scholarly journals A structured program for teaching pancreatojejunostomy to surgical residents and fellows outside the operating room: a pilot study

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kenichi Oshiro ◽  
Kazuhiro Endo ◽  
Kazue Morishima ◽  
Yuji Kaneda ◽  
Masaru Koizumi ◽  
...  
Keyword(s):  
Pilot Study ◽  
Operating Room ◽  
Simulation Training ◽  
Subjective Assessment ◽  
Surgical Instruments ◽  
Average Score ◽  
Study Objective ◽  
Surgical Residents ◽  
Resident Group ◽  
Structured Program

Abstract Background Pancreatojejunostomy (PJ) is one of the most difficult and challenging abdominal surgical procedures. There are no appropriate training systems available outside the operating room (OR). We developed a structured program for teaching PJ outside the OR. We describe its development and results of a pilot study. Methods We have created this structured program to help surgical residents and fellows acquire both didactic knowledge and technical skills to perform PJ. A manual was created to provide general knowledge about PJ and the specific PJ procedure used in our institution. Based on questionnaires completed by trainers and trainees, the procedure for PJ was divided into twelve steps and described in detail. After creating the manual, we developed organ models, needles and a frame box for simulation training. Three residents (PGY3-5) and three fellows (PGY6 or above) participated in a pilot study. Objective and subjective evaluations were performed. Results Trainees learn about PJ by reading the procedure manual, acquiring both general and specific knowledge. We conducted simulation training outside the OR using the training materials created for this system. They simulate the procedure with surgical instruments as both primary and assistant surgeon. In this pilot study, as objective assessments, the fellow-group took less time to complete one anastomosis (36 min vs 48 min) and had higher scores in the objective structured assessment of technical skill (average score: 4.1 vs 2.0) compared to the resident-group. As a subjective assessment, the confidence to perform a PJ anastomosis increased after simulation training (from 1.6 to 2.6). Participants considered that this structured teaching program is useful. Conclusion We developed a structured program for teaching PJ. By implementing this program, learning opportunities for surgical residents and fellows can be increased as a complement to training in the OR.

scholarly journals A Structured Program for Teaching Pancreatojejunostomy Outside the Operating Room

2020 ◽  
Author(s):  
Kenichi Oshiro ◽  
Kazuhiro Endo ◽  
Kazue Morishima ◽  
Yuji Kaneda ◽  
Masaru Koizumi ◽  
...  
Keyword(s):  
Patient Safety ◽  
Learning Curve ◽  
Operating Room ◽  
Simulation Training ◽  
Surgical Instruments ◽  
Training Materials ◽  
Didactic Knowledge ◽  
Actual Operation ◽  
Organ Models ◽  
Structured Program

Abstract Background: Pancreatojejunostomy (PJ) is one of the most difficult and challenging abdominal surgical procedures. Most trainees learn this procedure in the operating room (OR) because there are no appropriate training systems available outside the OR. This extends the learning curve and may affect patient safety. We developed a structured program for teaching PJ to increase training opportunities outside the OR. Methods: We have created this structured program to help trainees acquire both didactic knowledge and technical skills to perform PJ. A manual was created to provide general knowledge about PJ and the specific PJ procedure used in our institution. Based on questionnaires completed by trainers and trainees, the procedure for PJ was divided into twelve steps and described in detail. After creating the manual, we developed organ models, needles and a frame box for simulation training.Results: Trainees learn about PJ by reading the procedure manual, acquiring both general and specific knowledge. We conducted simulation training outside the OR using the training materials created for this system. Training was performed with participants referring to the procedure manual while performing the simulation training. They simulate the procedure with surgical instruments as both primary and assistant surgeon. After finishing the anastomosis, trainees inspect the resulting structures from all angles including the posterior side and intraluminally, which cannot be observed during the actual operation. Conclusion: We developed a structured program for teaching PJ. By implementing this program, it is expected that a trainee’s learning curve will be shortened while ensuring patient safety.

71. Are video interviews a good alternative to in person interviews in assessing international applicants' skills?

2007 ◽  
Vol 30 (4) ◽  
pp. 67
Author(s):  
M. Alameddine ◽  
K. Imrie ◽  
S. Akers ◽  
S. Verma
Keyword(s):  
Nursing Education ◽  
Pilot Study ◽  
Psychological Treatment ◽  
Cost Savings ◽  
Good Alternative ◽  
Average Score ◽  
Global Rating ◽  
Problem Solving Skills ◽  
Global Satisfaction ◽  
Personal Connection

