Does Telementoring Shorten the Pathway to Proficiency in the Simulation Environment?
Introduction: Telementoring(TM) is an emerging tool that enables experts to provide consultation to other surgeons remotely. It has not been studied in the simulation environment. Simulation allows residents to train independently to gain proficiency. The aim of this study is to assess the effectiveness of distant telementoring in a simulated mock operating room to identify… Continue Reading
- Type:
- Posters
- 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
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
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
Five year experience in laparoscopic appendectomy in a private general Hospital in Mexico City
Five year experience in laparoscopic appendectomy in a private general Hospital in Mexico CityObjetive.- To describe the surgical approach and laparoscopic management of acute appendicitis, report and compare our results with the literature.Methods.- We review and included all laparoscopic appendectomy procedures (L.A.P.) in a five year period realized in Hospital Espanol in Mexico City. Statistical… 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
Framing Family Conversation After Early Diagnosis of Iatrogenic Injury and Incidental Findings
Introduction: Both biliary injury and biliary malignancy can be devastating to patients and their families. Surgeons are rarely formally trained in giving bad news to patients. The aim of our study was to examine and compare disclosure of iatrogenic and incidental operative findings among surgical residents. Methods: General surgery residents (PGY1-PGY5) performed a laparoscopic cholecystectomy… 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
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
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
Laparoscopic Surgery Videos (LSV) as a \’visual aid\’ improve Medical Student\’s Learning of Anatomy (MSLA): A Randomized Controlled Study.
Objective of study :Approaches to teaching correlate with quality of learning. Knowledge of anatomy a foundation for surgical skills can improve by visualization. Dissection on dwindling 'available cadaver' population fails to achieve this in totality. Easily available LSVs can be useful as visual teaching aids. Study was aimed to evaluate the utility of LSV in… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Laparoscopic suturing skills after five -day short practice using box trainer
OBJECTIVES: Currently, skills labs are becoming increasingly important in the field of medical education. The aims of this study are to objectively assess psychomotor skill acquisition for surgical residents and medical students by five-day training using a box trainer.MATERIALS AND METHODS: Twelve surgical residents (SR group) with minimum experience of laparoscopic surgery and 9 medical… 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
LTS2000-ISM60, an innovating laparoscopic physical simulator: validation in general surgery, and urology according to laparoscopic experience level and level of formation.
Background: Laparoscopic surgery has created an obstacle to traditional teaching of surgical skills. To invest in a simulator is a large responsibility for a teaching institution. The LTS 2000-ISM60 is a computer enhanced video-laparoscopic training system. The purpose of this multicentric multi specialty study was to validate LTS according to laparoscopic experience level and level… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Mirror image laparoscopic training improves task performance
Reverse alignment (mirror image) visualization is a disconcerting situation occasionally faced during laparoscopic operations. This occurs when the camera faces back at the surgeon in the opposite direction from which the surgeon’s body and instruments are facing. Most surgeons will attempt to optimize trocar and camera placement to avoid this situation, however, this is not… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation