173 Post course evaluation of an innovative training model to accelerate radiation therapists' skill acquisition

Context: Most available data on athletic development training models focus on adult or professional athletes, where increasing workload capacity and performance is a primary goal. Development pathways in youth athletes generally emphasize multisport participation rather than sport specialization to optimize motor skill acquisition and to minimize injury risk. Other models emphasize the need for accumulation of sport- and skill-specific hours to develop elite-level status. Despite recommendations against sport specialization, many youth athletes still specialize and need guidance on training and competition. Medical and sport professionals also recommend progressive, gradual increases in workloads to enhance resilience to the demands of high-level competition. There is no accepted model of risk stratification and return to play for training a specialized youth athlete through periods of injury and maturation. In this review, we present individualized training models for specialized youth athletes that (1) prioritize performance for healthy, resilient youth athletes and (2) are adaptable through vulnerable maturational periods and injury. Evidence Acquisition: Nonsystematic review with critical appraisal of existing literature. Study Design: Clinical review. Level of Evidence: Level 4. Results: A number of factors must be considered when developing training programs for young athletes: (1) the effect of sport specialization on athlete development and injury, (2) biological maturation, (3) motor and coordination deficits in specialized youth athletes, and (4) workload progressions and response to load. Conclusion: Load-sensitive athletes with multiple risk factors may need medical evaluation, frequent monitoring, and a program designed to restore local tissue and sport-specific capacity. Load-naive athletes, who are often skeletally immature, will likely benefit from serial monitoring and should train and compete with caution, while load-tolerant athletes may only need occasional monitoring and progress to optimum loads. Strength of Recommendation Taxonomy (SORT): B.

Download Full-text

Training in Pathology Informatics: Implementation at the University of Pittsburgh

Archives of Pathology & Laboratory Medicine ◽

10.5858/2003-127-1019-tipiia ◽

2003 ◽

Vol 127 (8) ◽

pp. 1019-1025 ◽

Cited By ~ 5

Author(s):

James H. Harrison ◽

Jimmie Stewart

Keyword(s):

Training Model ◽

Course Evaluation ◽

Skill Level ◽

Full Time ◽

University Of Pittsburgh ◽

Pathology Informatics ◽

Informatics Training ◽

Desktop Computing ◽

Core Rotation ◽

The University

Abstract Context.—Pathology informatics is generally recognized as an important component of pathology training, but the scope, form, and goals of informatics training vary substantially between pathology residency programs. The Training and Education Committee of the Association for Pathology Informatics (API TEC) has developed a standard set of knowledge and skills objectives that are recommended for inclusion in pathology informatics training and may serve to standardize and formalize training programs in this area. Objective.—The University of Pittsburgh (Pittsburgh, Pa) core rotation in pathology informatics includes most of these goals and is offered as an implementation model for pathology informatics training. Design.—The core rotation in pathology informatics is a 3-week, full-time rotation including didactic sessions and hands-on laboratories. Topics include general desktop computing and the Internet, but the primary focus of the rotation is vocabulary and concepts related to enterprise and pathology information systems, pathology practice, and research. The total contact time is 63 hours, and a total of 19 faculty and staff contribute. Pretests and posttests are given at the start and end of the rotation. Performance and course evaluation data were collected for 3 years (a total of 21 residents). Results.—The rotation implements 84% of the knowledge objectives and 94% of the skills objectives recommended by the API TEC. Residents scored an average of about 20% on the pretest and about 70% on the posttest for an average increase during the course of 50%. Posttest scores did not correlate with pretest scores or self-assessed computer skill level. The size of the pretest/posttest difference correlated negatively with the pretest scores and self-assessed computing skill level. Conclusions.—Pretest scores were generally low regardless of whether residents were familiar with desktop computing and productivity applications, indicating that even residents who are computer “savvy” have limited knowledge of pathology informatics topics. Posttest scores showed that all residents' knowledge increased substantially during the course and that residents who were computing novices were not disadvantaged. In fact, novices tended to have higher pretest/posttest differences, indicating that the rotation effectively supported initially less knowledgeable residents in “catching up” to their peers and achieving an appropriate competency level. This rotation provides a formal training model that implements the API TEC recommendations with demonstrated success.

Download Full-text

Una experiencia de teleformación del profesorado de Educación Física (Primaria y Secundaria) en actividades físicas en el medio natural (Formation on line an experience of the faculty of Physical Education (Primary and Secondary) in Physical Activity in t

Retos ◽

10.47197/retos.v0i13.35026 ◽

2015 ◽

pp. 39-45

Author(s):

Antonio Granero Gallegos

Keyword(s):

Physical Education ◽

Resource Use ◽

New Technologies ◽

Training Model ◽

Course Evaluation ◽

Party Line ◽

Nuevas Tecnologías ◽

Information And Communication ◽

On Line ◽

Natural Formation

Las nuevas tecnologías de la información y la comunicación son una realidad que hay que afrontar, también desde la formación del profesorado de primaria y secundaria, pues representan un recurso cada día más imprescindible en nuestra vida y unas herramientas adecuadas para la preparación presente y futura del alumnado. Desde el Centro del Profesorado Cuevas-Olula (Almería) se ha realizado una actividad de teleformación dirigida al profesorado de Educación Física, trabajando distintos contenidos curriculares de actividades en el medio natural, y buscando poner de manifiesto que todas las áreas del conocimiento pueden y deben adaptarse a las nuevas tecnologías. Esta actividad de formación demuestra el gran interés e implicación de maestros y profesores de Educación Física en la propia actualización y utilización de los recursos TIC. La evaluación del curso, realizada por los propios participantes, evidencia la validez y el éxito del modelo de formación utilizado, con una parte teórico-práctica desarrollada on-line y con actividades prácticas presenciales al final, así como la valoración de las virtudes de la formación a distancia en comparación con la presencial y tradicional.Abstract: The new technologies of information and communication are a reality that must be confronted, from teacher training to primary and secondary schools, since they represent a resource increasingly indispensable in our lives and about proper tools for the preparation of the present and future students. From the Center Teacher Cuevas-Olula (Almeria) has been engaged in an activity distance to the faculty of Physical Education, working different curricula activities in the natural environment, and seeking to demonstrate that all areas of knowledge can and should adapt to new technologies. This training demonstrates the keen interest and involvement of teachers and professors of Physical Education at the updating and resource use ICT. The course evaluation, conducted by the participants themselves, will evidence the validity and success of the training model used, with a party line developed theoretical and practical sessions at the end, as well as the valuation of the virtues of distance learning compared with the personal and traditional one.

Download Full-text

New cost-effective pleural procedure training: manikin-based model to increase the confidence and competency in trainee medical officers

Postgraduate Medical Journal ◽

10.1136/postgradmedj-2018-136380 ◽

2019 ◽

Vol 95 (1123) ◽

pp. 245-250 ◽

Cited By ~ 1

Author(s):

Subash Heraganahally ◽

Sumit Mehra ◽

Daisy Veitch ◽

Dimitar Sajkov ◽

Henrik Falhammar ◽

...

Keyword(s):

Skill Acquisition ◽

Online Survey ◽

Prospective Observational Study ◽

Simulation Training ◽

Cost Effective ◽

Training Model ◽

Further Training ◽

Pleural Diseases ◽

Cost Effective Method

Purpose of the studyPleural diseases are common in clinical practice. Doctors in training often encounter these patients and are expected to perform diagnostic and therapeutic pleural procedures with confidence and safely. However, pleural procedures can be associated with significant complications, especially when performed by less experienced. Structured training such as use of training manikin and procedural skills workshop may help trainee doctors to achieve competence. However, high costs involved in acquiring simulation technology or attending a workshop may be a hurdle. We hereby describe a training model using a simple manikin developed in our institution and provide an effective way to document skill acquisition and assessment among trainee medical officers.Study designThis was a prospective observational study. The need for training, competence and confidence of trainees in performing pleural procedures was assessed through an online survey. Trainees underwent structured simulation training through a simple manikin developed at our institute. Follow-up survey after the training was then performed to access confidence and competence in performing pleural procedures.ResultsForty-seven trainees responded to an online survey and 91% of those expressed that they would like further training in pleural procedure skills. 81% and 85% of responders, respectively, indicated preferred method of training is either practising on manikin or performing the procedure under supervision. Follow-up survey showed improvement in the confidence and competence.ConclusionOur pleural procedure training manikin model is a reliable, novel and cost-effective method for acquiring competences in pleural procedures.

