Simulation in Neurosurgical Education During the COVID-19 Pandemic and Beyond

Haji, Faizal

doi:10.1017/cjn.2020.234

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…These reports come both from developed [ 13 , 21 , 22 , 24 , 26 , 31 – 34 , 44 – 52 ] and developing countries [ 28 , 30 , 35 , 53 – 55 ] with very different healthcare systems. Moreover, the results were uniform between a variety of surgical specialties; general surgery [ 13 , 19 , 21 , 30 , 32 , 34 , 37 , 41 , 42 , 44 , 47 , 56 , 57 ], orthopaedics [ 19 , 24 , 58 ], ENT (ear, nose, throat) surgery [ 19 , 31 , 50 ], vascular surgery [ 19 , 22 , 26 ], urology [ 22 , 26 , 53 ], oral and maxillofacial surgery [ 19 , 33 ], and neurosurgery [ 19 , 54 , 59 ].…”

Section: An Overviewmentioning

confidence: 99%

The Impact of COVID-19 on Surgical Training: the Past, the Present and the Future

Yiasemidou

2021

Indian J Surg

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The COVID-19 pandemic and infection control measures had an unavoidable impact on surgical services. During the first wave of the pandemic, elective surgery, endoscopy, and ‘face-to-face’ clinics were discontinued after recommendations from professional bodies. In addition, training courses, examinations, conferences, and training rotations were postponed or cancelled. Inadvertently, infection control and prevention measures, both within and outside hospitals, have caused a significant negative impact on training. At the same time, they have given space to new technologies, like telemedicine and platforms for webinars, to blossom. While the recovery phase is well underway in some parts of the world, most surgical services are not operating at full capacity. Unfortunately, some countries are still battling a second or third wave of the pandemic with severely negative consequences on surgical services. Several studies have looked into the impact of COVID-19 on surgical training. Here, an objective overview of studies from different parts of the world is presented. Also, evidence-based solutions are suggested for future surgical training interventions.

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Section: An Overviewmentioning

confidence: 99%

The Impact of COVID-19 on Surgical Training: the Past, the Present and the Future

Yiasemidou

2021

Indian J Surg

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“…The impact of the COVID-19 pandemic has also led to significant transformation in the mode of delivery of neurosurgical education and training as the global neurosurgery retools for survival [8,11,24]. Prominent among the innovative measures are online modules and simulation laboratories [15,24]. Prior to the eruption of the COVID-19 pandemic, two collaborative global surgery missions were scheduled by SANC in collaboration with the neurosurgery unit of the University of Nigeria Teaching Hospital Enugu to be held in March and November 2020.…”

Section: Introductionmentioning

confidence: 99%

Pilot application of Lecture-Panel-Discussion Model (LPDM) in global collaborative neurosurgical education: a novel training paradigm innovated by the Swedish African Neurosurgery Collaboration

et al. 2022

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Background Disruptions in global surgery educational routines by the COVID-19 pandemic have elicited demands for alternative formats for rendering qualitative neurosurgical education. This study presents application of a novel model of online neurosurgical course, the Lecture-Panel-Discussion Model (LPDM). Methods This is a cross-sectional survey of participants who attended the Swedish African Neurosurgery Collaboration (SANC)-100A course. Participants evaluated the course through an online self-administered questionnaire using a 5-point Likert scale ranging from very poor-1, poor-2, average (fair)-3, good-4, to excellent-5. SANC-100A comprises a tripod of Lectures, Panel review, and interactive case Discussion. This model (LPDM) was innovated by SANC and applied at the Enugu International Neurosurgery course in February 2021. Results There were 71 attendees, 19 were course faculty, while 52 were participants. Thirty-five attended from Nigeria, 11 from Sweden, 3 from Malawi, 2 from Senegal, and 1 from the UK. Among 44 participants who completed the questionnaire, there were 9 fellows and 35 residents. The overall median course Likert rating was 4.65 ± 0.1. The median overall rating for course events was similar between day 1 (Likert score = 4.45) and day 2 (Likert score = 4.55), U = 55, Z score = 1.10, P = 0.27. The median rating for lectures was 4.50 ± 0.2 and varied from 4.40 on day 1 to 4.55 on day 2. The median rating for panel review was 4.60 ± 0.1 and varied from 4.55 on day 1 to 4.65 on day 2. Interactive case discussions were rated 4.80 on both course days. There was a significant variability in the rating profiles of the course tripod: U = 24.5, P = 0.03. Fifty-one (98%) participants believe LPDM was COVID-19-compliant, while 90% believe the course was beneficial to training and practice. Conclusion Initial application of LPDM is rewarded with both high acceptance and high rating among participants.

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“…formed regularly in neurosurgery, educators are looking toward simulation to supplement operative exposure. 6,7 There are multiple microsurgical simulation models, each with varying fidelity and validity. [8][9][10][11] Basic models are low-fidelity simulations of simple tasks (e.g., suturing of silastic tubing) to allow familiarization with microsurgical instruments, the operative microscope, and knot tying.…”

mentioning

confidence: 99%

High-fidelity, simulation-based microsurgical training for neurosurgical residents

Santyr

Abbass

Chalil

et al. 2022

Neurosurgical Focus

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OBJECTIVE Simulation is increasingly recognized as an important supplement to operative training. The live rat femoral artery model is a well-established model for microsurgical skills simulation. In this study, the authors present an 11-year experience incorporating a comprehensive, longitudinal microsurgical training curriculum into a Canadian neurosurgery program. The first goal was to evaluate training effectiveness, using a well-studied rating scale with strong validity. The second goal was to assess the impact of the curriculum on objective measures of subsequent operating room performance during postgraduate year (PGY)–5 and PGY-6 training. METHODS PGY-2 neurosurgery residents completed a 1-year curriculum spanning 17 training sessions divided into 5 modules of increasing fidelity. Both perfused duck wing and live rat vessel training models were used. Three modules comprised live microvascular anastomosis. Trainee performance was video recorded and blindly graded using the Objective Structured Assessment of Technical Skills Global Rating Scale. Eleven participants who completed the training curriculum and 3 subjects who had not participated had their subsequent operative performances evaluated when they were at the PGY-5 and PGY-6 levels. RESULTS Eighteen participants completed 106 microvascular anastomoses during the study. There was significant improvement in 6 measurable skills during the curriculum. The mean overall score was significantly higher on the fifth attempt compared with the first attempt for all 3 live anastomotic modules (p < 0.001). Each module had a different improvement profile across the skills assessed. Those who completed the microvascular skills curriculum demonstrated a greater number of independent evaluations during superficial surgical exposure, deep exposure, and primary maneuvers at the PGY-5 and PGY-6 levels. CONCLUSIONS High-fidelity microsurgical simulation training leads to significant improvement in microneurosurgical skills. Transfer of acquired skills to the operative environment and durability for at least 3 to 4 years show encouraging preliminary results and are subject to ongoing investigation.

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Simulation in Neurosurgical Education During the COVID-19 Pandemic and Beyond

Cited by 4 publications

References 20 publications

The Impact of COVID-19 on Surgical Training: the Past, the Present and the Future

The Impact of COVID-19 on Surgical Training: the Past, the Present and the Future

Pilot application of Lecture-Panel-Discussion Model (LPDM) in global collaborative neurosurgical education: a novel training paradigm innovated by the Swedish African Neurosurgery Collaboration

High-fidelity, simulation-based microsurgical training for neurosurgical residents

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