scholarly journals Preparing Surgical Residents for the Fundamentals of Laparoscopy Surgery (FLS) Skills Examination Using Gamification: The March Madness Method

2021 ◽  
Vol 3 (1) ◽  
pp. 1-5
Author(s):  
Luv Hajirawala ◽  

The purpose of this study is to assess any progress of General Surgery residents on the Fundamentals of Laparoscopic Surgery (FLS) skills while participating in a competitive tournament and to determine their satisfaction in participating in the tournament.

JAMA Surgery ◽  
2018 ◽  
Vol 153 (12) ◽  
pp. 1158 ◽  
Author(s):  
Emily D. Dubina ◽  
Xuan-Binh D. Pham ◽  
Alexander C. Schwed ◽  
Hoover Wu ◽  
Imani McElroy ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Rebecca L. Flyckt ◽  
Eliza E. White ◽  
Linnea R. Goodman ◽  
Catherine Mohr ◽  
Sanjeev Dutta ◽  
...  

Background.The objective of this study was to determine whether female surgical residents underestimate their surgical abilities relative to males on a standardized test of laparoscopic skill.Methods.Twenty-six male and female general surgery residents and 25 female obstetrics and gynecology residents at two academic centers were asked to predict their score prior to undergoing the Fundamentals of Laparoscopic Surgery standardized skills exam. Actual and predicted score as well as delta values (predicted score minus actual score) were compared between residents. Multivariate linear regression was used to determine variables associated with predicted score, actual score, and delta scores.Results.There was no difference in actual score based on residency or gender. Predicted scores, however, were significantly lower in female versus male general surgery residents (25.8 ± 13.3 versus 56.0 ± 16.0;p<0.01) and in female obstetrics and gynecology residents versus male general surgery residents (mean difference 20.9, 95% CI 11.6–34.8;p<0.01). Male residents more accurately predicted their scores while female residents significantly underestimated their scores.Conclusion.Gender differences in estimating surgical ability exist that do not reflect actual differences in performance. This finding needs to be considered when structuring mentorship in surgical training programs.


2017 ◽  
Author(s):  
Arun Nemani ◽  
Meryem Yucel ◽  
Uwe Kruger ◽  
Denise Gee ◽  
Clairice Cooper ◽  
...  

Measuring motor skill proficiency is critical for the certification of highly-skilled individuals in numerous fields. However, conventional measures use subjective metrics that often cannot distinguish between expertise levels. Here, we present an advanced optical neuroimaging methodology that can objectively and successfully classify subjects with different expertise levels associated with bimanual motor dexterity. The methodology was tested by assessing laparoscopic surgery skills within the framework of the fundamentals of laparoscopic surgery program, which is a pre-requisite for certification in general surgery. We demonstrate that optical-based metrics outperformed current metrics for surgical certification in classifying subjects with varying surgical expertise. Moreover, we report that optical neuroimaging allows for the successful classification of subjects during the acquisition of such skills.


2019 ◽  
pp. 1-3
Author(s):  
Bertrand Ng ◽  
Arafat Yasser

Omental infarct is a rare cause of an acute abdomen that arises from an interruption of blood supply to the omentum. Here, we present a case of omental infarct in a 67-year-old gentleman with background history of diabetes mellitus who present unusually with a severe acute onset right hypochondrium pain. Examination revealed that he was tender to touch at the right and was having localized guarding. His inflammatory markers were normal. He was successfully treated with laparoscopy surgery and he was subsequently discharged the following day. Omental infarct cases with right hypochondrium pain can sometimes mimicked acute cholecystitis and management includes laparoscopic surgery which can hasten symptoms resolution and reduces hospital stay, however recommendation for surgery has to be balanced with anesthetics risk and complication of the surgery itself.


2017 ◽  
Vol 45 (3) ◽  
pp. 904-911 ◽  
Author(s):  
Min Zhu ◽  
Chengmao Zhou ◽  
Bing Huang ◽  
Lin Ruan ◽  
Rui Liang

Objective This study was designed to compare the effectiveness of granisetron plus dexamethasone for preventing postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic surgery. Methods We searched the literature in the Cochrane Library, PubMed, EMBASE, and CNKI. Results In total, 11 randomized controlled trials were enrolled in this analysis. The meta-analysis showed that granisetron in combination with dexamethasone was significantly more effective than granisetron alone in preventing PONV in patients undergoing laparoscopy surgery. No significant differences in adverse reactions (dizziness and headache) were found in association with dexamethasone. Conclusion Granisetron in combination with dexamethasone was significantly more effective than granisetron alone in preventing PONV in patients undergoing laparoscopic surgery, with no difference in adverse reactions between the two groups. Granisetron alone or granisetron plus dexamethasone can be used to prevent PONV in patients undergoing laparoscopic surgery.


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