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DEFINITIONSIDA publishes the following documents to report the results of its work. ReportsReports am the most authoritative and most carefully considered products IDA publishes. They normally embody results of major projects which (a) have a direct bearing on declaluns affecting major programs, (b) address issues of significant concern to the Executive Branch, the Congress and/or the public, or (c) address issues that have significant economic implications. IDA Reports are reviewed by outside panels of experts to ensure their high quality and relevance to the problems studied, and they are released by the President of IDA. Group ReportsGroup Reports record the findings and results of IDA established working groups and panels composed of senior individuals iddressing major Issues which otherwise would be the subje-t of an IDA Report. IDA Group Reports are reviewed by the senior individuals responsible for the projilt and others as selected by IDA to ensure their high quality and relevance to the problems studied, and are released by the President of IDA. PapersPapers, also authoritatlve and carefully considered products of IDA, address studies that are narrower In scope than those covered In Reports. IDA Papers are reviewed to ensure that they meet the high standards expected of refereed papers in professional journals or funmal Agency reports. DocumentsIDA Documents ere used for the convenience of the sponsors or the analysts (a) to record substantive work done In quick reaction studies, 1b) to record the proceedings of conferences and meetings, (c) to make available preliminary and tentative results of analyses, (d) to record data developed In the course of an investigation, or (e) Approved for public release; distribution unlimited. 1I& ABSTRACT (A4"xirUffl200 w~r)In this paper we discuss simulators and training devices in the overall context of training and show how their cost-effectiveness might be quantified. The paper discusses current DoD policies on training and simulation and briefly describes existing practice. The paper summarizes selected cost-effectiveness analyses from research literature comparing simulators and training devices with actual equipment and operations, reinterprets some of the data behind these analyses, and collects additional cost information. The results of this examination suggest that all major existing training options have value and that large changes in the simulator mix should not be made suddenly. However, on the margin, additional simulators and training devices are affordable, and in many situations appear to be cost-effective relative to actual equipment and operations. The analyses are not conclusive due to incomplete data. Recommendations are made on how to develop additional information. EXECUTIVE SUMMARYThis summary has three sections. TIhe first summarizes the tasking that this paper addresses. The second section outlines the organization of the paper, and the third section summarizes the main body of the paper. INTRODUCTIONThe issue of whether the increased u...
DEFINITIONSIDA publishes the following documents to report the results of its work. ReportsReports am the most authoritative and most carefully considered products IDA publishes. They normally embody results of major projects which (a) have a direct bearing on declaluns affecting major programs, (b) address issues of significant concern to the Executive Branch, the Congress and/or the public, or (c) address issues that have significant economic implications. IDA Reports are reviewed by outside panels of experts to ensure their high quality and relevance to the problems studied, and they are released by the President of IDA. Group ReportsGroup Reports record the findings and results of IDA established working groups and panels composed of senior individuals iddressing major Issues which otherwise would be the subje-t of an IDA Report. IDA Group Reports are reviewed by the senior individuals responsible for the projilt and others as selected by IDA to ensure their high quality and relevance to the problems studied, and are released by the President of IDA. PapersPapers, also authoritatlve and carefully considered products of IDA, address studies that are narrower In scope than those covered In Reports. IDA Papers are reviewed to ensure that they meet the high standards expected of refereed papers in professional journals or funmal Agency reports. DocumentsIDA Documents ere used for the convenience of the sponsors or the analysts (a) to record substantive work done In quick reaction studies, 1b) to record the proceedings of conferences and meetings, (c) to make available preliminary and tentative results of analyses, (d) to record data developed In the course of an investigation, or (e) Approved for public release; distribution unlimited. 1I& ABSTRACT (A4"xirUffl200 w~r)In this paper we discuss simulators and training devices in the overall context of training and show how their cost-effectiveness might be quantified. The paper discusses current DoD policies on training and simulation and briefly describes existing practice. The paper summarizes selected cost-effectiveness analyses from research literature comparing simulators and training devices with actual equipment and operations, reinterprets some of the data behind these analyses, and collects additional cost information. The results of this examination suggest that all major existing training options have value and that large changes in the simulator mix should not be made suddenly. However, on the margin, additional simulators and training devices are affordable, and in many situations appear to be cost-effective relative to actual equipment and operations. The analyses are not conclusive due to incomplete data. Recommendations are made on how to develop additional information. EXECUTIVE SUMMARYThis summary has three sections. TIhe first summarizes the tasking that this paper addresses. The second section outlines the organization of the paper, and the third section summarizes the main body of the paper. INTRODUCTIONThe issue of whether the increased u...
Objectives/Hypothesis Young residents find mirror‐guided adenoidectomy difficult. Inexperienced trainees must learn to focus a headlight beam, work upside‐down and backward in a small space and thoroughly ablate adenoid tissue—all new skills. We present an adenoidectomy training system that is low‐cost, easy to construct, and is focused on these basic adenoidectomy skills. Study Design Prospective experimental study. Methods This training suite includes three stations each targeting a different skill. The first employs a mannequin head with exposed nasopharynx. It trains the student to coordinate a headlight and mirror while touching a series of targets with a curved probe. At the second station participants electrodessicate (or microdebride) an anchored piece of veal thymus. The third station combines both sets of skills as participants ablate thymus in a simulated nasopharynx (30 mm rectangular aluminum tube) constrained within a Crow‐Davis retractor, using a headlight, mirror, and suction electrosurgical electrode (or microdebrider). To evaluate the training system's efficacy, we assessed the performance of 10 surgically naïve medical student volunteers before and after 15 minutes of practice using a validated rating scale used for adenoidectomy. Results There was significant improvement in adenoidectomy skill scores after practicing. Overall scores were higher, time taken to touch a series of targets with a headlight and mirror was less and amount of tissue ablated at the final station was greater (P < .05). Conclusion This novel adenoidectomy training system is inexpensive and easy to build. Practice with the model resulted in statistically significant improvement in adenoidectomy skill scores for inexperienced student surgeons. Level of Evidence 3 Laryngoscope, 132:2056–2062, 2022
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