Validation of Bench Training Model for Cleft Palate Surgery

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Karim Samir Masoud ◽  
Mohamed Abdel Mohsen Ghanem ◽  
Ahmed Sobhi Hweidi ◽  
Ahmed Mostafa El Sayed Zidane
Keyword(s):  
Cleft Palate ◽  
Training Model ◽  
Single Session ◽  
University Hospitals ◽  
Training Tool ◽  
Institutional Ethics ◽  
Operating Theatres ◽  
Training Of Surgeons ◽  
Effective Use ◽  
Bench Model

Abstract Background Cleft palate is one of the most common congenital malformations worldwide. It can be non-syndromic or it can appear as a part of a syndrome or recurrence pattern. Aim of the Work To provide a valid life-size realistic training model of cleft palate surgery that aids in pre-operative training of residents and improvement of their skills in life surgery. Patients and Methods This interventional pilot study was done after approval of institutional ethics committee in Ain Shams University Hospitals operating theatres and in plastic surgery department’s skill lab for 6 months and obtaining an informed written consent from parents. It was designed to develop a bench model of cleft palate for pre-operative training of surgeons and assess its validity. Results In our study we found that the performance of trainees after using our developed bench model of cleft palate shows statistically significant improvement according to GRITS score by 63.2% compared to those who proceeded to live cases directly without training Conclusion This study further demonstrates the effective use of a novel cleft palate bench model as a training tool. After a single session, we observed improvement in cleft palate procedural skills, confidence, knowledge and time taken to finish the operation among trainees both with and without previous cleft experience. Additional research is needed to assess the durability of these improvements over time, and also the benefit of additional sessions with the bench model.

A comparison of intranasal dexmeditomidine versus intranasal midazolam as a pre anesthetic medication in children undergoing adenotonsillectomy

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Nourhan M El Zoghby ◽  
Ahmed S Mohammed ◽  
Ahmed M El Hennawy ◽  
Ramy M Wahba
Keyword(s):  
Pediatric Patients ◽  
Controlled Clinical Trial ◽  
Physical Status ◽  
University Hospitals ◽  
Double Blind ◽  
Institutional Ethics ◽  
Pediatric Anesthesiologist ◽  
Important Concern ◽  
Anxiety Levels ◽  
Intranasal Midazolam

Abstract Background Adenotonsillectomy is one of the most common surgical procedures performed on pediatric patients. Relieving pre- and post-operative anxiety is an important concern for the pediatric anesthesiologist. Aim of the Work: to compare dexmedetomidine with midazolam effect on preoperative sedation, the ease of children parent separation, the mask tolerance, intraoperative hemodynamics stability, emergence of anesthesia and postoperative analgesia. Patients and Methods A Prospective, randomized and double blind controlled clinical trial was done after approval of institutional ethics committee in Ain Shams university Hospitals for 6 months and obtaining an informed written consent from parents. It was designed to include fifty pediatric patients, aged 5 to 10 years old of both genders, with physical status ASA Ι. Results statistically significant increase mean of Dexmedetomidine compared to midazolam according to sedation score after 15min. to after 45min. Conclusion Premedication with intranasal dexmedetomidine 1 μg/kg attained significant and satisfactory sedation with better parent separation and lower anxiety levels without any adverse effects as compared with intranasal midazolam 0.2 mg/kg in children undergoing adenotonsillectomy.

The Importance of Continuing Education for Transplant Coordination Staff

2005 ◽  
Vol 15 (2) ◽  
pp. 106-111 ◽  
Author(s):  
Ibrahim Tokalak ◽  
Remzi Emiroğlu ◽  
Hamdi Karakayali ◽  
Nevzat Bilgin ◽  
Mehmet Haberal
Keyword(s):  
Training Programs ◽  
Organ Procurement ◽  
Monitoring And Evaluation ◽  
Training Model ◽  
Further Education ◽  
Total Quality ◽  
University Hospitals ◽  
Continuous Quality ◽  
Service Training

Continuous quality improvement activities are necessary to achieve excellence at any institution. The Başkent University Hospitals have implemented continuous in-service training programs to improve all health services provided. Also, continuing medical education programs are being instituted in organ procurement and transplantation centers. In addition to receiving basic orientation and training upon hiring, transplant coordination staff complete forms that detail their current training status, further job training needed, and other courses of interest. The information is used to monitor skill levels, to determine the success of educational programs, and to identify further education that is needed. Our aim is to improve the quality of transplant coordination activities and increase organ donation at the hospitals in our network through effective monitoring and evaluation of continuous in-service training. These training programs enhance staff members' understanding of and participation in procedures related to transplantation and improves the total quality of the transplantation process. In the near future, this training model may be used to improve the donor hospital education program in Turkey.

