Pediatric surgical training and simulation-based surgical education - A preface

2020 ◽  
Vol 29 (2) ◽  
pp. 150900 ◽  
Author(s):  
Ramesh Mark Nataraja ◽  
Katherine Barsness
Keyword(s):  
Surgical Training ◽  
Surgical Education ◽  
Simulation Based

Piloting the ISCP Surgical Skills Assessment: The Wales Deanery Experience

2013 ◽  
Vol 95 (1) ◽  
pp. 1-4
Author(s):  
G Shingler ◽  
J Ansell ◽  
S Goddard ◽  
N Warren ◽  
J Torkington
Keyword(s):  
Systematic Review ◽  
Surgical Training ◽  
Surgical Skills ◽  
Operating Theatre ◽  
Skills Assessment ◽  
Surgical Simulators ◽  
Simulation Based

The evidence for using surgical simulators in training and assessment is growing rapidly. A systematic review has demonstrated the validity of different simulators for a range of procedures. Research suggests that skills developed on simulators can be transferred to the operating theatre. The increased interest in simulation comes as a result of the need to streamline surgical training. This is reflected by the numerous simulation-based courses that have become an essential part of modern surgical training.

scholarly journals Survey of ophthalmologists-in-training in Eastern, Central and Southern Africa: A regional focus on ophthalmic surgical education

2019 ◽  
Vol 4 ◽  
pp. 187
Author(s):  
William Dean ◽  
Stephen Gichuhi ◽  
John Buchan ◽  
Ibrahim Matende ◽  
Ronnie Graham ◽  
...  
Keyword(s):  
Surgical Training ◽  
Southern Africa ◽  
Surgical Education ◽  
Training Programme ◽  
Sub Saharan Africa ◽  
African Region ◽  
Cross Sectional Survey ◽  
Small Incision Cataract Surgery ◽  
Cross Sectional ◽  
Recent Graduates

Background: There are 2.7 ophthalmologists per million population in sub-Saharan Africa, and a need to train more. We sought to analyse current surgical training practice and experience of ophthalmologists to inform planning of training in Eastern, Central and Southern Africa. Methods: This was a cross-sectional survey. Potential participants included all current trainee and recent graduate ophthalmologists in the Eastern, Central and Southern African region. A link to a web-based questionnaire was sent to all heads of eye departments and training programme directors of ophthalmology training institutions in Eastern, Central and Southern Africa, who forwarded to all their trainees and recent graduates. Main outcome measures were quantitative and qualitative survey responses. Results: Responses were obtained from 124 (52%) trainees in the region. Overall level of satisfaction with ophthalmology training programmes was rated as ‘somewhat satisfied’ or ‘very satisfied’ by 72%. Most frequent intended career choice was general ophthalmology, with >75% planning to work in their home country post-graduation. A quarter stated a desire to mainly work in private practice. Only 28% of junior (first and second year) trainees felt surgically confident in manual small incision cataract surgery (SICS); this increased to 84% among senior trainees and recent graduates. The median number of cataract surgeries performed by junior trainees was zero. 57% of senior trainees were confident in performing an anterior vitrectomy. Only 29% of senior trainees and 64% of recent graduates were confident in trabeculectomy. The mean number of cataract procedures performed by senior trainees was 84 SICS (median 58) and 101 phacoemulsification (median 0). Conclusion: Satisfaction with post-graduate ophthalmology training in the region was fair. Most junior trainees experience limited cataract surgical training in the first two years. Focused efforts on certain aspects of surgical education should be made to ensure adequate opportunities are offered earlier on in ophthalmology training.

The future surgical training paradigm: Virtual reality and machine learning in surgical education

Surgery ◽  
2020 ◽  
Author(s):  
Michael P. Rogers ◽  
Anthony J. DeSantis ◽  
Haroon Janjua ◽  
Tara M. Barry ◽  
Paul C. Kuo
Keyword(s):  
Machine Learning ◽  
Virtual Reality ◽  
Surgical Training ◽  
Surgical Education ◽  
Training Paradigm ◽  
The Future

European Surgical Education and Training in Gynecologic Oncology: The impact of an Accredited Fellowship

2017 ◽  
Vol 27 (4) ◽  
pp. 819-825 ◽  
Author(s):  
Luis M. Chiva ◽  
Jose Mínguez ◽  
Denis Querleu ◽  
David Cibula ◽  
Andreas du Bois
Keyword(s):  
Surgical Training ◽  
Surgical Education ◽  
Gynecologic Oncology ◽  
Target Population ◽  
Education And Training ◽  
Postoperative Management ◽  
Management Of Complications ◽  
Urinary Reconstruction ◽  
The Impact ◽  
And Training

