Learning Curve Seen with Single Incision Laparoscopic Cholecystectomy
Introduction Single Incision Laparoscopic Surgery (SILS) is laparoscopic surgery done via one incision usually through the umbilicus. Cholecystectomy lends itself well to a SILS approach. As these procedures become more widely adapted it is important to determine the approximate learning curve to decrease two surgical endpoints: 1) time to completion of the procedure and 2)… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Learning Curves in Laparoscopic Surgery – a Systematic Review
INTRODUCTION: Recommendations for assessing learning curves in surgery were published in 2001. This study aims to assess systematically all published learning curve studies in laparoscopic surgery, and determine the impact of these recommendations on the quality of the publication.METHODS AND PROCEDURES: A systematic review was performed on all studies from 1996 assessing learning curves in… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Mentoring and Telementoring Leads to Effective Incorporation of Laparoscopic Colon Surgery
OBJECTIVE: To perform a one-year review of a community surgery group following completion of a laparoscopic colon surgery mentoring program.METHODS: A formal mentoring protocol has been previously reported between a university centre and two surgeons at a community hospital. Over 18 months concluding August 2007, surgeons were mentored and telementored through 20 laparoscopic colon resections… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Minimizing the Learning Curve for Laparoscopic Paraesophageal Hernia Repair -the Fellowship Effect.
Introduction: Laparoscopic paraesophageal hernia (PEH) repair is technically demanding with anatomic recurrence rates as high as 20-40% reported from leading centers. The learning curve is an important factor in these failures. Our aim was to estimate the effect of MIS fellowship training on the learning curve for this procedure.Methods: We analyzed data accrued prospectively from… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Mis Training in Canada: A National Survey of General Surgery Residents
Objective: General surgery trainees perceptions regarding their own laparoscopic training remains poorly defined. The objective of this survey was to identify and evaluate learner experiences with laparoscopic procedures in general surgical programs on a national level. Methods: 284 residents were identified and contacted at English speaking general surgery programs across Canada. Each was asked to… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Outcomes of Fundamentals of Laparoscopic Surgery (fls) Skills Training for Senior Medical Students Entering Surgical Residency
Introduction: Laparoscopic skills training is usually reserved for surgical residents who have some experience in performing open surgical procedures. This study examined the outcomes of training 4th year medical students matched in a surgical specialty (who had no prior open case experience as primary surgeon) in the skills tasks of the SAGES FLS program. Methods:… Continue Reading
- Type:
- Posters of Distinction
- 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
Randomized Controlled Trial: Comparing the Effect of Two High Fidelity Computer Games on the Learning Curve in Laparoscopic Surgery
INTRODUCTION: There is no clear consensus on the effect of computer games on laparoscopic surgical performance, this maybe due to the type of games used. This study aims to compare two high fidelity computer games, and their effect on the learning curve in laparoscopic surgery.METHODS AND PROCEDURES: 31 laparoscopic naïve subjects were randomly assigned to… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Remote Robotic Telepresence Is Efficacious in the Mentoring of Residents and Students in the Fundamentals of Laparoscopic Surgery
Objective: To determine that remote robotic telepresence can be used to evaluate and train surgical residents and medical students in the fundamentals of laparoscopic surgery (FLS). This project is a precursor to providing real time intraoperative video tele-consultation to surgeons deployed in remote areas in support of the Global War on Terorism.Methods: A control group… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Resident Perceptions Regarding Current Methods to Teach Laparoscopic Suturing
Objective: To explore surgical residents’ perceptions regarding their current laparoscopic training, and to determine their opinions regarding the current methods of teaching laparoscopic suturing in a surgical skills laboratory.Methods: This study included 16 senior general surgery residents participating in a workshop in advanced laparoscopy. Four training tools were used in the course curriculum: the Fundamentals… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Single Incision Laparoscopic Surgery (SILS) Training Using a Modified Skills Curriculum
Single Incision Laparoscopic Surgery (SILS) is an innovative approach to minimally invasive surgery and as such carries a learning curve for both new techniques and new technology. In this video we present a training paradigm for SILS skill training using a modified Fundamentals of Laparoscopic Surgery (FLS) curriculum. In SILS the laparoscope and instruments are… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Education / Simulation
Stress Impairs the Psychomotor Performance of Laparoscopic Novices
IntroductionEvidence suggests that surgical performance is impaired by stress although there is little to directly quantify its effects on surgeons’ technical ability. Moreover, surgeons’ individual differences in managing stress have not been examined. The present study aims to establish a direct empirical link between stress and surgical performance and explore the relationship between trait Emotional… 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
Tele-mentoring for Advanced Endoscopic Surgery Using Soft Cadavers Between Thailand and Japan
BACKGROUND: Endoscopic surgery has developed dramatically during the past decade because of its several advantages. Endoscopic surgery requires new unique skills that differ from those in open surgery, and therefore, a professional education / training is very important. However, since there is not necessarily an excellent instructor anywhere, the difference of surgical skill level between… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Telegrading of Technical Skills Portion of Fundamentals of Laparoscopic Surgery
Introduction: Fundamentals of Laparoscopic Surgery (FLS) is considered a validated educational module for basic laparoscopy. Recently, FLS and its testing have become available at no cost for all general surgery residency programs. Unfortunately, there are a relatively limited number of testing sites. This investigation studied the hypothesis that the technical skills portion of FLS test… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation