High definition video teaching module for learning neck dissection

Abstract

IntroductionVideo teaching modules are proven effective tools for enhancing student competencies and technical skills in the operating room. Integration into post-graduate surgical curricula, however, continues to pose a challenge in modern surgical education. To date, video teaching modules for neck dissection have yet to be described in the literature.PurposeTo develop and validate an HD video-based teaching module (HDVM) to help instruct post-graduate otolaryngology trainees in performing neck dissection.MethodsThis prospective study included 6 intermediate to senior otolaryngology residents. All consented subjects first performed a control selective neck dissection. Subjects were then exposed to the video teaching module. Following a washout period, a repeat procedure was performed. Recordings of the both sets of neck dissections were de-identified and reviewed by an independent evaluator and scored using the Observational Clinical Human Reliability Assessment (OCHRA) system.ResultsIn total 91 surgical errors were made prior to the HDVM and 41 after exposure, representing a 55% decrease in error occurrence. The two groups were found to be significantly different. Similarly, 66 and 24 staff takeover events occurred pre and post HDVM exposure, respectively, representing a statistically significant 64% decrease.ConclusionHDVM is a useful adjunct to classical surgical training. Residents performed significantly less errors following exposure to the HD-video module. Similarly, significantly less staff takeover events occurred following exposure to the HDVM.

2b or not 2b? Shoulder function after level 2b neck dissection: A double‐blind randomized controlled clinical trial

“…The standardized SND (2‐4) technique (Supporting Materials B) was performed by a single surgeon (H.S.). Levels 1, 3, and 4 were dissected in the typical fashion . In group 1 (SND [2a‐4]), the SAN was dissected only on its inferior border, and this left fascia covering ~270 degrees of the nerve.…”

Opinions of Otorhinolaryngology Residents about Their Education Process

“…There is also a similar restriction in Brazil, where the weekly working time for STSs is limited to 60 h including patient care, surgical procedures, and theoretical lessons (5). Following the implementation of the ACGME restriction, concern that the education that was received would not be enough emerged in both teachers and students (3,6). The reason for this can be that concern about being confronted with high levels of compensation encountered in malpractice lawsuits and the increase in the cost of professional liability insurance dominated the workload that the existing educational process entailed.…”

“…Success in procedures is achieved by a combination of theoretical knowledge, the ability to make quick decisions, and manual dexterity (14). STSs are expected to read written sources and increase their knowledge and experience via educational meetings, participation in congresses, and cadaver courses (2,6). Keeping information up to date and maintaining practices at a contemporary level are only possible by reading scientific publications and participating in activities…”

“…The basic approach to surgical training has been reported to be the master-apprentice relationship defined by Halsted and Osler in the late 1800s. Although educational resources have currently become diversified with training videos, simulations, and skill labs, the basis of surgical training is still the master-apprentice relationship (2)(3)(4)(5)(6). In addition to all skills, such as the power to interpret theoretical knowledge, that all doctors need to have, manual skills, by which they can effectively and safely apply many alternative methods, should also be taught to residents.…”

“…In addition to all skills, such as the power to interpret theoretical knowledge, that all doctors need to have, manual skills, by which they can effectively and safely apply many alternative methods, should also be taught to residents. The master-apprentice relationship is becoming more important in surgical medicine departments (2,3,6,7).…”