Evaluating competency in video-assisted thoracoscopic surgery (VATS) lobectomy performance using a novel assessment tool and virtual reality simulation

Jensen, Katrine; Hansen, Henrik Jessen; Petersen, René Horsleben; Neckelmann, Kirsten; Vad, Henrik; Møller, Lars Borgbjerg; Pedersen, Jesper Holst; Konge, Lars

doi:10.1007/s00464-018-6428-1

Cited by 29 publications

(18 citation statements)

References 36 publications

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“…Virtual reality simulators supply a standardized environment without clinical variation and generate quantifiable data that can be used to study surgical performance in different contexts. 25 , 26 However, the simulated setup poses some limitations for the clinical application of our study findings. First, the phantom eye of the Eyesi simulator is not capable of spontaneously moving during simulated surgery.…”

Section: Discussionmentioning

confidence: 91%

Robot-Assisted Vitreoretinal Surgery Improves Surgical Accuracy Compared With Manual Surgery

Jacobsen

Konge

Alberti

et al. 2019

Retina

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Section: Discussionmentioning

confidence: 91%

Robot-Assisted Vitreoretinal Surgery Improves Surgical Accuracy Compared With Manual Surgery

Jacobsen

Konge

Alberti

et al. 2019

Retina

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“…Assessment tools have been developed to confirm the competency of general surgery trainees and have been shown to be highly reliable, thereby providing an objective way to grade surgical competence. 19 , 20 , 21 Such videos may become an integral part of the Accreditation Council for Graduate Medical Education's Milestones Project for Neurological Surgery in the future. 22 …”

Section: Discussionmentioning

confidence: 99%

Neurosurgical Operative Videos: An Analysis of an Increasingly Popular Educational Resource

et al. 2020

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Objective Surgical education has increasingly relied on electronic learning. In particular, online operative videos have become a core resource within neurosurgery. We analyze the forums for neurosurgical operative videos. Methods Operative videos from 5 sources were reviewed: 1) the NEUROSURGERY Journal YouTube channel; 2) the American Association of Neurological Surgeons Neurosurgery YouTube channel; 3) The Neurosurgical Atlas Operative Video Cases; 4) Operative Neurosurgery ; and 5) Neurosurgical Focus : Video . Title, year of publication, senior author, institution, country, and subspecialty were documented for each video. Results A total of 1233 videos showing 1247 surgeries were identified. Ten videos included >1 surgery; of those, there was a median of 2 surgeries (interquartile range, 2.0–2.5) per video. The most frequently represented subspecialties included vascular (48.3%), tumor (35.2%), and skull base surgery (27.5%), with almost 40% of videos showing >1 category. Videos were submitted by investigators from 28 countries, but 82.1% of the videos originated in the United States. Conclusions Neurosurgical operative videos have become increasingly common through a variety of online platforms. Future efforts may benefit from collecting videos from underrepresented regions and subspecialties, providing long-term follow-up data and showing techniques for managing complications.

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“…One method to streamline, and make a curriculum more generalizable, and thus cost beneficial, is to explore the multi-speciality procedures. The utilization of resources could be increased if these procedures are identified and the needs assessments and subsequently steps are done with a broader variety of Figure 4 The four-step mastery learning approach for medical simulation-based training of technical procedures, recommended by Konge et al (24). The approach is compared to the levels from Millers pyramid.…”

Section: Methodsmentioning

confidence: 99%

“…The trainees in the study had to identify six anatomical landmarks followed by two transbronchial fineneedle aspirations of lymph node stations, and an EBUSexpert supervised the trainees and assessed competences by a structured score sheet. Jensen et al developed and gathered validity evidence for the first virtual reality simulator for VATS lobectomy (24). The model is a right upper lobe lobectomy based on the principles of a standardized anterior approach including dissection, division of vessels, fissures and bronchus with staplers (25).…”

Section: Goals and Objectivesmentioning

confidence: 99%

Structured and evidence-based training of technical skills in respiratory medicine and thoracic surgery

Pietersen¹,

Laursen²,

Petersen³

et al. 2021

J Thorac Dis

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Within the last decade, the number of technical procedures in respiratory medicine and thoracic surgery has grown and created a higher demand for effective and evidence-based education. Today, trainees are often allowed to perform procedures unsupervised on patients after obtaining a course certificate from a theoretic course and having performed a fixed number of supervised procedures. However, these methods do not ensure adequate competence. Well-structured and effective educational programmes including validated tests are needed to reduce economic expenses, optimize time spend, and ensure patient safety. The aim of this article is to summarize current state of educational strategies for technical procedures within respiratory medicine and thoracic surgery. Thus, to discuss future recommendations for curriculum development and assessment of competences based on Kern's framework. The approach by Kern consists of six topics, which needs to be considered and evaluated and in order to educate physicians and surgeons most effective and evidence-based. We present a practical guide contributing to future educators' considerations on (I) problem identification and general needs assessment, (II) targeted needs assessment, (III) goals and objectives, (IV) educational strategies, (V) implementation, and finally (VI) evaluation and feedback.

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Evaluating competency in video-assisted thoracoscopic surgery (VATS) lobectomy performance using a novel assessment tool and virtual reality simulation

Cited by 29 publications

References 36 publications

Robot-Assisted Vitreoretinal Surgery Improves Surgical Accuracy Compared With Manual Surgery

Robot-Assisted Vitreoretinal Surgery Improves Surgical Accuracy Compared With Manual Surgery

Neurosurgical Operative Videos: An Analysis of an Increasingly Popular Educational Resource

Structured and evidence-based training of technical skills in respiratory medicine and thoracic surgery

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