Surgical telementoring: Feasibility, applicability, and how to

Gerardo, Rodrigo G.; Lele, Prachi; Sundaram, K. Soma; Ponsky, Todd A.

doi:10.1002/jso.26511

Cited by 12 publications

(5 citation statements)

References 22 publications

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“…When the mentor merely advices a mentee, it is considered as a consultation where there exists no relationship between the mentoring physician and the patient. In such a case, the mentor does not require a medical license at the treating site/facility for informal consultation as the mentee who is the primary medical authority on-site assumes all medical liabilities [34][35][36]. However, according to the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), teleconsultation and tele-mentoring are considered different, and although the mentee is considered competent, in tele-mentoring the mentor is still equally responsible in providing care to the patient [1].…”

Section: Discussionmentioning

confidence: 99%

Preliminary design and evaluation of a remote tele-mentoring system for minimally invasive surgery

et al. 2022

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Background Tele-mentoring during surgery facilitates the transfer of surgical knowledge from a mentor (specialist surgeon) to a mentee (operating surgeon). The aim of this work is to develop a tele-mentoring system tailored for minimally invasive surgery (MIS) where the mentor can remotely demonstrate to the mentee the required motion of the surgical instruments. Methods A remote tele-mentoring system is implemented that generates visual cues in the form of virtual surgical instrument motion overlaid onto the live view of the operative field. The technical performance of the system is evaluated in a simulated environment, where the operating room and the central location of the mentor were physically located in different countries and connected over the internet. In addition, a user study was performed to assess the system as a mentoring tool. Results On average, it took 260 ms to send a view of the operative field of 1920 × 1080 resolution from the operating room to the central location of the mentor and an average of 132 ms to receive the motion of virtual surgical instruments from the central location to the operating room. The user study showed that it is feasible for the mentor to demonstrate and for the mentee to understand and replicate the motion of surgical instruments. Conclusion The work demonstrates the feasibility of transferring information over the internet from a mentor to a mentee in the form of virtual surgical instruments. Their motion is overlaid onto the live view of the operative field enabling real-time interactions between both the surgeons.

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Section: Discussionmentioning

confidence: 99%

Preliminary design and evaluation of a remote tele-mentoring system for minimally invasive surgery

et al. 2022

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“…Telementoring was defined as guidance by expert surgeons to other surgeons from a remote location facilitated by videoconferencing communication. 5 …”

Section: Methodsmentioning

confidence: 99%

“…According to the Society of American Gastrointestinal and Endoscopic Surgeons, surgical telementoring is defined as a relationship in which an expert provides guidance to a less experienced learner from a remote location facilitated by telecommunication technology. 5 , 6 Advantages of telementoring include its usefulness for training in highly specialized fields, reduced time detracted from the expert surgeon’s practice in the absence of travel, and its ability to deliver training in rural and international communities. 5 , 7 Surgical coaching, defined as a one-on-one coach-coachee relationship, is a different type of CPD intervention that has been used to address higher-level educational outcomes on Moore’s framework by helping to identify performance gaps, offer individualized feedback, and provide ongoing mentorship.…”

Section: Introductionmentioning

confidence: 99%

“… 5 , 6 Advantages of telementoring include its usefulness for training in highly specialized fields, reduced time detracted from the expert surgeon’s practice in the absence of travel, and its ability to deliver training in rural and international communities. 5 , 7 Surgical coaching, defined as a one-on-one coach-coachee relationship, is a different type of CPD intervention that has been used to address higher-level educational outcomes on Moore’s framework by helping to identify performance gaps, offer individualized feedback, and provide ongoing mentorship. 8 , 9 Surgical coaching requires an established coach-coachee relationship, which can be resource- and time-intensive.…”

Section: Introductionmentioning

confidence: 99%

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Educational Effectiveness of Telementoring as a Continuing Professional Development Intervention for Surgeons in Practice: A Systematic Review

