Use of a Low-cost, High Fidelity, Laparoscopic Ventral Hernia Simulator to Assess Intra-operative Decision Making
Objective – Previous studies using simulation technology have largely focused on technical skills. The objective of this study was to assess the usefulness of a newly developed laparoscopic ventral hernia (LVH) simulator to assess intra-operative decision making. Methods – Participants included fourth year surgical residents attending a two day laparoscopic hernia course. The materials included… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Minimizing the Learning Curve for Laparoscopic Paraesophageal Hernia Repair -the Fellowship Effect.
Introduction: Laparoscopic paraesophageal hernia (PEH) repair is technically demanding with anatomic recurrence rates as high as 20-40% reported from leading centers. The learning curve is an important factor in these failures. Our aim was to estimate the effect of MIS fellowship training on the learning curve for this procedure.Methods: We analyzed data accrued prospectively from… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Mis Training in Canada: A National Survey of General Surgery Residents
Objective: General surgery trainees perceptions regarding their own laparoscopic training remains poorly defined. The objective of this survey was to identify and evaluate learner experiences with laparoscopic procedures in general surgical programs on a national level. Methods: 284 residents were identified and contacted at English speaking general surgery programs across Canada. Each was asked to… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Development and Implementation of an Advanced Laparoscopic Skills Lab
TITLE: DEVELOPMENT AND IMPLEMENTATION OF AN ADVANCED LAPAROSCOPIC SKILLS LABAUTHORS/INSTITUTION: Christine M. Gresik MD, Vidya Shankaran MD, Piero Marco Fisichella MD, Raymond Joehl MD, Luke P. Brewster MD PHD, Gerard Abood MDLoyola University, Stritch School of Medicine, Department of Surgery. Maywood, IL.INTRODUCTION: The objective of this study is to determine whether skills acquired by simulation-based… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Telesimulation in Africa: An Effective Method for Teaching the Fundamentals of Laparoscopic Surgery in Developing Countries
Introduction: Several challenges exist with laparoscopic skills training in developing countries including long travel distances required by mentors for onsite teaching. Telesimulation (TS) is a novel concept that uses the internet to link simulators between an instructor and trainee in different locations. The purpose of this study was to determine the effectiveness of telesimulation for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Testing Construct Validity for a Virtual Reality Colonoscopy Simulator: Module Matters
Background: The use of simulation for competency assessment requires validation of the simulation’s performance metrics. This study was designed to assess whether the Simbionix GI Mentor II® virtual reality simulator metrics could differentiate endoscopists with varying clinical experience using modules of increasing clinical complexity (known-groups construct validity). Methods: 20 subjects were classified into two groups… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
What Is the Cost Associated with the Implementation of the Fls-program Into a General Surgery Residency?
Introduction: The Fundamentals of Laparoscopic Surgery (FLS) program was designed to teach the physiology, fundamental knowledge, and technical skills required in basic laparoscopic surgery. Under the auspices of SAGES and industry support the program was recently made available to all US general surgery training programs. Nevertheless, the implementation cost of the program is unknown. The… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Learning Curve Seen with Single Incision Laparoscopic Cholecystectomy
Introduction Single Incision Laparoscopic Surgery (SILS) is laparoscopic surgery done via one incision usually through the umbilicus. Cholecystectomy lends itself well to a SILS approach. As these procedures become more widely adapted it is important to determine the approximate learning curve to decrease two surgical endpoints: 1) time to completion of the procedure and 2)… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Is Virtual Reality Worth It? a Comparison of Box Versus Virtual Reality Training
Objective of the Study: To determine if a difference exists between virtual reality (VR) training and laparoscopic box trainer (BT) in skill acquisition of surgical residents. Methods and Procedures: This is a prospective, randomized, blinded, controlled trial that enrolled twelve surgical interns to scheduled training with a VR simulator (n=6) or to a control group… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Impact of Video-based Teaching of Intracorporeal Suturing on Learners\’ Self-reported Confidence Levels
Background: Simulation-based teaching of basic skills in minimally invasive surgery (MIS) has become an important component of general surgery residency curricula. Of these skills, intracorporeal suturing is one of the most difficult to teach. Optimizing learners’ ability to acquire this skill efficiently is beneficial. Increased self-confidence is the first step toward skill acquisition. We examined… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Impact of Advanced Laparoscopy Courses on Present Surgical Practice
Introduction: The introduction of new techniques makes training in advanced laparoscopic procedures a necessity for the practicing surgeon but acquisition of new surgical skills is a daunting task. SAGES has defined guidelines for training and practice of laparoscopic procedures. Recently introduced laparoscopic techniques have created a new teaching paradigm focused on animate courses and preceptor… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Dedicated Laparoscopic Skills One Month Rotation for General Surgery Interns
Introduction: Laparoscopic skills acquisition is an important part of residency training. Early training may help with more advanced laparoscopic skills acquisition. Thus, we feel that laparoscopic skills should be taught to first year general surgery residents. This study investigated the hypothesis that a one month dedicated laparoscopic skills rotation would yield appropriate laparoscopic skill levels… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Advances in Virtual Reality Fls (fundamentals of Laparoscopic Skills)
Objectives: The aim of our study was to evaluate the face and construct validity of VBLaST (Virtual Basic Laparoscopic Skills Trainer), a virtual reality simulator version of Fundamentals of Laparoscopic Surgery (FLS). Methods: 31 subjects were categorized into 2 groups: 14 experts (PGY 5/fellows/faculty) & 17 novices (PGY 1-4). Subjects were randomized to perform 3… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Stress Impairs the Psychomotor Performance of Laparoscopic Novices
IntroductionEvidence suggests that surgical performance is impaired by stress although there is little to directly quantify its effects on surgeons’ technical ability. Moreover, surgeons’ individual differences in managing stress have not been examined. The present study aims to establish a direct empirical link between stress and surgical performance and explore the relationship between trait Emotional… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Goals -based Assessment of Resident Skill in Advanced Laparoscopic Cases
INTRODUCTION: We hypothesized that GOALS (Global Operative Assessment of Laparoscopic Skills) would have construct validity for laparoscopic cases beyond cholecystectomy and appendectomy.METHOD: Attending surgeons at our institution use a web-based GOALS scoring sheet to evaluate PGY1 through PGY5 residents immediately after all operations. We reviewed all data entered from 7/04 to 5/08 for the following… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation