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
A Novel Rating System Effectively Differentiates Resident Surgical Performance on a Gastrectomy Animal Model
INTRODUCTION: Current evaluation of trainee operative performance is based on overall impressions and rarely involves objective rating systems. We hypothesized that a new rating system would objectively differentiate between residents of variable surgical skill performing a series of standardized operative steps.METHODS: Upper level residents were instructed using an open Billroth II porcine gastrectomy model. The… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
A realistic and a virtual reality laparoscopic incisional hernia repair simulator offer complementary training with acceptable workload
Background: National basic laparoscopic skills curricula have been developed and are being incorporated into training programs. Additional procedural based simulator curricula are needed. Our aim was to compare two laparoscopic ventral hernia simulators.Methods: Novices (n=7) were enrolled in an IRB approved protocol. They trained to proficiency on the 9 basic laparoscopic tasks of the Lap… 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
Assessing Quality of Operative Performance in Virtual Reality Laparoscopic Cholecystectomy by Trainees
AimsThere has been an increase number of virtual reality simulators available, aiming to improve the training of surgeons. However the type of technical skills assessment tool which can reliably assess trainees of varying experience has not been evaluated. In this study we compare computer and human assessment tools of specific technical skills. MethodsComplete laparoscopic cholecystectomies… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Assessment of Skill in the Training Seminar for Acquisition of Fundamentals of Endoscopic Surgery in Japan
(BACKGROUND) Recently, development of an endoscopic surgery in Japan is remarkable, but surgical complications by lack of technique and recognition for an endoscopic surgery has become a social problem. Since a professional education / training for the purpose of medical safe standard improvement is very important, we regularly perform the seminar that is specialized in… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Audio-visual training system is simple and useful method for trainees with various skill levels in laparoscopically assisted surgery.
(BACKGROUND) Traditionally, surgical residents learn and master surgical skills while they are doing operation under the proper direction of senior staff or supervisors. In the case of laparoscopically assisted surgery, in which learning curve depends on efficient instruction due to the complicated procedures, both operator and director can share the same image as well as… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Benefits of Laparoscopic Fellowship Training: A Survey of Former Fellows
Objective: The goal of this study was to assess the impact of minimally invasive surgery (MIS) fellowship training on the fellows’ clinical practice as well as former fellows’ perception of their experience.Methods: A survey composed of 50 multiple-choice questions was e-mailed to 270 former MIS fellows who began a fellowship in the U.S. between 2000… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Can Trainee Surgeons Accurately Self-Appraise Operative Performance in Laparoscopic Surgery
AimsAppraisal and self-appraisal are important elements of continual professional development and competency. Surgery being a dynamic technical speciality an assessment of technical skills would be beneficial to this process. In this study we have assessed the reliability of self-appraisal of technical skills in three groups of trainees. MethodsA routine laparoscopic operation was chosen, laparoscopic cholecystectomy.… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Characterization of rapid performance improvement on a complex laparoscopic task using a virtual-reality trainer in the SAGES Learning Center
Background: The SAGES Learning Center offers the opportunity to expose surgeons of varying backgrounds to new training methods. We used this venue to assess surgeons¡¦ initial performance on a virtual reality (VR) trainer and to determine if this brief initial exposure is associated with capacity for learning and perception of educational value. Methods: Attendees of… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Consideration to improve Quality of the section of Laparoscopic Cholecystectomy in Endoscopic Surgical Skill Qualification in Japan
The Japan Society for Endoscopic Surgery (JSES) started Endoscopic Surgical Skill Qualification (ESSQS) in 2004, and carried out three examinations up to 2006. Assessment was performed by reviewing documents, which included laparoscopic surgery experiences, and qualifying unedited video tape by two independent referees. We adopted two criteria to evaluate surgical skills, as common and procedure-specific… 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
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
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
Does Access to Minimally Invasive Surgery Account for Racial Differences in Surgical Outcome
Introduction: Minority populations consistently demonstrate poorer medical and surgical outcomes. Given that surgery is a rapidly evolving field, we hypothesized that poorer surgical outcomes by black patients are related to lack of access to minimally invasive surgery (MIS). Methods: We used data from the Nationwide Inpatient Sample, a 20% stratified random sample of patients admitted… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation