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
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
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
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
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
Do Hybrid Simulator-generated Metrics Correlate with Content Valid Outcome Measures?
Objective: Hybrid simulators provide objective metrics for laparoscopic task performance. The aim of this study was to evaluate the correlation between hybrid simulator-generated metrics and content valid outcome measures.Methods and Procedures: Residents underwent training with a previously validated 5-task simulation model (5-TSM). Tasks included: clip/divide vessel, excise lesion, loop appendectomy, mesh placement with tacks, and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Demonstration of increasing laparoscopic clinical skill over time: Use of a new network-based resident assessment tool.
Background: The assessment of resident skill in laparoscopic surgery under actual clinical conditions is a difficult, but increasingly mandated process. We sought to demonstrate the utility of a new computer-based assessment tool to capture predictable incremental increases in resident skill over time. Methods: Using a network-based database instrument, performance of a group of 6 residents… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Current Status of Laparospic Education and Training in United States Surgical Residency Programs. Are We Doing Enough?
Background: The amount of laparoscopic training provided to surgical residents varies widely from institution to institution. Consequently, the ability to safely perform complex laparoscopic procedures also likely varies. Nonetheless, graduating residents are expected to perform laparoscopic procedures independently without additional training. The extent to which residents are adequately trained for such procedures is unclear. Methods:… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Consideration to improve Quality of the section of Laparoscopic Cholecystectomy in Endoscopic Surgical Skill Qualification in Japan
The Japan Society for Endoscopic Surgery (JSES) started Endoscopic Surgical Skill Qualification (ESSQS) in 2004, and carried out three examinations up to 2006. Assessment was performed by reviewing documents, which included 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… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Characterization of rapid performance improvement on a complex laparoscopic task using a virtual-reality trainer in the SAGES Learning Center
Background: The SAGES Learning Center offers the opportunity to expose surgeons of varying backgrounds to new training methods. We used this venue to assess surgeons¡¦ initial performance on a virtual reality (VR) trainer and to determine if this brief initial exposure is associated with capacity for learning and perception of educational value. Methods: Attendees of… 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
Benefits of Laparoscopic Fellowship Training: A Survey of Former Fellows
Objective: The goal of this study was to assess the impact of minimally invasive surgery (MIS) fellowship training on the fellows’ clinical practice as well as former fellows’ perception of their experience.Methods: A survey composed of 50 multiple-choice questions was e-mailed to 270 former MIS fellows who began a fellowship in the U.S. between 2000… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Audio-visual training system is simple and useful method for trainees with various skill levels in laparoscopically assisted surgery.
(BACKGROUND) Traditionally, surgical residents learn and master surgical skills while they are doing operation under the proper direction of senior staff or supervisors. In the case of laparoscopically assisted surgery, in which learning curve depends on efficient instruction due to the complicated procedures, both operator and director can share the same image as well as… Continue Reading
- Type:
- Posters
- 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
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