Multimedia educational tools for cognitive surgical skill acquisition in open and laparoscopic colorectal surgery: a randomized controlled trial

Shariff, Umar; Kullar, N.; Haray, P; Dorudi, Sina; Balasubramanian, Sabapathy P

doi:10.1111/codi.12863

Cited by 23 publications

(14 citation statements)

References 30 publications

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“…This leads to a shortened learning curve and preserves the operative quality homogeneously [10]. Second, manipulation and situational training became very effective through virtual simulation systems and educational programmes on multimedia, which were not widely available in the early 2000s [28][29][30], leading to improved personal skills and knowledge. Third, the participation of experienced surgeons as supervisors became increasingly popular in clinical practice [8,16].…”

Section: Discussionmentioning

confidence: 99%

Does the Endoscopic Surgical Skill Qualification System Improve Patients’ Outcome Following Laparoscopic Surgery for Colon Cancer? A Multicentre, Retrospective Analysis with Propensity Score Matching.

Kazama

Numata

Aoyama

et al. 2020

Preprint

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Background: This study aimed to investigate the short-term and oncological impact of the Endoscopic Surgical Skill Qualification System (ESSQS) by the Japan Society for Endoscopic Surgery on the operator performing laparoscopic surgery for colon cancer.Methods: This retrospective cohort study was based on medical records from a multicentre database. A total of 417 patients diagnosed with stage II/III colon and rectosigmoid cancer treated with curative resection were divided into two groups according to whether they were operated on by qualified surgeons (Q group, n=352) or not (NQ group, n=65). Through strict propensity score matching, 98 cases (49 in each group) were assessed.Results: Operative time was significantly longer in the NQ group than in the Q group (199 vs. 168 min, p=0.029). The amount of blood loss, post-operative complications, and duration of hospitalisation were similar between both groups. No mortality was observed. One conversion case was seen in the NQ group. The 3-year recurrence-free survival rate was 86.6% in the NQ group and 88.2% in the Q group, which was not statistically significant (log-rank p=0.966).Conclusion: Direct operation by ESSQS-qualified surgeons contributed to a shortened operation time. Under an organised educational environment, almost equivalent safety and oncological outcomes are expected regardless of the surgeon’s qualifications.

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Section: Discussionmentioning

confidence: 99%

Does the Endoscopic Surgical Skill Qualification System Improve Patients’ Outcome Following Laparoscopic Surgery for Colon Cancer? A Multicentre, Retrospective Analysis with Propensity Score Matching.

Kazama

Numata

Aoyama

et al. 2020

Preprint

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“…Schneider et al [17] suggested that a collaborative approach among surgeons would reduce the learning curve and improve outcomes in laparoscopic nephrectomy. Furthermore, several documents and videos useful for brushing up surgical skills are now easily available via the Internet, and these favorable multimedia educational tools can be useful to prevent a surgeon's skill from decaying [18] .…”

Section: Discussionmentioning

confidence: 99%

A skill degradation in laparoscopic surgery after a long absence: assessment based on nephrectomy case

Sugihara¹,

Yasunaga²,

Matsui³

et al. 2018

MIS

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A skill degradation in laparoscopic surgery after a long absence: assessment based on nephrectomy case. Mini-invasive Surg AbstractAim: To examine the laparoscopic skill-degradation effect by investigating whether a long absence from laparoscopic surgery increases laparoscopic surgery time.Methods: Using the Japanese Diagnosis Procedure Combination database from April 2010 to March 2012, data for patients undergoing laparoscopic nephrectomy and nephroureterectomy for malignancy were collected. To regulate the hospital volume effect, the hospitals included in the study were limited to those with hospital volumes of 12-24 per year. Laparoscopic time was assessed by multivariate linear regression analysis including interval days, age, gender, comorbidity, oncological stage, nephrectomy or nephroureterectomy, hospital academic status, and hospital volume.Results: For intervals of ≥ 7 days (3057 cases), 8-14 days (1325 cases), 15-28 days (1424 cases), 29-56 days (711 cases), and ≤ 57 days (332 cases), the median laparoscopic times were 245, 247, 255, 265, and 260 min, respectively (P < 0.001). In multivariate analyses for laparoscopic time compared with interval of ≥ 7 days, 15-28 days, 29-56 days and ≤ 57 days were associated with slightly longer laparoscopic time (+10.5, +16.8, and +18.8 min, all P < 0.01, respectively). Conclusion:Absence intervals of ≤ 15 days can slightly lengthen the operation time, which suggest the existence of mild degree of a skill-degradation effect in laparoscopic surgery.

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“…The attainment of proficiency in medical procedures requires training of cognitive (Shariff et al, 2015), technical, Erdmann T, Oliveira Filho G MedEdPublish https://doi.org/10.15694/mep.2018.0000145.1 and interpersonal skills (Nelson and Traub, 1993). Lectures can improve cognitive ability (Shariff et al, 2015), but the development of technical and attitudinal abilities requires practical training (Nelson and Traub, 1993). One of the goals of medical education is to provide the transfer of knowledge and skills acquired in the classroom and laboratories to the clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Low-Fidelity Haptic Simulation Increases the Transfer of Peripheral Blood Sampling Skills in Novice Medical Students

Erdmann¹,

Filho²

2018

MedEdPublish

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Background: The transfer of skills into clinical practice is a major issue in medical education. This study compared the transfer of skills related to peripheral blood collection between naïve medical students simulation-trained or not before performing on real patients. Methods: 30 novice medical students attended to a lecture addressing peripheral blood collection for laboratory tests. The intervention group trained procedural skills with low-fidelity haptic simulation and role-playing. Controls simulated basic life support. Each student performed six blood sampling attempts in real patients in another occasion. Performance was rated on a scoring checklist. Self-efficacy was measured after the lecture, immediately before and after blood sampling procedures. Results: Success rates were significantly higher in the intervention 82% than in the control group (68%; p = 0.037). Significantly lesser technical errors were observed in the intervention group. Self-efficacy scores increased significantly in both groups after blood collection procedures and correlated significantly with individual success rates (rho = 0.50). Conclusion: An educational intervention consisting of low-fidelity simulation and role-playing added to a lecturebased teaching session on peripheral blood sampling was associated with increased transfer of procedural skills. Self-efficacy was positively associated with individual success rates.

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Multimedia educational tools for cognitive surgical skill acquisition in open and laparoscopic colorectal surgery: a randomized controlled trial

Abstract: Multimedia tools are effective for the acquisition of cognitive skills in colorectal surgery and are well accepted as an educational resource.

Cited by 23 publications

References 30 publications

Does the Endoscopic Surgical Skill Qualification System Improve Patients’ Outcome Following Laparoscopic Surgery for Colon Cancer? A Multicentre, Retrospective Analysis with Propensity Score Matching.

Does the Endoscopic Surgical Skill Qualification System Improve Patients’ Outcome Following Laparoscopic Surgery for Colon Cancer? A Multicentre, Retrospective Analysis with Propensity Score Matching.

A skill degradation in laparoscopic surgery after a long absence: assessment based on nephrectomy case

Low-Fidelity Haptic Simulation Increases the Transfer of Peripheral Blood Sampling Skills in Novice Medical Students

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