ObjectiveThe aim of this study was to understand the current situation of surgical education and training in Europe among members of the European Society of Gynecological Oncology (ESGO) and its impact on the daily surgical practice of those that have completed an accredited fellowship in gynecologic oncology.MethodsA questionnaire addressing topics of interest in surgical training was designed and sent to ESGO members with surgical experience in gynecologic oncology. The survey was completely confidentially and could be completed in less than 5 minutes. Responses from 349 members from 42 European countries were obtained, which was 38% of the potential target population. The respondents were divided into 2 groups depending on whether they had undergone an official accreditation process.ResultsTwo thirds of respondents said they had received a good surgical education. However, accredited gynecologists felt that global surgical training was significantly better. Surgical self-confidence among accredited specialists was significantly higher regarding most surgical oncological procedures than it was among their peers without such accreditation. However, the rate of self-assurance in ultraradical operations, and bowel and urinary reconstruction was quite low in both groups. There was a general request for standardizing surgical education across the ESGO area. Respondents demanded further training in laparoscopy, ultraradical procedures, bowel and urinary reconstruction, and postoperative management of complications. Furthermore, they requested the creation of fellowship programs in places where they are not now accredited and the promotion of rotations and exchange in centers of excellence. Finally, respondents want supporting training in disadvantaged countries of the ESGO area.ConclusionsSpecialists in gynecologic oncology that have obtained a formal accreditation received a significantly better surgical education than those that have not. The ESGO responders recognize that their society should lead the standardization of surgical training and promote ways of improving members’ surgical skills.

Incentivising practice with take-home laparoscopic simulators in two UK Core Surgical Training programmes

2016 ◽  
Vol 2 (4) ◽  
pp. 112-117 ◽  
Author(s):  
Laura G Nicol ◽  
Kenneth G Walker ◽  
Jennifer Cleland ◽  
Roland Partridge ◽  
Susan J Moug
Keyword(s):  
Surgical Training ◽  
First Year ◽  
Laparoscopic Skills ◽  
Performance Improvements ◽  
Surgical Trainees ◽  
Confounding Variables ◽  
Simulation Based ◽  
Higher Cognitive Functions ◽  
Training Programmes ◽  
Training Modules

IntroductionPractice using simulators has been validated as a mean for surgical trainees to improve basic laparoscopic skills and free their attention for higher cognitive functions. However, mere provision of equipment does not result in frequent practice. This study assesses one approach to incentivising practice within core surgical training programmes and leads to further recommendations.Methods30 core surgical trainees (CST) starting laparoscopic-based specialties were recruited from East and West of Scotland CST programmes and given take-home laparoscopic simulators, with six training modules. Attainment of target metric scores generated an eCertificate, to be rewarded by progression in the live theatre. Questionnaires assessed confounding variables and explored CSTs’ anxieties about laparoscopy.Results27 trainees (90%) agreed to participate (mean age 28 years, range 24–25; 17 males). 13 CSTs (48%) were in the first year of surgical training. 11 (41%) had no previous simulation experience and 7 (32%) CSTs played video games >3 hours/week. 12 of 27 trainees (44%) completed ≥1 task and 7 completed all (26%).Performances improved in some participants, but overall engagement with the programme was poor. Reasons given included poor internet connectivity, busy rotations and examinations. CSTs who engaged in the study significantly reduced their anxiety (mean 4.96 vs 3.56, p<0.05).ConclusionsThe provision of take-home laparoscopic simulators with accompanying targets did not successfully incentivise CSTs to practise. However, the subgroup who did engage with the project reported performance improvements and significantly reduced anxiety. Proposals to overcome barriers to practising in simulation, including obligatory simulation-based assessments, are discussed.

The College drive to regionalise continues

2006 ◽  
Vol 88 (9) ◽  
pp. 304-305
Author(s):  
Elaine Towell
Keyword(s):  
Surgical Training ◽  
Surgical Education ◽  
Advisory Committees ◽  
The Past ◽  
Constructive Dialogue ◽  
Education Needs ◽  
Higher Surgical Training

In the past, the College's role has focused on setting and monitoring standards for basic surgical training and, through the specialist advisory committees, higher surgical training. These standards are now made explicit through the intercollegiate surgical curriculum. Since 2000, the College has focused on the management and delivery of training at the coalface. A recent regionalisation initiative, 'schools of surgery', will allow deaneries, Trusts and the College to engage in a constructive dialogue about surgical education and related challenges, such as balancing service and education needs.

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