Simulation-based training and learning curves in laparoscopic Roux-en-Y gastric bypass

Zevin, Boris; Aggarwal, Rajesh; Grantcharov, Teodor P.

doi:10.1002/bjs.8748

Cited by 51 publications

(26 citation statements)

References 55 publications

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“…23 Other studies in the surgical literature have analyzed learning curves and successful completion rates. 24,25 Although each of these techniques relies primarily on trainee experience as a surrogate for competence, the incorporation of well-defined success and failure rates over time enhances their utility. The concept of procedural skills competence, however, remains complex.…”

Section: Discussionmentioning

confidence: 99%

Emergency medicine procedural skills: what are residents missing?

Petrosoniak¹,

Herold²,

Woolfrey³

2013

CJEM

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Objective: This study sought to establish the current state of procedural skills training in Canadian Royal College emergency medicine (EM) residencies. Methods: A national Web-based survey was administered to residents and program directors of all 13 Canadian-accredited Royal College EM residency programs. Program directors rated the importance and experience required for competence of 45 EM procedural skills. EM residents reported their experience and comfort in performing the same procedural skills. Results: Thirteen program directors and 86 residents responded to the survey (response rate of 100% and 37%, respectively). Thirty-two (70%) procedures were considered important by . 70% of program directors, including all resuscitation and lifesaving airway procedures. Four procedures deemed important by program directors, including cricothyroidotomy, pericardiocentesis, posterior nasal pack for epistaxis, and paraphimosis reduction, had never been performed by the majority of senior residents. Program director opinion was used to categorize each procedure based on performance frequency to achieve competence. Overall, procedural experience correlated positively with comfort levels as indicated by residents. Conclusions: We established an updated needs assessment of procedural skills training for Canadian Royal College EM residency programs. This included program director opinion of important procedures and the performance frequency needed to achieve competence. However, we identified several important procedures that were never performed by most senior residents despite program director opinion regarding the experience needed for competence. Further study is required to better define objective measures for resident competence in procedural skills.

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Section: Discussionmentioning

confidence: 99%

Emergency medicine procedural skills: what are residents missing?

Petrosoniak¹,

Herold²,

Woolfrey³

2013

CJEM

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“…28 Prasad Rai et al 11 assessed the application of Thiel cadavers to laparoscopic nephrectomy while hosting the first advanced laparoscopic renal resection training course approved by the British Association of Urological Surgeons in 2011. The trainees and experienced laparoscopic surgeons qualitatively assessed the application using a 5-point Likert scale addressing tissue quality, patient positioning, tissue plane preservation, and ease of pedicle dissection.…”

Section: Laparoscopymentioning

confidence: 99%

Thiel Embalming Method for Cadaver Preservation: A Review of New Training Model for Urologic Skills Training

Healy

Prasad

Biyani

et al. 2015

Urology

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“…It has been stressed that simulators obviously do not show anatomical variability or the pathological alterations which represent unexpected difficulties in surgery [37]. Live animals show anatomical differences with respect to humans, and some legislations greatly limit the possibility of performing surgical training on them [37,38].…”

Section: Discussionmentioning

confidence: 99%

“…Peritoneum is opened anteriorly to rectum at level of its reflection (e). Abdominal cavity is visible after peritoneal section (f) although the embalming process is quite complex, expensive, and involves shorter conservation times [38,40]. However, additional infusions of embalming fluid to the trachea, gastrointestinal canal, and cranial cavity have been suggested as not necessary for surgical courses [40].…”

Section: Discussionmentioning

confidence: 99%

On the suitability of Thiel cadavers for natural orifice transluminal endoscopic surgery (NOTES): surgical training, feasibility studies, and anatomical education

Porzionato

Polese

Lezoche³

et al. 2014

Surg Endosc

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Thiel cadavers are suitable for transanal/transrectal and transvaginal NOTES approaches, for training surgical residents/specialists and also for surgical research. In minimally invasive surgery (and particularly in NOTES), integration between cadaver (fresh frozen and/or Thiel) and animal models would represent the gold standard, allowing guaranteed knowledge of and respect for human surgical anatomy and correct management of surgery on living subjects. NOTES approaches to human cadavers may also be proposed for the anatomical education of medical students.

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Simulation-based training and learning curves in laparoscopic Roux-en-Y gastric bypass

Cited by 51 publications

References 55 publications

Emergency medicine procedural skills: what are residents missing?

Emergency medicine procedural skills: what are residents missing?

Thiel Embalming Method for Cadaver Preservation: A Review of New Training Model for Urologic Skills Training

On the suitability of Thiel cadavers for natural orifice transluminal endoscopic surgery (NOTES): surgical training, feasibility studies, and anatomical education

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