Er to or for Acute Appendicitis: Before and After the 80-hour Workweek
Introduction: In 2003, the Accreditation Council for Graduate Medical Education (ACGME) mandated duty-hour restrictions for US general surgery training programs "80-hour workweek". At that time, our program initiated a night-float rotation to cover new general surgery consultations between the hours of 6PM and 6AM, Mondays through Fridays. Daytime and weekend consultation coverage remained the responsibility… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Evaluation of a Video-based Curriculum for Laparoscopic Biliary Surgery: a Pilot Study From the Sages Mis Web Learning Center
The SAGES Continuing Medical Education and Resident Education committees have, in conjunction with Cine-Med, developed a web based learning module for surgical education utilizing various SAGES videos and educational materials. The aim of this project was to assess resident utilization of the pilot module in laparoscopic biliary surgery and to evaluate improvement in standardized test… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Gages: A Valid Measurment Tool for Technical Skills in Flexible Endoscopy
Introduction: GAGES (Global Assessment of Gastrointestinal Endoscopic Skills) was created to provide an objective measure of endoscopic skills to better assess training curricula. Pilot data have shown GAGES to meet high standards of reliability and validity. The aim of this multicenter study was to demonstrate the practicality and external validity of this instrument, while providing… Continue Reading
- Type:
- Podium Presentations
- 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
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
How to Improve the Quality of Endoscopic Surgical Skill Qualification in Japan in the Section of Laparoscopic Cholecystectomy
The Japan Society for Endoscopic Surgery (JSES) started Endoscopic Surgical Skill Qualification (ESSQS) in 2004, and carried out four examinations up to 2007. Assessment was performed by reviewing documents, laparoscopic surgery experiences, and qualifying unedited video tape by two independent referees. We adopted two criteria to evaluate surgical skills, as common and procedure-specific criteria to… 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
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
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
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
Intern Boot Camp: One Day Makes a Difference
Introduction: Surgical simulation is becoming a more widely used method in the training of residents as it enables the honing of technical skills and exposes residents to new procedures resulting in the reduction of error in the operating room and increases in patient safety. The inequities and inconsistencies of the cognitive and technical skill levels… Continue Reading
- Type:
- Posters
- 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
Laparoscopic Colon Simulator
Introduction: Laparoscopic simulators are utilized as an integral part of pre-clinical OR surgical training and proficiency assessment. Currently no standard model for teaching laparoscopic colectomy exists. We hypothesized that performance on a laparoscopic colectomy simulator would correlate with key laparoscopic skills and level of clinical volume and expertise.Methods: 15 surgeons participated in this study which… Continue Reading
- Type:
- Podium Presentations
- 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
Laparoscopic Skills Acqusition in a Short Term Structured Training for Laparoscopic Cholecystectomy in a Phantom Model Using Porcine Gall Bladder
IntroductionLaparoscopic skills training outside the operating room is becoming the standard for educating surgical residents. There are various methods of training outside the operation theatre ranging from inanimate models, virtual simulation and training on cadavers. The best method of training has not yet been well established. This study prospectively evaluates the laparoscopic skills acquisition in… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation