scholarly journals The Use of Simulation Training to Accelerate the Rate of Forward Ice Skating Skill Acquisition

2016 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Skill Acquisition ◽  
Simulation Training ◽  
Ice Skating

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

2019 ◽  
Vol 95 (1123) ◽  
pp. 245-250 ◽  
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.

scholarly journals Simulation in Neurosurgery: A Survey of Experiences and Perceptions in the UK

2013 ◽  
Vol 95 (9) ◽  
pp. 304-307 ◽  
Author(s):  
IC Coulter ◽  
PM Brennan
Keyword(s):  
Patient Safety ◽  
Surgical Training ◽  
Skill Acquisition ◽  
Simulation Training ◽  
Surgical Skill ◽  
Hands On ◽  
Form Part ◽  
Apprenticeship Model ◽  
The Uk ◽  
Working Hour

The traditional, time-intensive apprenticeship model of surgical skill acquisition has become impracticable in the current era of working hour restrictions that limit the total hours available for surgical training.1–3 Trainees feel 'hands on' operative exposure has been reduced, having an impact on training as well as patient safety.4 while working hour restrictions persist, simply increasing the length of surgical training will not adequately overcome reduced exposure to operative training. Improving quality and efficiency of training must therefore utilise learning outside the operating theatre; simulation training could form part of this.

scholarly journals P.061 Stroke Care and Neurological Emergency Response Simulation (SCaNERS): Creation and Implementation into a Resident Curriculum

2021 ◽  
Vol 48 (s3) ◽  
pp. S36-S36
Author(s):  
K Archibold ◽  
B Graham
Keyword(s):  
Acute Stroke ◽  
Skill Acquisition ◽  
Simulation Training ◽  
Stroke Care ◽  
High Fidelity ◽  
Risk Environment ◽  
Acute Stroke Care ◽  
Therapeutic Goals ◽  
Professional Activities ◽  
Competency Based

Background: Resident physicians often observe stroke alerts before managing them alone. However, this practice exposes patients to potential harm from trainees’ lack of experience. To address this, we created a acute stroke simulation course. Simulation training offers a low-risk environment for skill acquisition, complimenting the Royal College’s recent transition away from a time-based to competency-based learning curriculum. The purpose of this project was to develop and implement a stroke simulation training program into resident neurology rotations at the University of Saskatchewan. Methods: Six high-fidelity acute stroke simulation cases were developed with the aid of a Simulation Operation Specialist. We identified objectives corresponding to Royal College Entrustable Professional Activities for Adult Neurology encompassing several diagnostic and therapeutic goals of acute stroke care. To increase fidelity, a standardized patient was recruited and trained on how to respond to neurologic exams given a specific stroke syndrome. A standardized debrief was given after each session in a safe, non-judgemental environment. Results: Simulation sessions have been running monthly since March 25, 2021. Conclusions: The creation and implementation of high-fidelity simulation training into a resident curriculum is feasible. Ongoing data is being collected to explore residents’ experiences and knowledge improvement in stroke, and to asses local reductions in treatment delays.

113 Testing the Efficacy of Simulation in Neurosurgical Education: First Results of the SENSE Trial

Neurosurgery ◽  
2017 ◽  
Vol 64 (CN_suppl_1) ◽  
pp. 223-224
Author(s):  
A Nimer Amr ◽  
Michael Kosterhon ◽  
Eleftherios Archavlis ◽  
Florian Ringel ◽  
Alexander L Green
Keyword(s):  
Skill Acquisition ◽  
Simulation Training ◽  
Neurosurgical Procedures ◽  
Neurosurgical Procedure ◽  
Experienced Surgeon ◽  
Skull Model ◽  
Accuracy Test ◽  
First Results ◽  
Neurosurgical Education ◽  
Blinded Assessor

Abstract INTRODUCTION Surgical education has hitherto relied heavily on the age-old acute;see one, do oneacute; paradigm. Factors such as traineesacute; decreased OR exposure due to worktime directives have put this paradigm to the test. The improvement of surgical skills in simulation laboratories has been touted as a possible solution and adopted in disciplines such as general surgery. We investigated the efficacy of a simulation curriculum on skill acquisition of a neurosurgical procedure (EVD-placement) by means of a single-blinded RCT. METHODS The Simulation Efficacy in Neurosurgical Education (SENSE) trial is a single-blinded RCT with two arms. Recruits to Arm A underwent simulation training (software and cadaver-based), after which they attempted to place an EVD on a plastic skull model. Recruits to the control Arm B witnessed the placement of an EVD by an experienced surgeon, after which attempted the EVD placement. The time needed to undertake the procedure and the accuracy of catheter placement were assessed by a blinded assessor. RESULTS >21 interns/residents were recruited to the trial (Arm A n = 10, Arm B n = 11). There was a significant reduction of the time needed to execute the procedure in the simulation arm vs. the control arm (147.54s vs. 242.72s, P = 0.000961). The simulation arm recruits performed better in the accuracy test, with n = 8 placing the drain correctly (80%), compared with the control arm (n = 3, 27.27%, P = 0.03). The simulation arm recruits reported a statistically significant increase in their confidence in performing the procedure both under supervision (P = 0.016) and independently (P = 0.027) compared to the control arm in subjective questionnaires. CONCLUSION Our results show that skill acquisition in simulation laboratories could be a beneficial tool in neurosurgical education in the age of decreased OR exposure. Further simulation trials are proposed to further investigate the efficacy of simulation in more complex neurosurgical procedures.

Prospective, Randomized Assessment of Transfer of Training (ToT) and Transfer Effectiveness Ratio (TER) of Virtual Reality Simulation Training for Laparoscopic Skill Acquisition

2013 ◽  
Vol 257 (6) ◽  
pp. 1025-1031 ◽  
Author(s):  
Anthony G. Gallagher ◽  
Neal E. Seymour ◽  
Julie-Anne Jordan-Black ◽  
Brendan P. Bunting ◽  
Kieran McGlade ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Skill Acquisition ◽  
Transfer Of Training ◽  
Simulation Training ◽  
Laparoscopic Skill ◽  
Virtual Reality Simulation

scholarly journals Validation of an in vivo porcine simulation model of pedicled latissimus dorsi myocutaneous flap elevation

2020 ◽  
Author(s):  
Maha Wagdy Hamada ◽  
Giorgios Pafitanis ◽  
Alex Nistor ◽  
Youn Hwan Kim ◽  
Simon Myers ◽  
...  
Keyword(s):  
Construct Validity ◽  
Predictive Validity ◽  
Skill Acquisition ◽  
Content Validity ◽  
Latissimus Dorsi ◽  
Simulation Training ◽  
Rating Scale ◽  
Flap Viability ◽  
Flap Elevation

Abstract Background In vivo and ex vivo simulation training workshops can contribute to surgical skill acquisition but require validation before becoming incorporated within curricula. Ideally, that validation should include the following: face, content, construct, concurrent, and predictive validity. Methods During two in vivo porcine surgical training workshops, 27 participants completed questionnaires relating to face and content validity of porcine in vivo flap elevation. Six participants’ performances raising a pedicled myocutaneous latissimus dorsi (LD) flap in the pig (2 experts and 4 trainees) were sequentially and objectively assessed for construct validity with hand motion analysis (HMA), a performance checklist, a blinded randomized procedure-specific rating scale of standardized video recordings, and flap viability by fluorescence imaging. Results Face and content validity were demonstrated straightforwardly. Construct validity was demonstrated for average procedure time by HMA between trainees and experts (p = 0.036). Skill acquisition was demonstrated by trainees’ HMA average number of hand movements (p = 0.046) and fluorescence flap viability (p = 0.034). Conclusion Face and content validity for in vivo porcine flap elevation simulation training were established. Construct validity was established for an in vivo porcine latissimus dorsi flap elevation simulation specifically. Predictive validity will prove more challenging to establish. Level of evidence: Not ratable .

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