How Do Nurses and Physicians Learn Gastrointestinal Endoscopy: Assessment of Learning Curves Using a High-fidelity Virtual Reality Simulator
Background:Recently, it has been suggested that nurses can perform diagnostic endoscopic procedures, which traditionally have been a physician’s responsibility. The existing studies concerning quality of sigmoidoscopy performed by nurses are small, used assessment tools with insufficient validation and to date there is very little knowledge of the learning curve patterns for physicians and nurses. The… Continue Reading
- Type:
- Podium Presentations
- 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
Development and Validation of Mental Practice As a Training Strategy for Laparoscopic Surgery
BackgroundConcerns for patient safety have rendered the need for alternative training strategies outside of the operating-theatre. Mental Practice (MP), ‘the cognitive rehearsal of a task prior to performance,’ has been successful in sport and aviation to enhance imagery and thus skill. This study aims to develop and validate a MP training strategy for laparoscopic surgery.MethodA… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Improving Patient Outcomes and Resident Education Simultaneously: Intraoperative Endoscopy for Laparoscopic Gastric Bypass First 100 Patients in a Single Center Experience
Background: Morbid obesity is a growing problem in the United States. As a result, now more than 100,000 laparoscopic roux-en-y gastric bypasses (LRYGB) are performed annually. A large portion of these are performed at teaching institutions. This procedure carries with it known complications, the most feared, is a leak at the gastro-jejunostomy. Intraoperative endoscopy (IE)… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Telegrading of Technical Skills Portion of Fundamentals of Laparoscopic Surgery
Introduction: Fundamentals of Laparoscopic Surgery (FLS) is considered a validated educational module for basic laparoscopy. Recently, FLS and its testing have become available at no cost for all general surgery residency programs. Unfortunately, there are a relatively limited number of testing sites. This investigation studied the hypothesis that the technical skills portion of FLS test… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
A Novel and Precise Evaluation Model for Psychomotor Skills in Endoscopic Surgery
Purpose: Psychomotor skill is absolutely necessary for endoscopic surgeons. We devised tasks and parameters to evaluate psychomotor skills during endoscopic surgery and investigated their validity.Methods: Sixteen novice medical students (N) and ten expert surgeons (E) whohad performed over 50 endoscopic surgeries participated in the study. We evaluated psychomotor skill by asking the participants to move… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Remote Robotic Telepresence Is Efficacious in the Mentoring of Residents and Students in the Fundamentals of Laparoscopic Surgery
Objective: To determine that remote robotic telepresence can be used to evaluate and train surgical residents and medical students in the fundamentals of laparoscopic surgery (FLS). This project is a precursor to providing real time intraoperative video tele-consultation to surgeons deployed in remote areas in support of the Global War on Terorism.Methods: A control group… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Outcomes of Fundamentals of Laparoscopic Surgery (fls) Skills Training for Senior Medical Students Entering Surgical Residency
Introduction: Laparoscopic skills training is usually reserved for surgical residents who have some experience in performing open surgical procedures. This study examined the outcomes of training 4th year medical students matched in a surgical specialty (who had no prior open case experience as primary surgeon) in the skills tasks of the SAGES FLS program. Methods:… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Education / Simulation
Laparoscopic Skill Acquisition with Lap Sim®virtual Simulators: A Comparative Study
Objectives: Virtual simulators have been validated as training tools for development of laparoscopic skills and as an instrument of discrimination between novice and senior surgeons. Whilst formal training programs for inexperienced surgeons are lacking; there is no information about the use of these simulation devices in order to obtain optimal results.Material and methods: We present… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Impact of Training with Authorized Technical Experts on Colo-rectal Laparoscopic Skills; Hands on Training and Step By Step Training
Introduction: Laparoscopic skills training outside the operating room is becoming the standard for educating surgical residents. Because of the specific procedure, and the difference from open surgery, it is imperative to establish unique training system to promote efficiency of learning laparoscopic skills. Recently in Japan, Japanese Society for Endoscopic Surgery (JSES) authorized technical experts who… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Randomized Controlled Trial: Comparing the Effect of Two High Fidelity Computer Games on the Learning Curve in Laparoscopic Surgery
INTRODUCTION: There is no clear consensus on the effect of computer games on laparoscopic surgical performance, this maybe due to the type of games used. This study aims to compare two high fidelity computer games, and their effect on the learning curve in laparoscopic surgery.METHODS AND PROCEDURES: 31 laparoscopic naïve subjects were randomly assigned to… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Learning Curves in Laparoscopic Surgery – a Systematic Review
INTRODUCTION: Recommendations for assessing learning curves in surgery were published in 2001. This study aims to assess systematically all published learning curve studies in laparoscopic surgery, and determine the impact of these recommendations on the quality of the publication.METHODS AND PROCEDURES: A systematic review was performed on all studies from 1996 assessing learning curves in… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Resident Perceptions Regarding Current Methods to Teach Laparoscopic Suturing
Objective: To explore surgical residents’ perceptions regarding their current laparoscopic training, and to determine their opinions regarding the current methods of teaching laparoscopic suturing in a surgical skills laboratory.Methods: This study included 16 senior general surgery residents participating in a workshop in advanced laparoscopy. Four training tools were used in the course curriculum: the Fundamentals… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation