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
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
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
Intraoperatively-Acquired Objective Measures to Monitor Laparoscopic Skills
Introduction: Standard skill evaluation methods in the operating room (OR) include direct observation and checklists; both are time consuming and subject to bias. Objective assessment systems have been proposed for simulators using dexterity measures. However, motor performance in simulators can differ from that in the OR, so monitoring motor performance in the OR is necessary… Continue Reading
- Type:
- Podium Presentations
- 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
Laparoscopic intracorporeal suturing and knotting techniques-experiences of education
Acquiring the skills of laparoscopic suturing and knotting techniques can be considered a prerequisite to learn advanced laparoscopic procedures. Despite the concept that developing such skills should be reserved for the younger generation of surgeons due to the high level of difficulty in manual skills involved, this has not been the authors' experience in training… 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
Speed-Accuracy Tradeoff in VR Simulator with Haptic Feedback
Virtual reality (VR) technology is expected to play an increasingly important role in laparoscopic surgical training in the future. Haptic feedback in VR training remains a debated topic amongst researchers and practitioners. This study was designed to test the hypothesis that haptics would improve the control of force application in a virtual pick-and-place task, especially… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Learning Curve in Laparoscopic Suturing with Haptic Feedback
Simulators with haptic feedback may not be justified if its benefit is not applicable in surgical skills training. We hypothesized that trainees would reach the first plateau in their learning curve earlier when trained using simulators with haptic feedback, compared with those who trained without haptic feedback. Fifteen novices were randomly assigned to either the… 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
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