Educational value of surgical telementoring

Butt, Khayam; Augestad, Knut Magne

doi:10.1002/jso.26524

Cited by 12 publications

(5 citation statements)

References 35 publications

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“…Furthermore, technology might be applied to training and education as a distance-learning tool, allowing telementoring in surgery and beyond. For example, this modality is gaining popularity at virtual conferences 87 . Telementoring enables international networking and avoids unnecessary travel.…”

Section: Sustainable Surgerymentioning

confidence: 99%

Environmental effects of surgical procedures and strategies for sustainable surgery

Cunha

Pellino

2022

Nat Rev Gastroenterol Hepatol

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There is a bidirectional relationship between climate change and health care. Climate change threatens public health, and health care contributes to climate change. For example, surgery is the most energy-intensive practice in the health-care sector, and gastrointestinal conditions are responsible for a substantial environmental burden. However, environmental costs associated with health care are often overlooked. This issue has been examined more closely in current times. Emerging data are mainly focused on surgery, as the most resource-intensive practice. However, there is still a lack of global awareness and guidance on sustainable surgical practices. This Perspective aims to reassess the evidence on health care and surgery carbon footprints, focusing on gastrointestinal conditions, identify issues that need to be addressed to achieve a more sustainable practice and develop perspectives for future surgical procedures. The proposed framework to mitigate the environmental effects of surgery could be translated to other health-care sectors.

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Section: Sustainable Surgerymentioning

confidence: 99%

Environmental effects of surgical procedures and strategies for sustainable surgery

Cunha

Pellino

2022

Nat Rev Gastroenterol Hepatol

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“…Expert-led telementoring and virtual clerkships use technologies, such as augmented reality headsets and videotelephony software, for supervision and feedback . With the ongoing pandemic, these adaptations may provide alternatives to intraoperative surgical instruction . For this study, we followed the criterion standards of assessment and debriefing in surgical education, Objective Structured Assessment of Technical Skills (OSATS) and Promoting Excellence and Reflective Learning in Simulation (PEARLS) debriefing guide, to design a standardized expert-led remote training as the traditional control.…”

Section: Introductionmentioning

confidence: 99%

Effect of Artificial Intelligence Tutoring vs Expert Instruction on Learning Simulated Surgical Skills Among Medical Students

et al. 2022

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IMPORTANCETo better understand the emerging role of artificial intelligence (AI) in surgical training, efficacy of AI tutoring systems, such as the Virtual Operative Assistant (VOA), must be tested and compared with conventional approaches. OBJECTIVE To determine how VOA and remote expert instruction compare in learners' skill acquisition, affective, and cognitive outcomes during surgical simulation training. DESIGN, SETTING, AND PARTICIPANTS This instructor-blinded randomized clinical trial included medical students (undergraduate years 0-2) from 4 institutions in Canada during a single simulation training at McGill Neurosurgical Simulation and Artificial Intelligence Learning Centre, Montreal, Canada. Cross-sectional data were collected from January to April 2021. Analysis was conducted based on intention-to-treat. Data were analyzed from April to June 2021. INTERVENTIONS The interventions included 5 feedback sessions, 5 minutes each, during a single 75-minute training, including 5 practice sessions followed by 1 realistic virtual reality brain tumor resection. The 3 intervention arms included 2 treatment groups, AI audiovisual metric-based feedback (VOA group) and synchronous verbal scripted debriefing and instruction from a remote expert (instructor group), and a control group that received no feedback. MAIN OUTCOMES AND MEASURES The coprimary outcomes were change in procedural performance, quantified as Expertise Score by a validated assessment algorithm (Intelligent Continuous Expertise Monitoring System [ICEMS]; range, −1.00 to 1.00) for each practice resection, and learning and retention, measured from performance in realistic resections by ICEMS and blinded Objective Structured Assessment of Technical Skills (OSATS; range 1-7). Secondary outcomes included strength of emotions before, during, and after the intervention and cognitive load after intervention, measured in self-reports. RESULTS A total of 70 medical students (41 [59%] women and 29 [41%] men; mean [SD] age, 21.8 [2.3] years) from 4 institutions were randomized, including 23 students in the VOA group, 24 students in the instructor group, and 23 students in the control group. All participants were included in the final analysis. ICEMS assessed 350 practice resections, and ICEMS and OSATS evaluated 70 realistic resections. VOA significantly improved practice Expertise Scores by 0.66 (95% CI, 0.55 to 0.77) points compared with the instructor group and by 0.65 (95% CI, 0.54 to 0.77) points compared with the control group (P < .001). Realistic Expertise Scores were significantly higher for the VOA group compared with instructor (mean difference, 0.53 [95% CI, 0.40 to 0.67] points; P < .001) and control (mean difference. 0.49 [95% CI, 0.34 to 0.61] points; P < .001) groups. Mean global OSATS (continued) Key Points Question How does feedback from an artificial intelligence (AI) tutoring system compare with training by remote expert instruction in learning a surgical procedure? Findings In this randomized clinical trial including 70 medical students, l...

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“…It also requires a seamless networkbased communication that can send the data of hand motion and instrument-tissue contact from the surgeon to the patient and the other way around. An alternative to overcome this feedback problem is haptic-assisted training, which requires shared control of two master HMIs and one slave robot [19].…”

Section: Haptic Feedbackmentioning

confidence: 99%

Telesurgery and Robotics: Current Status and Future Perspectives

Singh¹,

Sharma²,

Joshua³

et al. 2023

Biomedical Engineering

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The concept of telehealth has revolutionized the healthcare delivery system. Based on this concept, telesurgery has emerged as a promising and feasible option, providing surgical care to remotely located patients. This has become possible by advancements in the robotic system combined with the cutting-edge technology of telecommunication. Since the ability to perform telepresence surgery was hypothesized, consistent development and research in this novel area have led to the beginning of telesurgical care, which can fulfill the demand for surgical care in remote locations. In addition to the benefits of robotic-assisted minimally invasive surgery, telesurgery eliminates geographical barriers, which helps patients have better access to quality surgical care. It may reduce the overall financial burden by eliminating the travel expense of the patients, providing expertise through the telepresence of experienced surgeons, and reducing the operating room personnel. The telesurgical approach is also being utilized for telementoring, i.e., real-time guidance and technical assistance in surgical procedures by highly skilled surgeons. Despite the numerous technological improvements in telesurgery, its widespread implementation in clinical setting still lags, mandating the identification of the offending factors that limit its clinical translation.

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Educational value of surgical telementoring

Cited by 12 publications

References 35 publications

Environmental effects of surgical procedures and strategies for sustainable surgery

Environmental effects of surgical procedures and strategies for sustainable surgery

Effect of Artificial Intelligence Tutoring vs Expert Instruction on Learning Simulated Surgical Skills Among Medical Students

Telesurgery and Robotics: Current Status and Future Perspectives

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