Transfer of Basic Skills Between Laparoscopy and Colonoscopy
INTRODUCTION: Skills needed for different image-based procedures appear to vary considerably, even though they often derive from the same underlying abilities. The aim of this study was to investigate the transfer of basic skills between colonoscopy and laparoscopy. METHODS: Twenty-nine medical trainees (no clinical experience in laparoscopy and colonoscopy) were stratified by scores on psychometric… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Validation of Laparoscopic Surgical Skills Training Outside the Operating Room: A Long Road
Intro: Surgical skills training outside the OR is beneficial. The best methods have yet to be identified. In a series of three studies, we attempted unsuccessfully to document predictive validity of simulation training. Methods: In each study we used Global Operative Assessment of Laparoscopic Skills (GOALS) to evaluate operative performance 1.) Prospective, randomized, multi-center trial… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
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
Prospective Randomized Trial of Transfer of Training in the Development of Intracorporeal Suturing Skill in Novices
Introduction: Teaching minimally invasive surgical skills outside the operating room is a pressing need. In addition to the usual challenges of learning new skills, trainees have to contend with a loss of depth perception and movement in laparoscopy. Our study aims to help delineate what type of training is of benefit to learning intracorporeal suturing… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Does Access to Minimally Invasive Surgery Account for Racial Differences in Surgical Outcome
Introduction: Minority populations consistently demonstrate poorer medical and surgical outcomes. Given that surgery is a rapidly evolving field, we hypothesized that poorer surgical outcomes by black patients are related to lack of access to minimally invasive surgery (MIS). Methods: We used data from the Nationwide Inpatient Sample, a 20% stratified random sample of patients admitted… 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
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
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
Validation of a Simple Camera Navigation Trainer
IntroductionA common challenge during laparoscopic surgery is proper usage of the 30 degree laparoscope. Optimal images are obtained by adjusting both the axis of the scope and the angle of lens as determined by the orientation of the light cord. Hence, utilizing a novice as the primary camera operator often results in a frustrating and… 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
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