Objective Assessment of Laparoscopic Surgical Skill Using the Dual-task Approach
IntroductionThe purpose of this study is to determine the effects of administering “distracter” tasks to two groups of participants (surgical residents or “learners”, and experienced surgeons -- “experts”) when performing a simulated laparoscopic task, on the level of the surgical task performance. This study reports initial results from the exploration of a novel approach to… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Proficiency-based Virtual Reality Laparoscopic Skills Training: A 7-year Experience
Introduction: Based on previous demonstrations of effectiveness of virtual reality (VR) laparoscopic skills training, we implemented a proficiency-based program of laparoscopic VR training for residents at Baystate Medical Center (BMC), Springfield, MA. We report our 7-year experience using two VR laparoscopic simulators: the Minimally Invasive Skills Trainer-Virtual Reality (MIST-VR; Mentice AB, Gothenburg, Sweden) starting in… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
The Fundamentals of Laparoscopic Surgery (fls) Simulator As a Platform for Evaluating Single Port Laparoscopic Surgery and Enabling Instrumentation
Introduction: Single port laparoscopic surgery (SPLS) has been introduced into different surgical specialties as an effort to further decrease the trauma of access to the abdomen. As a result, there is an evolving stream of technology and instrumentation designed to enable performance of these procedures. The development of articulating and bent instrumentation permits triangulation intracorporeally… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Laparoscope Position Impacts Surgeon Efficiency and Workload
INTRODUCTION: Laparoscopic surgery presents several challenges to the novice learner. Laparoscope positioning has been suggested to affect performance. We hypothesized that an off-center laparoscope position would lead to poorer performance and increased workload of the performer. METHODS: General surgery residents (n=11) voluntarily participated in the study protocol. In a live porcine model, three trocars were… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Laparoscopic Fellowship Does Not Affect General Surgery Resident Experience
Introduction: With the advent of clinical fellowships in general surgery, there has been a continual debate over the effect on general surgical resident training. Will the fellowship interfere with chief resident experience or case volume? We hypothesize that the presence of an advanced laparoscopic fellow in our tertiary care hospital and residency has had no… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Endoscopic Harvesting of the Gracilis Muscle – Experimental Study in a Swine Model
Aim: The gracilis muscle is one of the most frequent used free flaps in reconstructive surgery. In reconstructive surgery, endoscopic muscle flap harvesting allows a minimal invasive approach of the donor sites, leading to lesser immediate and late post-operative complications, reduced local morbidity and faster healing. The present study aims in establishing the experimental model… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Live Cadaveric Laparoscopy with Laparoscopic Videos in Gross Anatomy: Influence on Learning and Career Choice
INTRODUCTION: The fundamentals of gross anatomy are traditionally taught through cadaveric dissection. However, comprehension of abdominal cavity topography may be impeded by limited visualization and previous dissections. Although laparoscopic surgery has become routine in clinical practice, its use in normal anatomy curricula has been very limited. We hypothesized that utilization of laparoscopic videos and live… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Trends and Results of the First Five Years of Fundamentals of Laparoscopic Surgery (fls) Certification Testing
Introduction: FLS is an educational program developed by the Society of American Gastrointestinal and Endoscopic Surgeons and endorsed by the American College of Surgeons. The goal of the FLS program is to teach and assess the basic cognitive and psychomotor skills required to perform laparoscopic surgery. The purpose of this study was to review the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Gilding the Golden Hour: Using M&m Conference Data to Refine Resident Education and Patient Safety
IntroductionMorbidity and mortality conference has a long tradition within surgical residency. By focusing on individual recent cases, there is the potential for repetition or omission, and resident education may not be optimized. Formal analysis of the discussion, and critical metrics about the conference itself have been largely lacking. MethodsA de-identified record was made of all… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Performance Ramifications of Single Port Laparoscopic Surgery: Measuring Differences in Task Performance Using Simulation
INTRODUCTION: Single port laparoscopic surgery is a promising new technique, but may be associated with unique psychomotor challenges, including use of articulated and/or deliberately crossed instruments. Using single port surgical simulation, we defined performance differences between surgeons with and without single port clinical experience, signifying the need for specialized training as a prerequisite for clinical… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Education / Simulation
Does a Fellow\’s Involvement in Advanced Laparoscopic Procedures Improve Outcomes?
Introduction: With the growing number of fellowship positions, the impact of surgical fellows is increasingly important. One might expect cases assisted by fellows, as compared with residents, to have lower complication rates considering fellows have completed more years of training, have potentially improved technical abilities and are receiving specialized training. On the other hand, cases… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Does a Laparoscopic Skills Training Curriculum on a Virtual Trainer in a Busy Surgical Residency Program Need to Be Optimized?
BackgroundBasic laparoscopic surgical skills and procedural skills training on virtual trainers have become an integral part of a good surgical residency program. However, a standardized curriculum on the VR trainer is missing. Moreover, the literature supports the fact that the skills training on LapMentor has construct and face validity, but there are no data on… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Increased Video Game Experience Results in Improved Laparoscopy Skills: A Prospective Study of Laparoscopically Naive Subjects
Introduction: Although studies have examined the effects of video-game prowess on laparoscopic skills, there is little data showing a significant positive correlation. Prior studies were often performed on physicians and medical students, possibly confounding the results secondary to test subjects’ experience, enthusiasm and familiarity with laparoscopic techniques. To control for this, we performed a prospective… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
A Retrospective Study Challenges the Construct Validity of Colonoscopic Virtual Training
Background Virtual gastrointestinal endoscopy trainers are often used as part of surgical residency-simulation training. The GI mentor has been shown to have construct and face validity with different level of learners in prospective cohort studies. It is unclear whether with prior exposure to these devices PGY1 and PGY2 residents become more adapt to these trainers… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Training the Surgeons for Complex Surgical Upper Gastro Intestinal and Colorectal Procedures in United Kingdom
Aims Advanced laparoscopic surgery requires good eye hand co ordination and familiarity with surgical anatomy. Learning curve for various complex laparoscopic procedures is steep. The major colorectal and Oesophago Gastric cases are particularly challenging. There are few realistic models which allow the surgeons to accomplish competence in the knowledge of anatomy and depth percetion and… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation