Significant transfer of surgical skills obtained with an advanced laparoscopic training program to a laparoscopic jejunojejunostomy in a live porcine model: feasibility of learning advanced laparoscopy in a general surgery residency

Varas, Julián; Mejía, Ricardo; Riquelme, Arnoldo; Maluenda, Felipe; Buckel, E.; Salinas, José; Martínez, Jorge; Aggarwal, Rajesh; Jarufe, Nicolás; Boza, Camilo

doi:10.1007/s00464-012-2391-4

Cited by 116 publications

(108 citation statements)

References 26 publications

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“…The evaluation of the experts is important to serve as a parameter to be achieved 19 , and the simulated training can lead the trainees to a similar level of the experienced specialists 20 . Residents presented a significant reduction in the operative time to make a gastroenterostomy, going from an initial average of 66, 6 minutes to a final average of 27 minutes which was similar to the average time of the best anastomoses performed by the experts (26 minutes).…”

Section: ■ Discussionmentioning

confidence: 99%

Model for simulated training of laparoscopic gastroenterostomy

et al. 2017

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Purpose: To develop a model of gastroenterostomy and to analyze the acquisition of skills after training by simulation. Methods: Experimental longitudinal study and of a quantitative character. The sample consisted of twelve general surgery residents from four hospitals. The training consisted of making ten anastomoses divided equally into five sessions and it took place over a period of six weeks. The evaluation of the anastomoses considered the time and the analysis of the operative technique through the global evaluation scale Objective Structured Assessment of Technical Skills (OSATS). Results: Residents showed a reduction in operative time and evolution in the surgical technique statistically significant (p<0.01). The correlation index of 0.545 and 0.497 showed a high linear correlation between time variables and OSATS. Conclusion: The preparation of ten gastroenterostomies is an exercise capable of transferring basic and advanced skills in laparoscopy through a standardized training using synthetic organs and a simulator.

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Section: ■ Discussionmentioning

confidence: 99%

Model for simulated training of laparoscopic gastroenterostomy

et al. 2017

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“…Interestingly one study [39] combined the performance score on simulator with performance in the OR. Five studies [14,36,37,48,50] used ICSAD combined with other assessment tools or simulator-generated metrics in both open and laparoscopy.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of surgical training in the era of simulation

Shaharan

Neary

2014

WJGE

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AIM:To assess where we currently stand in relation to simulator-based training within modern surgical training curricula. METHODS:A systematic literature search was performed in PubMed database using keywords "simulation", "skills assessment" and "surgery". The studies retrieved were examined according to the inclusion and exclusion criteria. Time period reviewed was 2000 to 2013. The methodology of skills assessment was examined. RESULTS:Five hundred and fifteen articles focussed upon simulator based skills assessment. Fifty-two articles were identified that dealt with technical skills assessment in general surgery. Five articles assessed open skills, 37 assessed laparoscopic skills, 4 articles assessed both open and laparoscopic skills and 6 assessed endoscopic skills. Only 12 articles were found to be integrating simulators in the surgical training curricula. Observational assessment tools, in the form of Objective Structured Assessment of Technical Skills (OSATS) dominated the literature. CONCLUSION:Observational tools such as OSATS remain the top assessment instrument in surgical training especially in open technical skills. Unlike the aviation industry, simulation based assessment has only now begun to cross the threshold of incorporation into mainstream skills training. Over the next decade we expect the promise of simulator-based training to finally take flight and begin an exciting voyage of discovery for surgical trainees. Core tip: The nature of surgical training has teetered on the brink of a seismic change in how we can deliver the level of expertise required of a modern surgeon for over a decade. It is evolving from Halstedian's apprenticeship model towards simulation-based training similar to the aviation industry. Since 2000 there have been approximately 173 studies about validation of simulators as assessment tools. As the technology grows, its translation into real changes in curriculum is still unclear. This review is focused upon where we currently stand in relation to the effective integration of simulation-based skills assessment into modern surgical training curricula.Shaharan S, Neary P. Evaluation of surgical training in the era of simulation. World J Gastrointest Endosc 2014; 6(9): 436-447 Available from:

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“…Estas sesiones fueron dirigidas por 2 cirujanos residentes de la EMPUC y 8 ayudantes-alumnos previamente entrenados en estas tareas. Este cuerpo docente entregó retroalimentación efectiva 15,16 a cada participante, con el objeto de corregir sus errores inmediatamente y optimizar su entrenamiento. El protocolo se construyó en base al modelo de debriefing plus-delta, considerando el ciclo de aprendizaje de Kolb, que incorpora el análisis de las experiencias en el aprendizaje activo del adulto 17,18 .…”

Section: Metodología De Trabajounclassified

“…Los participantes, al realizar un punto simple, obtuvieron una mediana de puntaje OSATS pre entrenamiento de 10 [5][6][7][8][9][10][11][12][13][14][15][16][17] …”

Section: Evaluación De Punto Simpleunclassified

Programa Pionero De Simulación en Sutura Para Estudiantes De Medicina De Pregrado

Alvarado

et al. 2015

Rev Chil Cir

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a pioneer simulation curriculum of suture technique training for medical students introduction: Simulation has demonstrated utility in suture skills training on surgical residents. Objective: Evaluate validity of a simulated training curriculum of basic suture skills for medical students. methods: Study conducted on 2013. Medical students were selected from the School of Medicine of Pontificia Universidad Católica de Chile (EMPUC). The program included four theoretical sessions and six practical sessions in order to training basic surgical tasks (five in total) on a simulated rubber model: one handed knot-tying, simple suture, vertical mattress suture, subcuticular interrupted suture and subcuticular running suture. A survey was applied to the participants to qualify each element of the program, on a scale of 1 to 7 (face-validity). One task (simple suture) was recorded on video, before and after training, to be evaluated by two experts on a blind fashion (content validity). Experts measure participant skills using an OSATS (Objective Structured Assessment of Technical Skills) and operative time. Statistical analysis for non-parametric variables, median and interquartile range, significant p-value < 0.05. results: Thirty-six medical students participated, with assistance percentage was over 80%. Students qualified the experience favorably: simulated bench-model 6.0 ; p < 0.001) after training in every participant. conclusion: This simulated curriculum delivers an alternative method for the development of technical competencies in medical students and could be incorporated on medical schools curricula.

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Significant transfer of surgical skills obtained with an advanced laparoscopic training program to a laparoscopic jejunojejunostomy in a live porcine model: feasibility of learning advanced laparoscopy in a general surgery residency

Abstract: Trainees significantly improved their advanced laparoscopic skills to a level compared with expert surgeons. More importantly, these acquired skills were transferred to a more complex live model.

Cited by 116 publications

References 26 publications

Model for simulated training of laparoscopic gastroenterostomy

Model for simulated training of laparoscopic gastroenterostomy

Evaluation of surgical training in the era of simulation

Programa Pionero De Simulación en Sutura Para Estudiantes De Medicina De Pregrado

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