scholarly journals Face, content, and construct validity of human placenta as a haptic training tool in neurointerventional surgery

2016 ◽  
Vol 124 (5) ◽  
pp. 1238-1244 ◽  
Author(s):  
Marcelo Magaldi Ribeiro de Oliveira ◽  
Arthur Nicolato ◽  
Marcilea Santos ◽  
Joao Victor Godinho ◽  
Rafael Brito ◽  
...  
Keyword(s):  
Construct Validity ◽  
Human Placenta ◽  
Training Model ◽  
Tactile Feedback ◽  
Embolic Agent ◽  
Training Tool ◽  
Preliminary Validation ◽  
Resource Requirements ◽  
Liquid Embolic Agent ◽  
Training Exercises

OBJECT The development of neurointerventional treatments of central nervous system disorders has resulted in the need for adequate training environments for novice interventionalists. Virtual simulators offer anatomical definition but lack adequate tactile feedback. Animal models, which provide more lifelike training, require an appropriate infrastructure base. The authors describe a training model for neurointerventional procedures using the human placenta (HP), which affords haptic training with significantly fewer resource requirements, and discuss its validation. METHODS Twelve HPs were prepared for simulated endovascular procedures. Training exercises performed by interventional neuroradiologists and novice fellows were placental angiography, stent placement, aneurysm coiling, and intravascular liquid embolic agent injection. RESULTS The endovascular training exercises proposed can be easily reproduced in the HP. Face, content, and construct validity were assessed by 6 neurointerventional radiologists and 6 novice fellows in interventional radiology. CONCLUSIONS The use of HP provides an inexpensive training model for the training of neurointerventionalists. Preliminary validation results show that this simulation model has face and content validity and has demonstrated construct validity for the interventions assessed in this study.

Peak and ceiling effects in final-product analysis of mastoidectomy performance

2015 ◽  
Vol 129 (11) ◽  
pp. 1091-1096 ◽  
Author(s):  
N West ◽  
L Konge ◽  
P Cayé-Thomasen ◽  
M S Sørensen ◽  
S A W Andersen
Keyword(s):  
Virtual Reality ◽  
Surgical Simulation ◽  
Ceiling Effect ◽  
Virtual Reality Simulator ◽  
Single Session ◽  
Product Analysis ◽  
Maximum Score ◽  
Training Tool ◽  
Ceiling Effects ◽  
Better Than

AbstractBackground:Virtual reality surgical simulation of mastoidectomy is a promising training tool for novices. Final-product analysis for assessing novice mastoidectomy performance could be limited by a peak or ceiling effect. These may be countered by simulator-integrated tutoring.Methods:Twenty-two participants completed a single session of self-directed practice of the mastoidectomy procedure in a virtual reality simulator. Participants were randomised for additional simulator-integrated tutoring. Performances were assessed at 10-minute intervals using final-product analysis.Results:In all, 45.5 per cent of participants peaked before the 60-minute time limit. None of the participants achieved the maximum score, suggesting a ceiling effect. The tutored group performed better than the non-tutored group but tutoring did not eliminate the peak or ceiling effects.Conclusion:Timing and adequate instruction is important when using final-product analysis to assess novice mastoidectomy performance. Improved real-time feedback and tutoring could address the limitations of final product based assessment.

scholarly journals Cleft Palate Surgical Skills Training Using an Alternative Synthetic Bench Model

2016 ◽  
Vol 129 (11) ◽  
pp. 1382-1383 ◽  
Author(s):  
André Silveira Pinho ◽  
Cesar Augusto Raposo-Amaral ◽  
Cassio Eduardo Raposo-Amaral ◽  
Rafael Denadai
Keyword(s):  
Cleft Palate ◽  
Skills Training ◽  
Surgical Skills ◽  
Surgical Skills Training ◽  
Bench Model

scholarly journals Face validity of a synthetic papilla designed for biliary sphincterotomy training