Download Full-text

Therapeutic Endoscopic Procedures on a Human Cadaver—A Pilot Feasibility Study

Journal of Digestive Endoscopy ◽

10.1055/s-0041-1728223 ◽

2021 ◽

Vol 12 (01) ◽

pp. 036-042

Author(s):

Avinash Bhat Balekuduru ◽

Ashwini C. Appaji

Keyword(s):

Training Model ◽

Course Evaluation ◽

Human Cadaver ◽

High Stakes ◽

Endoscopic Clip ◽

Endoscopic Injection ◽

Endoscopic Gastrostomy ◽

Hands On ◽

Strongly Agree ◽

Teaching Modules

Abstract Introduction The traditional apprentice model of teaching therapeutic endoscopic skills is inadequate due to unpredictable frequency and high stakes for patient outcome. Simulation had gained widespread acceptance for training modules. But all the procedures cannot be trained on simulator. We designed a novel human cadaver hands-on training module for practicing percutaneous endoscopic gastrostomy (PEG), endoscopic variceal band ligation (EVL), endoscopic injection (EI), snare polypectomy (SP), thermal cautery (TC), and endoscopic clip (EC) placement. Methods A single preserved pre-coronavirus disease 2019 human cadaver was used as a training model. Twelve trainees (6 teams) used the module to acquire and practice new skills of PEG, EVL, EI, SP, and EC using standard endoscope and regular endoscopic accessories. All the trainees completed the course evaluation using a 5-point Likert scale (5= strongly agree). Results The training resulted in a self-reported increase in equipment familiarity and all the trainees felt uniformly that they are better prepared for performing the procedures on real patients. They strongly agreed that this exhaustive hands-on exercise has more educational value than attending lectures. Conclusion Human cadaver can be used for trainees to hone therapeutic endoscopic skills by teaching modules with predefined learning objectives.

Download Full-text

Designing an Extensible Wire Navigation Simulation Platform

2017 Design of Medical Devices Conference ◽

10.1115/dmd2017-3435 ◽

2017 ◽

Author(s):

Steven Long ◽

Geb W. Thomas ◽

Donald D. Anderson

Keyword(s):

Skill Acquisition ◽

Skills Training ◽

Training Model ◽

Resident Training ◽

Surgical Skills ◽

Simulation Platform ◽

Surgical Skill ◽

The Wire ◽

And Performance ◽

General Skill

Orthopaedic resident training has been, and continues to be, in a state of flux. Initially, there were limits placed on the number of hours a resident could work in a week [1]. Later, residency programs were required to provide laboratory-based training in basic surgical skill for first year residents [2]. Now there is a push towards a competency-based training program that graduates residents who demonstrate their acquisition of adequate surgical skills [3]. With each of these shifts in the training model, programs and institutions have looked increasingly to simulation-based training to ease the way. Simulation offers opportunities to train surgeons quickly, provide essential feedback to foster improvement, and assess skill acquisition. With the broad swath of requirements to satisfy in orthopaedic surgical skills training, a simulation platform must support an array of training capabilities for resident practice and performance assessment. Wire navigation is a central skill in orthopaedics that has a broad variety of applications. In this task, surgeons must use 2D intra-operative fluoroscopic images to visualize the 3D anatomy of a patient and place a wire along a specified path through bone. In some situations, placing the wire is the final task; in others the wire serves as a guide for subsequently placed cannulated implants. Regardless of the situation, the placement of the wire in the bone directly influences the surgical result for the patient. We previously presented the design of a wire navigation surgical simulator dedicated specifically to hip wire navigation [4]. Our experience with the dozens of surgeons and residents who have used the simulator suggest that they find the general skill of guiding a wire to be relatively abstract. They are more drawn to practicing specific surgeries rather than the general skill. To address this need, we have modified the simulator to present new surgical procedures, while still exercising the underlying skill of wire navigation. We also learned that the task of directing the fluoroscope in order to acquire appropriate view angles for making surgical decisions is integral to surgical wire navigation, so we extended the simulator to include this important aspect of surgical skill.

