Concurrent Validity and Skill Decay for the Lap Mentor Laparoscopic Surgical Simulator
Introduction: We hypothesized that the LAP Mentor virtual reality (VR) simulator can improve scores on a video test, which has previously been proven to accurately measure surgical skill, thus establishing concurrent validity. Furthermore, we suspected that a decline in performance would be noted following a three week to one month period without training.Methods and Procedures:… 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
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
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
The effect of videogame “warm-up” on performance of LS surgery tasks
Introduction: “Warming up” before performing a skill can lead to early and sustained excellence. Performing procedures in the laparoscopic arena requires special training to perform at a superior level. Our previous studies suggest that videogame play is associated with superior laparoscopic performance (1), so we investigated whether surgeons benefited from practicing video games immediately before… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Pre-operative Warm-up Using Simulators. Duration of Effectiveness Decreases Over Time.
Previous randomized controlled double-blind studies have validated that practicing on a specifically designed simulation on a laptop will improve both cognition and psychomotor skills such that there is a reduction in errors and a decrease in operating time on an simulated surgical procedure. This study examines for how long the duration of improved performance following… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Development of a New Computer Aided Diagnosis System to Detect Lymph Nodes in the Abdomen: Further Utility for Sentinel-node Navigated Laparoscopic Surgery in Gastrointestinal Cancers and Its Education.
Introduction: Preoperative imaging is highly useful to make a planning of operation and preoperative simulation. Recently, sentinel-node navigated surgery has been advocated in gastrectomy for gastric cancer to minimize surgical stress without curability. Little has been reported about computer aided diagnosis system (CADS) to detect lymph nodes (LNs). We herein introduce our new CADS. Methods:… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Endoscopic Surgical Skill Qualification System in Japan: Four Years of Experience in the Digestive Field
To reduce the complications of endoscopic surgery, The Japan Society for Endoscopic Surgery (JSES) established a committee for the Endoscopic Surgical Skill Qualification System (ESSQS) in 2001. The committee decided that qualified surgeons should have sufficient competence to act as mentors for endoscopic surgery. Here we report the methods and results obtained with ESSQS over… 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
Teaching Laparoscopic Cholecystectomy in Developing Countries – a Safe, Cost Effect, and Time-efficient Model
Introduction: We present a laparoscopic training program for the developing world that emphasizes safety and sustainability, which has been successfully implemented in two countries. This is to counter significant barriers to the adoption of laparoscopic cholecystectomy, including the local infrastructure, the high cost of laparoscopic equipment, lack of skilled preceptors, and concerns regarding the safety… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
The Martian Chronicles: Surgical Care 100 Million Miles From Home….
Despite rigorous health screening in astronaut crews, there are a number of conditions that may occur during long duration, exploration class spaceflight. The risk of abdominal conditions requiring surgical intervention is not clear, yet submarine and polar base experiences suggest contingency planning is warranted. While radio communication time delay is only 2 seconds to the… Continue Reading
- Topic:
- Education / Simulation
Deficiency of Knowledge in General Surgery Residents on Surgical Stapling Devices: The Role of a Focused Instructional Session
Introduction: There is a paucity of knowledge on the application and usage of common surgical stapling devices by general surgery residents. Our study aimed to elicit the deficiencies that exist in this particular area and assess a short term teaching strategy to determine if a didactic review of stapling devices would improve knowledge and skill… 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
Assessment of Intracorporeal Suturing Skills – a Comparison of Four Tools Using the Fls Task Model
Objective: To compare various previously validated assessment tools for intracorporeal suturing. The aim of the study was to evaluate the correlation between 4 assessment tools and review the advantages and disadvantages of each of them as a tool for objective assessment. Methods: The study included fifteen senior (PGY3-5) general surgery residents participating in a workshop… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
The Healthy Culture of Competition
In August 2008 the American Board of Surgeons announced new requirements for general surgery residents seeking board certification that will be implemented beginning July 2009. All residents in the class of 2009-10 and later will have to complete the Fundamentals of Laparoscopic Surgery (FLS) certification in addition to the current necessary certifications in ACLS and… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation