Acquiring surgical skills

Hamdorf, Jeff; Hall, John C.

doi:10.1046/j.1365-2168.2000.01327.x

Cited by 206 publications

(137 citation statements)

References 52 publications

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“…Un des moyens proposé pour faciliter les acquisitions techniques élémentaires est de dépla-cer leur apprentissage en dehors du bloc opératoire et des contraintes qu'il comporte [4] en utilisant des modèles inanimés. Simples, peu onéreux et toujours disponibles [5][6][7] , ces modèles permettent la démons-tration, l'entraînement et l'évaluation à partir d'objectifs standardisés [8] .…”

Section: Introductionunclassified

Évaluation préliminaire de l'impact d'un stage pilote d'initiation à la gestuelle chirurgicale sur l'acquisition des habiletés techniques de base par les internes de chirurgie de premier semestre

et al. 2009

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Résumé -Contexte : L'apprentissage de l'habileté technique chirurgicale (HTC) dans le système français de formation en chirurgie repose essentiellement sur l'immersion en situation réelle et le compagnonnage. De nouvelles contraintes pèsent sur l'exercice de la chirurgie dans les centres hospitaliers universitaires et pourraient réduire l'efficience de ce mode unique de transmission de l'HTC. Objectif : Évaluer l'impact sur l'acquisition de gestes chirurgicaux élémentaires (suture, ligature) Abstract -Context: In the French surgical education system, technical skill acquirement in surgery is based on real situations immersion and apprenticeship. There are new constraints affecting the surgical practice in academic hospital centres and it could reduce the efficacy of this unique surgical technical skill (STS) teaching approaches. Objective: To evaluate the impact of an experimental training course based on the acquisition of basic surgical skills (suture, ligature) on inanimate models outside the operative room. This training course was done in addition to the usual real situations immersion and apprenticeship learning approaches. Method: During a standardized suture and ligature drill, which was proposed 3 months after the beginning of the first semester, we compared the performances (scores and time) of a group of residents exposed to the training course to those of a group of residents not exposed to the training course. Results: The mean score obtained was 23.9 (15-28) and 17.1 (2-24) in the exposed group and in the non-exposed group, respectively: p = 0.036. The score obtained from the test assessing knowledge of surgical equipment was also higher in the exposed group. The mean time to complete the suture drill had a favourable tendency in the exposed group. Conclusion: Our results suggest that there is a positive and measurable impact of a training course given at the beginning of residency in surgery on the early acquisition of basic surgical technical skills. This type of teaching based on simulation should be a valuable complement to the immersion/apprenticeship teaching approaches for STS knowledge transmission.

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Section: Introductionunclassified

Évaluation préliminaire de l'impact d'un stage pilote d'initiation à la gestuelle chirurgicale sur l'acquisition des habiletés techniques de base par les internes de chirurgie de premier semestre

et al. 2009

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“…To ensure that patient safety was protected, surgical skills labs and simulation became increasingly utilized. [20][21][22] Furthermore, 'competency-based training' (CBT) was adopted in place of the traditional 'time-based' model. 23 The challenge ahead, as a result of moving away from earlier models, was that there remained complexities in globally defining competency.…”

Section: Surgical Education and Training Programmementioning

confidence: 99%

From humble beginnings … the evolution of the FRACS (Urology)

Pirpiris

Chung

Rashid

2017

ANZ Journal of Surgery

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Background: Surgery has a rich and colourful history dating as far back as, at least, the Neolithic period. There have been many advances in knowledge and technology, as well as changes to working conditions and public perception and expectations. The urology training programme is jointly managed by the Royal Australasian College of Surgeons and the Urological Society of Australia and New Zealand. Urological training in Australia and New Zealand has undergone a number of changes over the years. Methods: A PubMed search was performed to find articles related to surgical training and, more specifically, urological training in Australia and New Zealand. The search terms that were used included 'urology training', 'surgical training', 'Australian urology history' and 'New Zealand urology history'. Results: This narrative review outlines the origin and history of this training programme and describes the changes that have led to the current model of urology training. It also relates some of the current and future challenges faced as the training programme continues to evolve in order to improve its ability to train future urologists to meet the needs of the community and to ensure public safety. Conclusion: The urological training programme has evolved a number of times in order to tackle the challenges presented by evolving technology, community expectation and the needs of the trainee.

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“…In medical field, especially in surgery, researches is carried out to reduce the incision in surgery that lead to the implementation of MAS (minimal access surgery) or known as laparoscopy. This procedure needs high skilled surgeons to operates, and the skill is quite difficult for the surgical trainee to master it [2], [3]. The most difficult part is on the pressure and grasp that should be given towards the muscle.…”

Section: Introductionmentioning

confidence: 99%

“…Skill normally acquired through the teaching by the expert together with consistent practices [2], [3]. More time spent between experts and trainee will increase the skill acquisition.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Design of Class Components for Laparoscopy Surgery Simulation with Haptic Elements: A Case Study of SPLasH

Rawi¹,

Zaman²,

Ahmad³

2013

LNSE

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Abstract-Minimal invasive surgery or laparoscopy has taken part especially for pediatrics. Traditionally, medical students learn surgical skills through the mentorship model during their residency training. As technology evolves, more and more applications, simulations and system are built as aids to medical students in acquiring surgical skills. This research is conducted to identify how haptics technology can play part in shaping student skills in Surgery Department of HUKM. This paper will discuss the second phase of the research: Design and Development that focus on simulation class structure based on preliminary analysis. Results show that current training approaches have some weaknesses that can be replaced by applying simulations with haptics devices. Proposed structure will be tested in development stage. It is a hope that this research will enrich the literature review for visual informatics area.

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Acquiring surgical skills

Cited by 206 publications

References 52 publications

Évaluation préliminaire de l'impact d'un stage pilote d'initiation à la gestuelle chirurgicale sur l'acquisition des habiletés techniques de base par les internes de chirurgie de premier semestre

Évaluation préliminaire de l'impact d'un stage pilote d'initiation à la gestuelle chirurgicale sur l'acquisition des habiletés techniques de base par les internes de chirurgie de premier semestre

From humble beginnings … the evolution of the FRACS (Urology)

Design of Class Components for Laparoscopy Surgery Simulation with Haptic Elements: A Case Study of SPLasH

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