ◽

A r Alanbuki ◽

K Ray ◽

W Yusuf ◽

...

Keyword(s):

Medical School ◽

Blended Learning ◽

Practical Skills ◽

Small Group Teaching ◽

Surgical Ward ◽

School Teaching ◽

Surgical Teaching ◽

The Government ◽

Ward Rounds ◽

Online Feedback

Abstract Background On the 23rd March 2020 the government issued a nationwide lockdown in response to COVID-19. Using Microsoft Teams software, Brighton and Sussex Medical School transitioned to remote surgical teaching. We discuss the early feedback from students and tutors. Method All students (N = 40) and tutors (N = 7) were invited to complete an online feedback survey. Results Twenty students responded. Nine preferred remote teaching. The teaching was described as either good (10/20) or excellent (10/20). Small group teaching, lectures and student lead seminar sessions all received positive feedback. Students preferred sessions that were interactive. One hour was optimal (17/20). There was no consensus over class size. 15/20 (75%) would like remote teaching to continue after the pandemic. All tutors responded. There was a preference towards shorter sessions: 45 minutes (2/7) one hour (5/7). Tutors found virtual sessions less interactive (6/7). All tutors would like remote teaching to continue after the pandemic. Three suggested extending teaching to remote surgical ward rounds. Concern was raised by both students and tutors regarding the absence of practical skills. Conclusions The value of remote teaching has been highlighted by COVID-19. Our feedback recommends a transition towards blended learning; using the convenience of remote teaching to help augment traditional medical school teaching.

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Cost-Effective Eradication of an Outbreak of Methicillin-Resistant Staphylococcus aureus in a Community Teaching Hospital

Infection Control and Hospital Epidemiology ◽

10.1086/645848 ◽

1988 ◽

Vol 9 (6) ◽

pp. 255-260 ◽

Cited By ~ 22

Author(s):

Nalini Rao ◽

Sharon Jacobs ◽

Linda Joyce

Keyword(s):

Staphylococcus Aureus ◽

Teaching Hospital ◽

Cost Effective ◽

Methicillin Resistant ◽

Critical Care Units ◽

Outbreak Period ◽

Surgical Teaching ◽

The Cost ◽

Community Teaching ◽

Microbiological Surveillance

AbstractDuring an eight-month period, 25 hospitalized patients became infected or colonized with methicillin-resistant Staphylococcus aureus (MRSA) in a 464-bed acute care, medical-surgical teaching hospital. There were only five cases during the eight months prior to the outbreak period (P < 0.0001). Initial measures, including category-specific isolation and education, did not limit the spread of the outbreak of a strain of MRSA. This prompted institution of additional measures including (1) strict isolation of all infected and colonized cases; (2) prospective microbiological surveillance to detect additional cases; (3) multiple site cultures of identified cases to determine the extent of colonization; (4) employee and environment surveillance; (5) antibiotic decolonization of patients and employees; and (6) educational efforts. The highest number of personnel carriers were noted in one of the critical care units where most of the cases occurred. The decolonization protocol was 100% effective for personnel carriers. The incidence of nosocomial cases of MRSA fell to zero in the five months following the implementation of the strategy. The cost of the entire eradication process was approximately half that of treating a single MRSA bacteremia.

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