Learning curves of novice anesthesiology residents performing simulated fibreoptic upper airway endoscopy

Dalal, Priti G.; Dalal, Gaurang B.; Pott, Leonard M.; Bezinover, Dmitri; Prozesky, Jansie; Murray, W. Bosseau

doi:10.1007/s12630-011-9542-2

Cited by 45 publications

(31 citation statements)

References 27 publications

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“…2-4 However, some trainees will learn more quickly than others. 5 Early identification of those who may require additional support is key to developing efficient expertise acquisition within the time constraints of postgraduate training.…”

Section: Introductionmentioning

confidence: 99%

Visuospatial Ability as a Predictor of Novice Performance in Ultrasound-guided Regional Anesthesia

et al. 2015

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. (2015) Visuospatial ability as a predictor of novice performance in ultrasound-guided regional anesthesia. Anesthesiology, 123 (5 A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription. Conflicts of Interest:Professor Jonathan G Hardman:He is an editor of British Journal of Anesthesia. Eamonn Ferguson:He was a principle-investigator on a case award grant from the ESRC (Integrating Prospect theory

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Section: Introductionmentioning

confidence: 99%

Visuospatial Ability as a Predictor of Novice Performance in Ultrasound-guided Regional Anesthesia

et al. 2015

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“…Cusum has been used to demonstrate substantial variability in the learning rates for simulated upper endoscopy and laparoscopy [11, 25, 26]. Dalal and colleagues used Cusum to show that learning rates for fiberoptic upper airway endoscopy varied substantially, and concluded that training for this technique should be individualized [27]. To our knowledge, the present study is the first to report the prospective implementation of Cusum as the basis for an adaptive simulation curriculum.…”

Section: Discussionmentioning

confidence: 87%

Vessel ligation training via an adaptive simulation curriculum

Goodrich

et al. 2015

Journal of Surgical Research

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Background A cost-effective model for open vessel ligation is currently lacking. We hypothesized that a novel, inexpensive vessel ligation simulator can efficiently impart transferrable surgical skills to novice trainees. Materials and Methods VesselBox was designed to simulate vessel ligation using surgical gloves as surrogate vessels. Fourth-year medical students performed ligations using VesselBox, and were evaluated by surgical faculty using the Objective Structured Assessments of Technical Skills (OSATS) global rating scale and a task-specific checklist. Subsequently, each student was trained using VesselBox in an adaptive practice session guided by cumulative sum. Post-testing was performed on fresh human cadavers by evaluators blinded to pre-test results. Results Sixteen students completed the study. VesselBox practice sessions averaged 21.8 minutes per participant (IQR 19.5 – 27.7). Blinded post-tests demonstrated increased proficiency, as measured by both OSATS (3.23 vs 2.29, p < 0.001) and checklist metrics (7.33 vs 4.83, p < 0.001). Median speed improved from 128.2 seconds to 97.5 seconds per vessel ligated (p = 0.001). Following this adaptive training protocol, practice volume was not associated with post-test performance. Conclusions VesselBox is a cost-effective, low-fidelity vessel ligation model suitable for graduating medical students and junior residents. Cumulative sum can facilitate an adaptive, individualized curriculum for simulation training.

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“…25,26 Again, a wide variation of attempts were needed to reach proficiency in both studies, showing that performance is very variable even in a controlled environment with the same training opportunities and teaching. This suggests that training should be individualized for each trainee and should ensure that extended practice of a procedure is possible (when required) to allow each trainee time to become competent.…”

Section: Airway and Cannulation Skillsmentioning

confidence: 93%

Assessment of procedural skills training and performance in anesthesia using cumulative sum analysis (cusum)

Starkie

Drake

2013

Can J Anesth/J Can Anesth

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Assessment of procedural skills training and performance in anesthesia using cumulative sum analysis (cusum) É valuation de la formation en habiletés techniques et de la performance en anesthésie au moyen de l'analyse des sommes cumulées (cusum) Abstract Purpose The current methods (work based assessments and logbooks) used to assess procedural competency and performance have well-documented deficiencies. Cumulative sum analysis (cusum), a statistical method that generates performance graphs over time, is an alternative tool that is not currently widely used. The purpose of this review is to investigate its current role in anesthetic procedural skills training and performance.Tim

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Learning curves of novice anesthesiology residents performing simulated fibreoptic upper airway endoscopy

Cited by 45 publications

References 27 publications

Visuospatial Ability as a Predictor of Novice Performance in Ultrasound-guided Regional Anesthesia

Visuospatial Ability as a Predictor of Novice Performance in Ultrasound-guided Regional Anesthesia

Vessel ligation training via an adaptive simulation curriculum

Assessment of procedural skills training and performance in anesthesia using cumulative sum analysis (cusum)

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