2019 ◽  
Vol 07 (06) ◽  
pp. E757-E761
Author(s):  
Sophia van der Wiel ◽  
Arjun Koch ◽  
Marco Bruno
Keyword(s):  
Training Model ◽  
Tactile Feedback ◽  
Added Value ◽  
Face Validity ◽  
Limited Data ◽  
High Agreement ◽  
Training Tool ◽  
Biliary Sphincterotomy ◽  
Lifetime Experience ◽  
The Face

Abstract Background and study aims Endoscopic retrograde cholangiopancreatography (ERCP) is considered one of the most technically demanding endoscopic procedures. Still, limited data are available on simulators in ERCP training. Recently, the Boškoski-Costamagna ERCP Trainer was validated as a realistic training model by our study group. As an extension to this model, a novel synthetic papilla has been designed allowing to train biliary sphincterotomy. We aimed to determine the face validity of this synthetic papilla and its didactic value for training sphincterotomy. Methods Expert participants, each with more a than 2500 ERCPs lifetime experience, were invited to perform a biliary sphincterotomy and fill out a questionnaire on the realism of the procedure and the didactic value. Results A total of 40 ERCP experts were included, originating from 16 different countries. Experts’ opinion on realism of performing a biliary sphincterotomy was rated with a median of 7 on a 10-point Likert scale, resemblance of the performed maneuvers 8 and tactile feedback 7. When asked if the cutting was perceived as realistic, experts rated a 6 and the cutting result was rated 8. The potential of the cutting papilla as a training tool for novices was rated 4 on a 4-point scale and there was a high agreement among the experts to include the papilla in the training of novices (rating 4). Conclusion This is the first synthetic papilla available for training sphincterotomy on the Boškoski-Costamagna ERCP Trainer and it demonstrates good face validity. ERCP experts highly agree on its didactic value and added value in the training curriculum of novice endoscopists.

Improving the cancer chemotherapy use process.

1996 ◽  
Vol 14 (12) ◽  
pp. 3148-3155 ◽  
Author(s):  
D S Fischer ◽  
S Alfano ◽  
M T Knobf ◽  
C Donovan ◽  
N Beaulieu
Keyword(s):  
Cancer Chemotherapy ◽  
Gynecologic Oncology ◽  
University Hospital ◽  
Cancer Center ◽  
University Hospitals ◽  
Cancer Centers ◽  
Order Sets ◽  
American Society ◽  
Effective Use ◽  
Attending Physicians

PURPOSE Reports of the tragic consequences of erroneous cancer chemotherapy overdoses at a prominent cancer center and a university hospital prompted a review of our institution's practices and those of 123 other hospitals to ascertain for each the current in-house process to prevent chemotherapy errors. METHODS A multidisciplinary committee of oncologists, nurses, and pharmacists reviewed the chemotherapy use process and identified opportunities for improvement. A 1-page facsimile survey was answered by 150 of 215 members of the American Society of Clinical Oncology (ASCO) who received it. RESULTS We further restricted the writing of cytotoxic chemotherapy orders to physicians who were board-certified or -eligible in hematology or medical, pediatric, and gynecologic oncology and their approved fellows. Dispensation of drugs is limited to oncology-certified pharmacists, and administration to chemotherapy-certified nurses. Standard orders are used either on special oncology forms or designated order sets in the computer. Procedures to regulate the ordering of antineoplastic drugs for nonmalignant indications by nononcology specialists are outlined. A process to prevent chemotherapy errors is in place in 95% of hospitals. Dedicated medical oncology units are ubiquitous, and most cancer centers and university hospitals have dedicated gynecologic and pediatric oncology units. Chemotherapy orders are generally written by oncology fellows and countersigned by an attending oncologist in cancer centers and university hospitals, whereas private oncology attending physicians write them in most community hospitals. Drugs are administered by oncology-certified nurses in most institutions. CONCLUSIONS These recommendations should improve the safety and effective use of chemotherapy and reduce the error rate to as close to zero as human fallibility will allow.

scholarly journals A Practical Cleft Palate Training Model

2020 ◽  
Vol 8 (2) ◽  
pp. e2657
Author(s):  
Burak Ozkan ◽  
Harun Cologlu ◽  
Cagri A. Uysal ◽  
Nilgun M. Ertas
Keyword(s):  
Cleft Palate ◽  
Training Model

scholarly journals Developing a pediatric neurosurgical training model

2018 ◽  
Vol 21 (3) ◽  
pp. 329-335 ◽  
Author(s):  
Claudia L. Craven ◽  
Martyn Cooke ◽  
Clare Rangeley ◽  
Samuel J. M. M. Alberti ◽  
Mary Murphy
Keyword(s):  
Content Validity ◽  
External Ventricular Drain ◽  
Pediatric Neurosurgery ◽  
Training Model ◽  
Rank Test ◽  
Neurosurgical Training ◽  
Validation Data ◽  
Training Tool ◽  
Signed Rank ◽  
Signed Rank Test