Download Full-text

Ovine Endoscopic Ear Surgery - Accessible Smartphone-Based Training Model

10.21203/rs.3.rs-1121279/v1 ◽

2022 ◽

Author(s):

Sharon Ovnat Tamir ◽

Yehuda Schwarz ◽

Ofer Gluck ◽

Blake Alkire ◽

Tal Marom ◽

...

Keyword(s):

Skill Acquisition ◽

Middle Ear ◽

Endoscopic Surgery ◽

Initial Step ◽

Training Model ◽

Middle Ear Surgery ◽

Ear Surgery ◽

Surgery Training ◽

Viral Spread ◽

Novice Surgeon

Abstract Background: Understanding middle ear anatomy, in addition to endoscopic surgical skill acquisition, is an arduous task. Mastering 3-dimensional conceptualization and surgical dexterity may take many years. The coronavirus pandemic has made training difficult and complicated due to social distancing and risk of aerosolized viral spread in cadaver dissection. In this study we suggest a smartphone-based endoscope ovine head cadaveric dissection which is a simple, safe, and affordable training model for residents as an initial step in otologic endoscopic surgery training.Methods: A stepwise depiction of endoscopic ovine middle ear surgery; from cadaver and equipment acquisition, setting preparation, to surgical explanation and procedural steps. Results: The smartphone-based endoscopic otological ovine dissection model provides a low-cost, easily accessible and easily deployable training model for the novice surgeon world-wide. This model permits the novice surgeon a comprehensive anatomical understanding, middle ear proprioception, as well as a "safe" practicing model for diverse middle ear procedures. Conclusions: The ovine cadaver otological smartphone-based endoscopic surgery training model is an affordable, easy, reproducible, and transportable model, which makes it an ideal model from implementation in both low-middle and high-income countries.

Download Full-text

Cerebrovascular aneurysm clipping training models with pulsatile blood flow

Russian journal of neurosurgery ◽

10.17650/1683-3295-2021-23-2-128-133 ◽

2021 ◽

Vol 23 (2) ◽

pp. 128-133

Author(s):

M.J. Encarnacion Ramirez

Keyword(s):

Skill Acquisition ◽

Cerebral Aneurysms ◽

Training Model ◽

Training Methods ◽

Study Objective ◽

Training Models ◽

Aneurysm Clipping ◽

Paprika Oleoresin ◽

3D Printed ◽

The Brain

Introduction. Neurosurgery trainees are finding it increasingly difficult to obtain operative experience as the main surgeon in aneurysm procedure. Good quality cadaver dissection opportunities are also not widely available for neurosurgery residents. Simulation is emerging as a useful training aid for neurosurgery. Surgical treatment of cerebral aneurysms requires specialized skills development and proficient use of microsurgical instruments. Furthermore, any advance in neurosurgical training methods is of potential value to both neurosurgeons and patients.The study objective is to introduce a 3D aneurysm clipping training model to enhance skill acquisition and development.Materials and methods. The brain model is made using a 3D printed resin mold. The mold is filled with silicone Ecoflex 00–10 and mix with Silc Pig pigment additives to replicate the color and consistency of brain tissue. Dura is made from quick drying silicone paste with grey dye. The blood vessels are made from a silicone 3D printed mold of a magnetic resonance angiography. Liquid with paprika oleoresin (E160c) dye is used to simulate blood and is pumped through the vessels to simulate pulsatile motion.Results and conclusion. These models offer an alternative method to train residents and preoperative planning. They are affordable and easy to recreate and hence can standardize training in multiple centers. With advancing technology, 3D technology is becoming an import part of medical education.

Download Full-text