Effect of Validated Skills Simulation on Operating Room Performance in Obstetrics and Gynecology Residents

Gala, Rajiv B.; Orejuela, Francisco J.; Gerten, Kim; Lockrow, Ernest G.; Kilpatrick, Charles C.; Chohan, Lubna; Green, Charles; Vaught, Jessica; Goldberg, Aaron E.; Schaffer, Joseph I.

doi:10.1097/aog.0b013e318283578b

Cited by 66 publications

(51 citation statements)

References 11 publications

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“…Fourteen studies 17 -30 investigated laparoscopic procedures ( Table 1). The procedures/tasks studied were laparoscopic cholecystectomy 17,19,20,22,25,30 , laparoscopic tubal ligation 18,21 , salpingectomy 23 , total extraperitoneal inguinal hernia repair 27 , intracorporeal…”

Section: Resultsmentioning

confidence: 99%

Systematic review of skills transfer after surgical simulation-based training

Dawe

Pena

Windsor

et al. 2014

British Journal of Surgery

379

209

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Section: Resultsmentioning

confidence: 99%

Systematic review of skills transfer after surgical simulation-based training

Dawe

Pena

Windsor

et al. 2014

British Journal of Surgery

379

209

View full text Add to dashboard Cite

show abstract

“…24 In yet another investigation the intervention group was 29% quicker in dismembering the gallbladder during a cholecystectomy than the control one. 24 Then again, two investigations 1,15 detailed no noteworthy changes in time between the intervention and control groups when execution time was measured.…”

Section: Performance Time (N = 13 Studies)mentioning

confidence: 99%

“…1,7,8,15,23,25,28,33 It was accounted for as camera navigation, efficiency of instrument, total path length, number of movements, navigation, and bimanual dexterity. The eight investigations (38%) revealed statistical significances that the intervention expanded the ergonomics.…”

Section: Ergonomics (N = 8 Studies)mentioning

confidence: 99%

“…Performance time 1,5,7,8,[15][16][17][18][19][20][21][22] was accounted for as the measure of time taken to play out the laparoscopic procedure at the posttest assessment. Of the 21 studies that surveyed whether the training intercession brought about the change of execution time, 13 (62%) investigations announced factually statistically significant improvement.…”

Section: Performance Time (N = 13 Studies)mentioning

confidence: 99%

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Systematic Review of Laparoscopic Surgery and Simulation-based Training

Gonzalez-Tova¹,

Madhulika²

2017

WJOLS

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“…Thus, decreasing surgical volumes raise the question of procedural patient safety in health care institutions. But, proficiency-based surgical skills simulation has been shown to improve ObGyn trainee competency, p<0.01 [14].…”

Section: Introductionmentioning

confidence: 99%

Surgical Skills Simulation Center Implementation: Healthcare Continuous Quality Improvement Project

Nwanodi¹

2017

Health Sci J

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In the United States, upon resident work hour restriction implementation, obstetrics and gynaecology residents' gynaecologic surgery volume decreased and operative time per caesarean delivery increased. High volume surgeons can have clinically significantly lower complication rates than low volume surgeons, p<0.001. Decreasing surgical volumes and increasing operative time raise the question of procedural patient safety in teaching institutions. Some institutions are turning to international rotations in resource-limited nations to increase residents' surgery volume, possibly doubling monthly surgical volume. As resource-limited nations need to train and increase their indigenous health care workforce, surgical skills simulation is ethically preferable to training high-resource nation residents in resourcelimited nations. A medical and surgical skills simulation center (SSSC) implementation is a workplace continuous quality improvement (CQI) project that can benefit multiple facility departments and community organizations. Stakeholder preparedness must be evaluated before embarking on a CQI project. Anonymous brainstorming contributes to CQI project selection. There is a preferred strategy for incorporating a SSSC into an obstetrics and gynecology department. Staff, space, systems, supplies, science, success, support, and sustainability will come into play at different stages of SSSC implementation. Once operational, the SSSC must undergo CQI to optimize effectiveness. Continuous quality improvement plan-do-study-act cycles are recommended at least as frequently as equipment upgrades.

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Effect of Validated Skills Simulation on Operating Room Performance in Obstetrics and Gynecology Residents

Abstract: We found that proficiency-based simulation offers additional benefit to traditional education for all levels of residents. The use of easily accessible, low-fidelity tasks should be incorporated into formal laparoscopic training.

Cited by 66 publications

References 11 publications

Systematic review of skills transfer after surgical simulation-based training

Systematic review of skills transfer after surgical simulation-based training

Systematic Review of Laparoscopic Surgery and Simulation-based Training

Surgical Skills Simulation Center Implementation: Healthcare Continuous Quality Improvement Project

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