Measuring Performance Using the Goals-incisional Hernia Module (goals-ih)
Introduction – The Global Operative Assessment of Laparoscopic Skills (GOALS) is a valid and reliable measure of basic laparoscopic skills in the operating room. GOALS-Incisional Hernia module (GOALS-IH) was developed by expert surgeons to evaluate performance of specific skills required for laparoscopic incisional hernia repair (LIHR). The purpose of this study was to assess the… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Mentorship for Participants in a Laparoscopic Colectomy Course
INTRODUCTION: Despite data suggesting improved outcomes with laparoscopic colectomy (LC), less than 10% of colectomies in the USA are currently performed laparoscopically . One mechanism of incorporating LC into practice is to attend a LC Course (LCC). Post-course mentorship is recommended by SAGES and the ASCRS, in addition to course participation, to encourage adoption of… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Objective Assessment of Laparoscopic Surgical Skill Using the Dual-task Approach
IntroductionThe purpose of this study is to determine the effects of administering “distracter” tasks to two groups of participants (surgical residents or “learners”, and experienced surgeons -- “experts”) when performing a simulated laparoscopic task, on the level of the surgical task performance. This study reports initial results from the exploration of a novel approach to… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Performance Ramifications of Single Port Laparoscopic Surgery: Measuring Differences in Task Performance Using Simulation
INTRODUCTION: Single port laparoscopic surgery is a promising new technique, but may be associated with unique psychomotor challenges, including use of articulated and/or deliberately crossed instruments. Using single port surgical simulation, we defined performance differences between surgeons with and without single port clinical experience, signifying the need for specialized training as a prerequisite for clinical… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Education / Simulation
Playing Nintendo® Wii™ Improves Virtual Reality Laparoscopic Simulator Performance
Background: Video games have been shown to improve eye-hand coordination, spatial visualization, manual dexterity, and rapid mental processing, which are important in the acquisition of laparoscopic skills. The primary goal of this study was to determine whether or not playing a Nintendo® Wii™ video game (VG) would improve virtual reality (VR) laparoscopic surgery simulator performance.… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Portable, Self-practice Laparoscopic Box Trainers Underutilized By Surgical Trainees
Background: Surgical skills training is becoming an integral part of general surgery residency programs. While the RRC and ACGME require access to a skills training laboratory, and the ACS and APDS offer a surgical skills curriculum template, there is no consensus as to what comprises a mandatory curriculum. The TASKit portable laparoscopic simulator (Cincinnati, OH)… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Proficiency-based Virtual Reality Laparoscopic Skills Training: A 7-year Experience
Introduction: Based on previous demonstrations of effectiveness of virtual reality (VR) laparoscopic skills training, we implemented a proficiency-based program of laparoscopic VR training for residents at Baystate Medical Center (BMC), Springfield, MA. We report our 7-year experience using two VR laparoscopic simulators: the Minimally Invasive Skills Trainer-Virtual Reality (MIST-VR; Mentice AB, Gothenburg, Sweden) starting in… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Program of Basic Training in Endoscopy for Surgeons to Perform NOTES
Introduction: Throughout the history of medicine, physicians have sought less invasive approaches to the diagnosis and therapy of diseases. Since the advent of interventional endoscopic therapy, the fields of gastrointestinal surgery and interventional endoscopy have been on converging paths. Therapeutic endoscopists are becoming increasingly invasive, performing interventions such as transgastric pseudocyst drainage and pancreatic necrosectomy.… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Results and Perspective to the Future in the Field of Laparoscopic Cholecystectomy of Japanese Endoscopic Surgical Skill Qualification System
Purpose: The Japan Society for Endoscopic Surgery (JSES) started Endoscopic Surgical Skill Qualification system (ESSQS) in 2003 in order to improve the safety of procedure, and carried out five examinations since 2004 up to 2008. We reported these 5 years’ results of cholecystectomy field in ESSQS. Methods: Assessment was performed by reviewing documents, laparoscopic surgery… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Sex Isn\’t Everything: The Role of Gender in Early Performance of a Fundamental Laparoscopic Skill
INTRODUCTION: Existing literature on the acquisition of laparoscopic skills suggests that gender affects initial performance, with women generally performing more poorly than men. This literature is limited by looking at an arbitrary number of initial attempts and not adjusting for other factors that may impact surgical performance. The objective of this study was to evaluate… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Single-incision Laparoscopic Surgery (SILS) Versus Standard Laparoscopic Surgery: a Comparison of Performance Using a Surgical Simulator
Introduction: SILS has emerged as a promising minimally invasive surgical approach. However, SILS may not allow the same level of manual dexterity and technical performance compared to standard laparoscopic surgery (LAP). We compare the performance of standardized tasks from the Fundamentals of Laparoscopic Surgery (FLS) using either SILS or LAP techniques. Methods: Medical students, surgical… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Single Incision Laparoscopic Surgery Training Course: The Next Step in Surgical Education
Introduction:Surgical education must constantly strive to keep pace with the most current methods of surgical practice. In recent years, laparoscopic surgery has completely revolutionized the field of surgery, forever changing the face of surgical practice. Over just a short period of time, its techniques have become so advanced and applications so vast that it has… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Surgeon Impressions and Technical Difficulty Associated with Laparo-endoscopic Single-site Surgery (less): A Sages Learning Center Study
Introduction: Interest in Laparo-Endoscopic Single-Site Surgery (LESS) is rapidly growing amongst surgeons. The purpose of this study was to characterize current surgeon impressions about LESS and to determine the relative difficulty of performing a simulated LESS task.Methods: This study was conducted at the 2009 SAGES Learning Center. Participants (n=56) were asked to complete pre-test and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Surgical Resident Retention of Fundamentals of Laparoscopy (fls) Skills
Introduction: Fundamentals of Laparoscopy (FLS) is the standard for demonstrating competency in basic laparoscopic skills. With a combination of formal and self-directed training, all senior residents in our program passed FLS. After testing is completed, it is critical that surgical residents retain the skills examined in FLS. Unfortunately, skill retention is suspect. This study assesses… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Surgical Technologists Demonstrate Initial Proficiency and Positive Impressions of Laparoscopic and Endoscopic Skills Training
Background: Surgical team training is emerging as an important component of patient safety. One pattern of teamwork is the Shared Mental Model, where all members are “on the same page,” and have a common set of knowledge, expectations, and skills. The feasibility and value of having assistant surgical technologists share the same basic skill sets… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation