Demonstration of increasing laparoscopic clinical skill over time: Use of a new network-based resident assessment tool.
Background: The assessment of resident skill in laparoscopic surgery under actual clinical conditions is a difficult, but increasingly mandated process. We sought to demonstrate the utility of a new computer-based assessment tool to capture predictable incremental increases in resident skill over time. Methods: Using a network-based database instrument, performance of a group of 6 residents… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
When Surgery Stops: A Quantitative Video Analysis of Workflow During Laparoscopic Surgery
Introduction: Interruptions in surgical workflow has been shown to lead to OR inefficiencies and patient injury; however, we lack knowledge as to what causes these interruptions and to what degree these interruption affect the procedure time (PT). Workflow is a result of teamwork, thus interruptions were analyzed based on their effect on the teamwork rather… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
A Model for Longitudinal Mentoring and Telementoring of Laparoscopic Colon Surgery
OBJECTIVE: To demonstrate the feasibility of longitudinal mentoring and telementoring of community surgeons in laparoscopic colon surgery.METHODS: A formal mentoring protocol was established between a university centre and surgeons at a local 134 bed community hospital 60km away. The community surgeons (CS) attended a didactic course on laparoscopic colon surgery before attending surgery at the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Factors predicting laparoscopic skill performance
INTRODUCTION:The factors that affect surgical skill development are not fully understood. There has been growing interest in the impact of self-assessment on surgical skill performance. The purpose of this study was to identify the variables that predict laparoscopic skill performance. METHODS:Medical students and surgical residents (n=29) completed a self-assessment questionnaire regarding their laparoscopic proficiency. After… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Application of virtual imaging to support diagnosis, operative procedures and education in laparoscopic surgery
Introduction: We introduce our integrated circumstances of virtual imaging to support diagnosis, operative procedures and education, including a new computer aided diagnosis system (CADS) to detect metastatic lymph nodes (LNs) in laparoscopic surgery. Methods: The effects of virtual colonography using only air instead of contrast medium, 3D-CT, and filmless PASC, were investigated. The accuracy of… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Laparoscopic Nissen Fundoplication Assessment: Task Analysis as Model for the Development of a Procedural Checklist
Objective: Learning an advanced laparoscopic procedure is a complex process that requires clinical exposure, direct teaching, and deliberate practice. However, expert laparoscopic surgeons automate their knowledge making it difficult to teach all of the incremental steps. The aim of this study was to deconstruct the operative steps of a laparoscopic Nissen fundoplication (LNF) and develop… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Proficiency-based Fls Skills Training Results in Durable Performance Improvement and Uniform Certification Pass Rate
Introduction: We have previously documented a 100% certification pass rate immediately following a proficiency-based skills training curriculum for the Fundamentals of Laparoscopic Surgery (FLS) program. The purpose of this study was to determine the durability of skills acquired after initial training.Methods: Novice medical students (n=21) were enrolled in IRB-approved protocols at 2 institutions. As previously… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
FLS Test is Transferable to ProMIS Simulator
INTRODUCTION: The McGill Inanimate System for Training and Evaluation of Laparoscopic Skills (MISTELS) is comprised of five tasks with an objective scoring system, and has been incorporated by SAGES in their Fundamentals of Laparoscopic Surgery (FLS) program. MISTELS has high inter-rater and test-retest reliability and correlates with operative skill. However, the FLS program is labor… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Pre-training on Virtual Reality prior to the Fundamentals of Laparoscopic Surgery (FLS): Is it beneficial?
Introduction: We previously reported a proficiency-based Fundamentals of Laparoscopic Surgery (FLS) skils curriculum. We hypothesized that pre-training on virtual reality trainers would decrease the number of trials needed to attain the proficiency levels in this FLS curriculum.Methods: All subject groups followed this general algorithm, FLS pre-testing, proficiency-based training using a virtual reality (VR) trainer, FLS… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Current Status of Laparospic Education and Training in United States Surgical Residency Programs. Are We Doing Enough?
Background: The amount of laparoscopic training provided to surgical residents varies widely from institution to institution. Consequently, the ability to safely perform complex laparoscopic procedures also likely varies. Nonetheless, graduating residents are expected to perform laparoscopic procedures independently without additional training. The extent to which residents are adequately trained for such procedures is unclear. Methods:… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Trans-oral technique for gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass can ease learning curve and reduce cost
TRANS ORAL TECHNIQUE FOR GASTROJEJUNOSTOMY IN LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS CAN EASE LEARNING CURVE AND REDUCE COST Background: The stapled gastrojejunostomy of the laparoscopic Roux-en-Y gastric bypass (LRYGB) can be created by linear stapling techniques or by a circular stapler. In the circular stapling technique, the anvil of the stapler can be introduced into the… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Do Hybrid Simulator-generated Metrics Correlate with Content Valid Outcome Measures?
Objective: Hybrid simulators provide objective metrics for laparoscopic task performance. The aim of this study was to evaluate the correlation between hybrid simulator-generated metrics and content valid outcome measures.Methods and Procedures: Residents underwent training with a previously validated 5-task simulation model (5-TSM). Tasks included: clip/divide vessel, excise lesion, loop appendectomy, mesh placement with tacks, and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Evidence Based Medicine- does local clinical research impact on local clinical management? a Preliminary investigation
BACKGROUND There is a large amount of variation in the degree to which practice guidelines and clinical research (evidence based medicine (EBM)) are used in daily patient management. Many attribute the variation to difficulty staying current with the volume of material published every year and a poor understanding of statistical analysis. Recent attention has been… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Validation that a one-year fellowship in minimally invasive/bariatric surgery can eliminate the “learning curve” for laparoscopic Roux-en-Y gastric bypass (LRYGB): Fellows\’ first 100 cases in practice replicate the quality of their training institution.
INTRODUCTION: The concept that advanced surgical training can reduce or eliminate the “learning curve” for complex procedures makes logical sense but is difficult to verify and has not been tested for LRYGB. We sought to determine if minimally invasive / bariatric surgery fellowship graduates would demonstrate complication-related outcomes (CRO) equivalent to the outcomes achieved during… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Eye Tracking As a Tool to Measure Laparoscopic Skill
Objective of the Study: To determine if eye tracking technology can be used to accurately assess laparoscopic skill. There remains a continued lack of objectively determining the skill level of a laparoscopic surgeon. We are investigating eye tracking as a means to objectively determine the laparoscopic skill level of the surgeon. Methods and Procedures: The… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation