• Skip to primary navigation
  • Skip to content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Society of American Gastrointestinal and Endoscopic Surgeons

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Committees
      • Descriptions and Video Updates
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Mentors
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Mission Statement
    • SAGES Resource Guide
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Distinguished Service
      • Young Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • The Brandeis
      • Advocacy Summit Award
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • SAGES 2019 Meeting Information
    • 2019 Scientific Session Call For Abstracts
    • 2019 Emerging Technology Session Call For Abstracts
    • 2018 Prevent BDI Consensus Conference
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • Leadership Development and Health Policy Conference Videos
      • SAGES Quality Summit Meeting
      • SAGES 2018
      • SAGES 2017
      • SAGES 2016
      • SAGES 2015
      • SAGES 2014
      • SAGES 2013
    • Related Meetings Calendar
  • Membership
    • Join SAGES!
    • Give the Gift of SAGES Membership
    • Membership Benefits
    • Active Membership
    • Allied Health Membership
    • Associate Active Membership
    • Candidate Membership
    • International Membership
    • Medical Student Membership
  • For Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • Find a SAGES Member
  • Publications
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • Troubleshooting Guides
  • Education
    • Virtual Hernia Clinic
    • The Safe Cholecystectomy Didactic Modules
    • Masters Series
      • SAGES Masters Program Facebook Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • The SAGES HPB/Solid Organ Program
    • The SAGES Safe Cholecystectomy Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Endorsed Courses
    • SAGES Robotics Fellows Course
    • MIS Fellows Course
    • Free Educational Webinars
    • SMART Enhanced Recovery Program
    • SAGES Quality Initiative
    • SAGES OR SAFETY Video
    • SAGES.TV Video Library
    • SAGES Surgical WIKI
    • iMAGES Image Library
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Research Opportunities
    • SAGES Endorsed Courses
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search the Video Library
  • Log In

Surgical Skills Training

First submitted by:
Shawn Tsuda
Category
Education and Training
Print Friendly, PDF & Email

Surgical Skills Training

Surgical simulation provides deliberate practice, training, and assessment in a safe environment. Simulators range from simple task trainers to high-fidelity mock operating rooms. Suture repair on pigs’ feet or knot-tying to a post were early and enduring iterations of both organic and inorganic models. With the advent of laparoscopy came technical challenges – altered depth perception, reduced tactile feedback, and the fulcrum effect – requiring a sophisticated level of practice. The laparoscopic box trainer was an early spark in the proliferation of depth and breadth in surgical skills training, now driven by forces including work-hour restrictions, patient safety concerns, financial cost of training, and emerging technology.

 

Box Trainers and Partial Task Trainers

Laparoscopic box trainers display a basic design: a box with holes for trocars and a camera or mirror displaying an image from a closed space meant to simulate the insufflated abdominal cavity. Most manufactured laparoscopic trainers – regardless of the technology used – display this basic design. Partial task training is most epitomized by major systems developed for it – including the Yale Laparoscopic Skills and Suturing Program (Top Gun), the Guided Endoscopic Module (GEM) at University of Texas Southwestern Medical Center, and the McGill Inanimate System for Training and Evaluation of Laparoscopic Skills (MISTELS), adapted into the Fundamentals of Laparoscopic Surgery (FLS) program. Featuring low-fidelity components, these programs were most prolific in demonstrating the reliability, validity, and learning curves for inanimate partial task training

While partial task trainers simulate specific, individual maneuvers required to perform an operation, procedure-specific trainers feature a set of tasks in the chronological order of an operation, or part of an operation. Procedural trainers tend to utilize rubber or plastic parts to simulate tissues and anatomic relationships. Early described models include laparoscopic preperitoneal hernia repair and common bile duct exploration. Common to these procedural trainers were advanced laparoscopic operations that, at least at the time of their development, were not widely practiced. As the demand for simulation increases, operational trainers are expected to increase, as evidenced by the 10 procedural modules of Phase II of the ACS/APDS National Skills Curriculum.

 

The Fundamentals of Laparoscopic Surgery Manual Skills Trainer
The Fundamentals of Laparoscopic Surgery Manual Skills Trainer
The Fundamentals of Laparoscopic Surgery Manual Skills Trainer

Virtual Reality Simulators

Virtual reality is a computer simulation that enables users to perform operations on the system and shows effects in real time. Computer simulators usually allow instant score reporting, feedback, and automated tutoring. Haptics may bridge the gap to mechanical trainers to some degree, decreasing cognitive load on the learner despite lower fidelity of the tactile feedback. Expense is a major downside. The Minimally Invasive Surgical Trainer-Virtual Reality (MIST-VR) is the most vigorously studied system. More recent simulators feature higher levels of fidelity and haptic technology, but disparity remains between the degree of required financial investment and outcome data demonstrating value for training.

Hybrid Trainers

Hybrid trainers may have a computerized visual interface with inanimate components, or organic parts combined with a inanimate housing. Other combinations of current modes of simulation continue to emerge. The basic template of the laparoscopic box trainer remains an important milestone in the evolution of simulation and technical skills training in surgery

Post Views: 720

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Category: Education and Training
  • Main Page
  • Help
  • Create a New Wiki

Recently, on SAGES…

Robotic Surgery

Spotlight: Robotics Committee

In the most recent issue of SCOPE, SAGES President Dr. Jeffrey Marks shared his desire to highlight the hard work of the many SAGES committees. As the Society strives to fully realize the new SAGES University Masters Program, the initial focus will be on the affiliated pathway committees and task forces. This is the third […]

Mastering the Art of Surgery – Annual Meeting Press Release

Mastering the Art of Surgery At the 16th World Congress of Endoscopic Surgery and 2018 SAGES Meeting April 11th–14th in Seattle, WA The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) will kick off its 2018 Annual Meeting as part of the 16th World Congress of Endoscopic Surgery. Hosted by SAGES and CAGS (Canadian Association […]

Complete the SAGES Video Based Assessment Survey for a Chance to Win!

https://survey.az1.qualtrics.com/jfe/form/SV_5pCM9JWvDBphkjj Who Can Enter Open to any surgeon who is either a member of SAGES or an attendee at the 2018 SAGES Annual Meeting AND who completes the 2018 SAGES Video Based Assessment Online Survey at the link above. Drawing Entry Period The drawing period is from survey launch on April 6, 2018 to 11:59pm […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Newsletter Subscription

  • This field is for validation purposes and should be left unchanged.

Important Links

SAGES 2019 Meeting Information

Healthy Sooner: Patient Information

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

· Log in

Copyright © 2019 Society of American Gastrointestinal and Endoscopic Surgeons · Legal
· Managed by BSC Management, Inc