We developed and administered two questionnaires to assess the interview experience of both interviewers and applicants during postgraduate medical selection interviews. Using a 5 point likert scale, the questionnaires assessed three areas (1) ability to show/assess communication, interpersonal and problem solving skills; (2) ability to know the other side well and (3) level of comfort with the interview. Interviewers and applicants were asked to provide a global rating for the interview. The questionnaires were administered to both candidates and applicants from 6 departments in 18 in-person and 12 video interviews. 30 applicant and 87 interviewer survey forms were collected and analyzed. T-tests were used to compare the means of the two groups and significance levels were analyzed. Both interviewers and applicants had a higher average global satisfaction for video interviews compared to in person interviews. No difference was indicated in the ability of interviewers to assess the applicants’ skills between the two types of interviews. For both interviewers and applicants, video interviews, compared to in person interview, had a lower average score for connecting personally & establishing rapport and for satisfaction with administrative arrangements. Video interviewed applicants had a 50% probability of getting accepted in a program compared to 22% of in person interviewed candidates. We conclude that video interviews appear to be a valuable alternative to in-person interviews, with some sacrifice in personal connection and rapport. Video interviews result in significant time and cost savings for international applicants and have potential implications for the CaRMS process as well. Sackett KM, Campbell-Heider N, Blyth JB. The evolution and evaluation of videoconferencing technology for graduate nursing education. Comput Inform Nurs. 2004 (Mar-Apr); 22(2):101-6. Shepherd L, Goldstein D, Whitford H, Thewes B, Brummell V, Hicks M. The utility of videoconferencing to provide innovative delivery of psychological treatment for rural cancer patients: results of a pilot study. J Pain Symptom Manage 2006 (Nov); 32(5):453-61. Arena J, Dennis N, Devineni T, Maclean R, Meador K. A pilot study of feasibility and efficacy of telemedicine-delivered psychophysiological treatment for vascular headache. Telemed J E Health 2004 (Winter); 10(4):449-54.

scholarly journals 53 Utilization of video self-assessment in laparoscopic simulation training: A pilot study

2021 ◽  
Vol 224 (6) ◽  
pp. S777-S778
Author(s):  
V. Palvia ◽  
J. Huntley ◽  
S. Seckin ◽  
C. Ascher-Walsh ◽  
S. Khalil
Keyword(s):  
Pilot Study ◽  
Simulation Training ◽  
Self Assessment

scholarly journals Formative Research on Acceptability of Pearl Millet in Rural Eastern Kenya – A Pilot Study

2014 ◽  
Vol 3 (4) ◽  
pp. 1 ◽  
Author(s):  
Mueni H. Ndiku ◽  
Eddy Jara ◽  
Joan Sabate
Keyword(s):  
Pilot Study ◽  
Pearl Millet ◽  
Formative Research ◽  
Average Score ◽  
Nutritional Content ◽  
Daily Diet

<p class="Style1">This study explored the acceptability of pearl millet grain in rural Eastern Kenya. Ninety seven households accepted to plant pearl millet. These were the 37 who were part of the study and other 60 who were not part of the study. When requested to barter 2 kg pearl millet with maize, 33 (85%) out of 39bartered with maize, 2 (5%) with sorghum, 2 (5%) with chicken and 2 (5%) with money. The average score for skill attainment was 88% with 92.5% mothers readily gaining the skill to prepare and incorporate pearl millet into the daily diet of children. Children liked pearl millet when given with a low of 77.8% and a high of 93.2%. These findings suggest that policies or programs to promote cultivation, bartering, and consumption of pearl millet grain could be well acceptable in rural Eastern Kenya which could add to the nutritional content of local diets.</p>

scholarly journals Assessing Risks Awareness in Operating Rooms among Post-Graduate Students: A Pilot Study

2021 ◽  
Vol 13 (7) ◽  
pp. 3860
Author(s):  
Anna Rita Corvino ◽  
Pasquale Manco ◽  
Elpidio Maria Garzillo ◽  
Maria Grazia Lourdes Monaco ◽  
Alessandro Greco ◽  
...  
Keyword(s):  
Risk Perception ◽  
Pilot Study ◽  
Graduate Students ◽  
Ionizing Radiation ◽  
Operating Room ◽  
Training Programs ◽  
Occupational Risk ◽  
University Hospital ◽  
Cross Sectional Survey ◽  
Post Graduate

Background: In this study, we promote a global approach to occupational risk perception in order to improve occupational health and safety training programs. The study investigates the occupational risk perception of operating room healthcare workers using an Analytic Hierarchy Process approach. Methods: A pilot study was carried out through a cross-sectional survey in a university hospital in Southern Italy. An ad hoc questionnaire was administered to enrolled medical post-graduate students working in the operating room. Results: Fifty medical specialists from seven fields (anaesthetists, digestive system surgeons, general surgeons, maxillofacial surgeons, thoracic surgeons, urologists, and gynaecologists) were questioned about perceived occupational risk by themselves. Biological, ionizing radiation, and chemical risks were the most commonly perceived in order of priority (w = 0.300, 0.219, 0.210). Concerning the biological risk, gynaecologists unexpected perceived this risk as less critical (w = 0.2820) than anaesthesiologists (w = 0.3354), which have the lowest perception of the risk of ionizing radiation (w = 0.1657). Conclusions: Prioritization methods could improve risk perception in healthcare settings and help detect training needs and perform sustainable training programs.

scholarly journals Comprehensive Training Curricula for Minimally Invasive Surgery

2011 ◽  
Vol 3 (3) ◽  
pp. 293-298 ◽  
Author(s):  
Vanessa N Palter
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Operating Room ◽  
Invasive Surgery ◽  
Simulation Training ◽  
Technical Skills ◽  
Laboratory Simulation ◽  
Viable Systems ◽  
Skills Laboratory ◽  
Comprehensive Curriculum

Abstract Background The unique skill set required for minimally invasive surgery has in part contributed to a certain portion of surgical residency training transitioning from the operating room to the surgical skills laboratory. Simulation lends itself well as a method to shorten the learning curve for minimally invasive surgery by allowing trainees to practice the unique motor skills required for this type of surgery in a safe, structured environment. Although a significant amount of important work has been done to validate simulators as viable systems for teaching technical skills outside the operating room, the next step is to integrate simulation training into a comprehensive curriculum. Objectives This narrative review aims to synthesize the evidence and educational theories underlining curricula development for technical skills both in a broad context and specifically as it pertains to minimally invasive surgery. Findings The review highlights the critical aspects of simulation training, such as the effective provision of feedback, deliberate practice, training to proficiency, the opportunity to practice at varying levels of difficulty, and the inclusion of both cognitive teaching and hands-on training. In addition, frameworks for integrating simulation training into a comprehensive curriculum are described. Finally, existing curricula on both laparoscopic box trainers and virtual reality simulators are critically evaluated.

Improving Self-Confidence of Military Medical Providers With Joint Procedure Simulation: A Pilot Study

2021 ◽  
Author(s):  
Victoria m.f Mank ◽  
Zhaohui Arter ◽  
Jeffrey Mank ◽  
Ki Suk Eum ◽  
Jefferson Roberts
Keyword(s):  
Pilot Study ◽  
Simulation Training ◽  
Statistical Significance ◽  
Military Medicine ◽  
P Value ◽  
Medical Providers ◽  
Medical Provider ◽  
Self Confidence ◽  
Before And After ◽  
Military Facilities

ABSTRACT Introduction Military medical providers are a unique population that encounter different environments across the world. From hospital clinics to war zones, these providers must perform procedures and rely on their training and skill to help their patients. This pilot study aimed to assess the self-confidence of military medical providers performing joint aspiration and injection before and after a simulation workshop in both clinical and austere settings. Methods In 2016, 25 military physicians from various military facilities participated in a 1-hour knee arthrocentesis and injection and shoulder injection workshop. Education was provided on the knee and shoulder anatomy and various approaches to performing the procedures before the hands-on portion of the workshop. Surveys assessing self-reported confidence levels by performing the procedures in the clinic and austere settings were completed before and after simulation training. Results The results were analyzed and grouped based on the provider experience level, simulation environment, and specific procedure performed. There was a statistical significance seen in the shoulder arthrocentesis group, which included all participating providers, with a P-value of &lt;.01 in the clinic setting and a P-value of &lt;.001 in the austere setting. In the knee aspiration simulation, there were also improvements in the provider confidence, but it was not statistically significant with P-values of .36 and .14 in the clinical and austere settings, respectively. Conclusion Simulation training can lead to increased medical provider self-confidence in performing musculoskeletal joint aspirations and injections in both clinic and austere settings. The military medicine demographics have had little research in joint injections and provider confidence to date. This pilot study was one of the first to evaluate this unique population. The methods used in this study, and the positive data collected on provider confidence, can be used in larger studies, encompassing other medical providers to increase the confidence of providers throughout various fields of medicine.

Overreliance on Standardized Protocols: A Pilot Study of Surgical Residents and Fellows

2017 ◽  
Vol 83 (5) ◽  
pp. 159-161
Author(s):  
Paul D. Terry ◽  
Margaret Knight ◽  
Reagan Bollig ◽  
R. Eric Heidel ◽  
Preston Miller ◽  
...  
Keyword(s):  
Pilot Study ◽  
Surgical Residents
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