OBJECTIVEOne of the greatest challenges of pediatric neurosurgery training is balancing the training needs of the trainee against patient safety and parental expectation. The traditional “see one, do one, teach one” approach to training is no longer acceptable in pediatric neurosurgery. The authors have developed the baby Modeled Anatomical Replica for Training Young Neurosurgeons (babyMARTYN). The development of this new training model is described, its feasibility as a training tool is tested, and a new approach of integrating simulation into day-to-day training is suggested.METHODSIn part 1 (development), a prototype skull was developed using novel model-making methods. In part 2 (validation), 18 trainee neurosurgeons (at various stages in training) performed the following 4 different procedures: 1) evacuation of a posterior fossa hematoma; 2) pterional craniotomy; 3) tapping of the fontanelle to obtain a CSF specimen; and 4) external ventricular drain insertion. Completion of the procedural stages (scored using a curriculum-based checklist) was used to test the feasibility of babyMARTYN as a training tool. Likert scale–based questionnaires were used to assess the model for face and content validity. Training benefit was assessed using pre- and posttraining ratings on the Physician Performance Diagnostic Inventory Scale (PPDIS). To determine the significance of improvement in median PPDIS score, the Wilcoxon matched-pairs signed-rank test was performed.RESULTSIn part 1 (development), the model was successfully developed with good fidelity. In part 2 (validation), the validation data demonstrated feasibility, face, and content validity. The PPDIS score significantly increased for all groups after babyMARTYN training, thereby indicating a potential future role for babyMARTYN in the training of pediatric neurosurgeons.CONCLUSIONSThis recent collaborative neurosurgical development by the Royal College of Surgeons of England is designed to supplement current neurosurgical training. High-fidelity, portable, operation-specific models enable preoperative planning and have the potential to be used in an operating room environment prior to novel operations. A “see one, simulate one, do one” approach for pediatric neurosurgical training using babyMARTYN is suggested.

Validation of a Novel Ultrasound Simulation Model for Teaching Foundation-Level Ultrasonography Skills to Veterinary Students

2021 ◽  
pp. e20200123
Author(s):  
Jocelyn Wichtel ◽  
Alex zur Linden ◽  
Deep Khosa ◽  
Ameet Singh ◽  
William Sears ◽  
...  
Keyword(s):  
Simulation Model ◽  
Glass Container ◽  
Training Model ◽  
Face Validity ◽  
Veterinary Students ◽  
Ultrasound Simulation ◽  
Training Tool ◽  
Entry Level ◽  
Scan Time ◽  
Significant Difference

Veterinary ultrasonography is a complex, advanced skill requiring repetitive exposure and supervision to gain competence. Consequently, newly graduated veterinarians are underprepared and lack the resources to achieve basic ultrasound proficiency upon graduation. Ultrasound simulation has been proposed as an adjunct educational tool for teaching entry-level ultrasound skills to student veterinarians. The objectives of this multicentric prospective observational cohort study were to describe the development of a novel ultrasound training model, establish model construct and face validity, and seek participant feedback. The model was constructed using three-dimensional silicone shapes embedded in ballistics gel within a glass container. A novice cohort of 15 veterinary students and 14 expert participants were prospectively enrolled in the study. Each cohort underwent training and assessment phases using a simulation model. Participants were asked to (a) determine shape location, (b) identify shape type using a shape bank, and (c) measure shape axes using the caliper tool. Time for each phase was recorded. Anonymous post-participation survey feedback was obtained. For most shapes (4/6), experts performed significantly better than novices in identifying shape type and location. Generally, no significant difference was found in mean axis shape measurements between cohorts or compared to the true mean axis measurements. No significant difference was found in scan time for either phase. This study’s results support the validation of this ultrasound simulation model and may demonstrate early evidence for its use as a training tool in the veterinary curriculum to teach entry-level ultrasound skills.

Sign in / Sign up

Export Citation Format

Share Document