No Correlation Between Self-Reported Musical Instrument Experience and Gains in Self-Confidence Levels of Trainees Undergoing Basic Skills Training in Minimally Invasive Surgery
Background: Reduced tactile sensation, two-dimensional depth, and the fulcrum effect make minimally invasive surgery (MIS) a challenge to teach and learn. Although video game experience appears to enhance MIS skills acquisition, the effect of prior experience in other complex motor skills is less clear. We examined if previous experience playing musical instruments contributed to self-confidence… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Pre-training on Virtual Reality prior to the Fundamentals of Laparoscopic Surgery (FLS): Is it beneficial?
Introduction: We previously reported a proficiency-based Fundamentals of Laparoscopic Surgery (FLS) skils curriculum. We hypothesized that pre-training on virtual reality trainers would decrease the number of trials needed to attain the proficiency levels in this FLS curriculum.Methods: All subject groups followed this general algorithm, FLS pre-testing, proficiency-based training using a virtual reality (VR) trainer, FLS… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Proficiency-based Fls Skills Training Results in Durable Performance Improvement and Uniform Certification Pass Rate
Introduction: We have previously documented a 100% certification pass rate immediately following a proficiency-based skills training curriculum for the Fundamentals of Laparoscopic Surgery (FLS) program. The purpose of this study was to determine the durability of skills acquired after initial training.Methods: Novice medical students (n=21) were enrolled in IRB-approved protocols at 2 institutions. As previously… 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
Simulator motion analysis metrics do not add to FLS score in predicting intraoperative laparoscopic performance.
Background: There is interest in the use of simulation for the assessment of laparoscopic skills. We have previously demonstrated good correlation between FLS simulator performance and intraoperative performance. Motion analysis metrics can discriminate between surgeons of different experience levels. We investigated whether the addition of motion analysis to the basic FLS simulator score improved the… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Speed-Accuracy Tradeoff in VR Simulator with Haptic Feedback
Virtual reality (VR) technology is expected to play an increasingly important role in laparoscopic surgical training in the future. Haptic feedback in VR training remains a debated topic amongst researchers and practitioners. This study was designed to test the hypothesis that haptics would improve the control of force application in a virtual pick-and-place task, especially… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Surgical Simulation in Africa: The Feasibility and Impact of a Three Day Fls Course
Introduction: Although simulation is now considered important for learning technical skills, there is very little literature assessing the use of simulation in resource restricted countries. The purpose of this study was to determine the feasibility and impact of a three day Fundamentals of Laparoscopic Surgery (FLS) course in Botswana, Africa. Methods: A total of 20… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Sustaining Laparoscopic Suturing Proficiency by Maintenance Testing
Introduction: Proficiency-based training for laparoscopic suturing has been shown to translate to improved performance in the OR. However, testing to maintain proficiency in resident training programs has not been established. The purpose of this study is to determine the efficacy of a maintenance testing curriculum for resident skill retention. Methods: Surgical residents, previously trained to… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Telesimulation: A Novel Method of Teaching Fls in Africa
Objective: Telesimulation (TS) is a novel concept that uses the internet to link simulators between an instructor and trainee in different locations.The objective of this study was to determine if TS could be used to teach FLS from Canada to Botswana, Africa. Methods: Pre-test FLS scores were obtained for each surgeon during a first visit… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
The Impact of Surgical Team Size on Laparoscopic Surgical Performance
Introduction: The surgical team is a dynamic system with constant change in tasks and team composition. This study reviewed operation records retrospectively to describe the surgical team composition, and examine the impact of surgical size on performance. We aim to improve the OR efficiency by constructing optimal surgical teams.Methods: Cases preformed by an expert laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
The value of motion metrics for proficiency-based training on a VR simulator
Background: Virtual reality laparoscopic simulators have proven effective for the acquisition and transfer of laparoscopic skill and offer the advantages of automatically recording participant performance, providing feedback, and minimizing the need for instructor involvement. Such simulators offer multiple performance metrics but their importance for proficiency-based training is poorly understood. The objective of this study was… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Trans-oral technique for gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass can ease learning curve and reduce cost
TRANS ORAL TECHNIQUE FOR GASTROJEJUNOSTOMY IN LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS CAN EASE LEARNING CURVE AND REDUCE COST Background: The stapled gastrojejunostomy of the laparoscopic Roux-en-Y gastric bypass (LRYGB) can be created by linear stapling techniques or by a circular stapler. In the circular stapling technique, the anvil of the stapler can be introduced into the… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
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
Utilization of Laparoscopic and Open Inguinal Hernia Repair
BACKGROUND: Laparoscopic inguinal hernia repair is a safe and effective treatment for inguinal hernias, and is considered by some to be the procedure of choice for recurrent inguinal hernias. Little is known, however, about the frequency with which laparoscopic inguinal hernia repair is performed and the determinants of its utilization.METHODS: We performed a retrospective cohort… Continue Reading
- Type:
- Podium Presentations
- 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