Fernandes,

Ghasroddashti,

Sorefan-Mangou

et al. 2023

Annals of Surgery Open

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Objective: We performed a systematic review to determine the educational effectiveness of telementoring as a continuing professional development (CPD) intervention for surgeons in practice. Background: Surgeons can mentor their peers in remote locations using videoconferencing communication, referred to as telementoring. Methods: We searched MEDLINE and EMBASE and included studies assessing the educational effectiveness of telementoring interventions used by surgeons in practice. We excluded studies involving only trainees and those not evaluating educational effectiveness. Two reviewers independently screened, extracted data, and assessed study quality using the Medical Education Research Study Quality Instrument (MERSQI; maximum score 18). Educational outcomes were categorized using Moore’s Outcomes Framework. Results: We retrieved a total of 1351 records, and 252 studies were selected for full-text review. Twenty-eight studies were included with 1 randomized controlled trial, 19 cohort studies, 5 qualitative studies, and 3 case studies, totaling 178 surgeons and 499 cases. The average MERSQI score was 10.21 ± 2.2 out of 18. Educational outcomes included surgeons’ satisfaction with telementoring interventions (Moore’s Level 2) in 12 studies, improvement in surgeons’ procedural knowledge (Level 3b) in 3 studies, improvements in surgeons’ procedural competence in an educational setting (Level 4) in 4 studies, performance in a workplace-based setting (Level 5) in 23 studies, and patient outcomes (Level 6) in 3 studies. No studies reported community health outcomes (Level 7). Conclusions: Moderate-level evidence demonstrates the use of telementoring as effective in changing surgeons’ knowledge and competence in both educational and workplace-based settings. Its use is also associated with changes in patient outcomes.

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“…3) For each projected number of patients per service, the total expected data amount per hour was estimated as the multiplication of the predicted number of patients by each service required bandwidth. For remote surgery, we assumed transmission of a high-definition video of 5 Mbps [46], whereas, for remote monitoring, we assume light traffic of 0.5 Mbps.…”

Section: A Predictive Model (Phase 1)mentioning

confidence: 99%

ECP: Error-Aware, Cost-Effective and Proactive Network Slicing Framework

Aboeleneen,

Abdellatif,

Erbad

et al. 2024

IEEE Open J. Commun. Soc.

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Recent advancements in Software Defined Networks (SDN), Open Radio Access Network (O-RAN), and 5G technology have significantly expanded the capabilities of wireless networks, extending beyond mere data transmission. This progression has led to the emergence of Virtual Networks (VN) and Network Slicing, enabling industries to enhance their services and applications by establishing virtual networks that utilize shared physical infrastructure. Many works in the literature have considered optimizing the allocation of on-demand slices, assuming the absolute availability of resources and their accurate load. However, accurately allocating future network slices remains challenging due to the error in load prediction, diverse Key Performance Indicators (KPIs), resource price variations, and the potential for overor under-provisioning. This study presents a two-phase intelligent approach to address these challenges. The framework proactively predicts different slice loads while considering prediction errors in optimizing future slices with varied KPIs in a cost-efficient manner. Specifically, our method utilizes historical load data per service and employs AI-based forecasts for service load prediction. Subsequently, it employs a Deep Reinforcement Learning (DRL) agent on O-RAN's virtual Control Unit (vCU) and virtual Distributed unit (vDU) to correct errors in prediction and optimize the cost of slice allocation based on service KPI requirements, ultimately pre-allocating future network slices at reduced costs. Through experimental validation against various baselines and state-of-the-art solutions, we demonstrate the efficacy of our proposed solution, achieving a notable reduction (37-51%) in the average cost of allocated slices while inquiring about (1.5-7%

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Surgical telementoring: Feasibility, applicability, and how to

Cited by 12 publications

References 22 publications

Preliminary design and evaluation of a remote tele-mentoring system for minimally invasive surgery

Preliminary design and evaluation of a remote tele-mentoring system for minimally invasive surgery

Educational Effectiveness of Telementoring as a Continuing Professional Development Intervention for Surgeons in Practice: A Systematic Review

ECP: Error-Aware, Cost-Effective and Proactive Network Slicing Framework

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