Changing Hands: A Rising Role of the Tumor Surgeon in Teaching Sylvian Fissure Dissection

Bowden, Stephen; Siler, Dominic A.; Radu, Stephanie; Woll, S. Cody Schoettler; Rae, Ali I.; Cheaney, Barry; Nugent, Joseph G; Stedelin, Brittany; Cetas, Justin S.; Doğan, Aclan; Han, Seunggu J.

doi:10.1016/j.wneu.2020.10.026

Cited by 2 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4,5,[11][12][13][14][15][16][17][18][19][20][21][22] These studies queried the perceived abil-ity, experience, and clinical knowledge of participants relevant to cerebrovascular disease through either subjective assessments or questionnaires (57.1%, 8/14), 4,5,[17][18][19][20][21][22] review of case logs (21.4%, 3/14), [14][15][16] or direct evaluation in cases or using models (21.4%, 3/14). [11][12][13] Reports reviewing case logs unanimously described decreases in open cerebrovascular volume and increases in endovascular volume during residency, [14][15][16] with the endovascular field seeing increased enrollment in postgraduate fellowship. 4,5 All reports assessing alternative practical training methods outside of the operating room reported positive results with a range of models, simulations, didactics, and direct feedback.…”

Section: Studies Assessing Competency and Training Techniquesmentioning

confidence: 99%

“…Multiple studies have investigated trainee proficiency in the endovascular and microsurgical fields through surveys, case logs, and subjective assessments. 4,5,[11][12][13][14][15][16][17][18][19][20][21][22] Case log assessments highlighted the inverse relationship of rising endovascular and decreasing open volumes. [14][15][16] Multiple reports suggested that the decrease in open cases was adequately supplemented with simulated training models.…”

Section: Current Assessment Of Cerebrovascular Trainingmentioning

confidence: 99%

“…4,5,[11][12][13][14][15][16][17][18][19][20][21][22] Case log assessments highlighted the inverse relationship of rising endovascular and decreasing open volumes. [14][15][16] Multiple reports suggested that the decrease in open cases was adequately supplemented with simulated training models. 11,12,[18][19][20]22 However, open cerebrovascular surgery is technically complex, requiring significant repetition and frequent exposure.…”

Section: Current Assessment Of Cerebrovascular Trainingmentioning

confidence: 99%

“…71 Given decreased open case volumes, many reports describe positive resident feedback and technical improvements following completion of didactics and skilled tasks in a laboratory setting. 11,12,15,19,22 Neuroendovascular fellowship training has seen a rise in fellowship enrollment and case volume. 4,5,14,17,21 Reviewed assessments indicate that fellowship training was most often pursued because of a lack of exposure during residency.…”

Section: Current Assessment Of Cerebrovascular Trainingmentioning

confidence: 99%

See 3 more Smart Citations

Training Cerebrovascular and Neuroendovascular Surgery Residents: A Systematic Literature Review and Recommendations

Scullen,

Milburn,

Mathkour

et al. 2024

TOJ

View full text Add to dashboard Cite

Background:The rapid evolution of neuroendovascular intervention has resulted in the inclusion of endovascular techniques as a core competency in neurosurgical residency training. Methods: We conducted a literature review of studies involving the training of neurosurgical residents in cerebrovascular and endovascular neurosurgery. We reviewed the evolution of cerebrovascular neurosurgery and the effects of these changes on residency, and we propose interventions to supplement contemporary training. Results: A total of 48 studies were included for full review. Studies evaluated trainee education and competency (29.2%, 14/48), neuroendovascular training models (20.8%, 10/48), and open cerebrovascular training models (52.1%, 25/48), with some overlap. We used a qualitative analysis of reviewed reports to generate a series of suggested training supplements to optimize cerebrovascular education. Conclusion:Cerebrovascular neurosurgery is at a crossroads where trainees must develop disparate skill sets with inverse trends in volume. Continued longitudinal exposure to both endovascular and open cerebrovascular surgical fields should be mandated in general resident education, and blended learning tactics using adjunct simulation systems and models should be incorporated with didactics to both optimize learning and alleviate restraints placed by decreased volume and autonomy.

show abstract

Section: Studies Assessing Competency and Training Techniquesmentioning

confidence: 99%

Section: Current Assessment Of Cerebrovascular Trainingmentioning

confidence: 99%

Section: Current Assessment Of Cerebrovascular Trainingmentioning

confidence: 99%

Section: Current Assessment Of Cerebrovascular Trainingmentioning

confidence: 99%

See 2 more Smart Citations

Training Cerebrovascular and Neuroendovascular Surgery Residents: A Systematic Literature Review and Recommendations

Scullen,

Milburn,

Mathkour

et al. 2024

TOJ

View full text Add to dashboard Cite

show abstract

“…1,3 The impact of any potential differences could be amplified in procedurally oriented specialties, where skill acquisition is linked to episodic practice and volume of experience. 5-10…”

mentioning

confidence: 99%

On-Call Workload Differences in Neurosurgery: Resident Call “Weather” and a Departure from Colored Cloud Labels

Tan,

Bowden,

Siler

et al. 2023

Neurosurgery

Self Cite

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES: Labeling residents as “black” or “white” clouds based on perceived or presumed workloads is a timeworn custom across medical training and practice. Previous studies examining whether such perceptions align with objective workload patterns have offered conflicting results. We assessed whether such peer-assigned labels were associated with between-resident differences in objective, on-call workload metrics in three classes of neurosurgery junior residents. In doing so, we introduce more inclusive terminology for perceived differences in workload metrics. METHODS: Residents were instructed to complete surveys to identify “sunny”, “neutral”, and “stormy” residents, reflecting least to greatest perceived workloads, of their respective classes. We retrospectively reviewed department and electronic medical records to record volume of on-call work over the first 4 months of each resident's 2nd postgraduate academic year. Inter-rater agreement of survey responses was measured using Fleiss' kappa. All statistical analyses were performed with a significance threshold of P < .05. RESULTS: Across all classes, there was strong inter-rater agreement in the identification of stormy and sunny residents (Kappa = 1.000, P = .003). While differences in on-call workload measures existed within each class, “weather” designations did not consistently reflect these differences. There were significant intraclass differences in per shift consult volume in two classes (P = .035 and P = .009); however, consult volume corresponded to a resident's weather designations in only one class. Stormy residents generally saw more emergencies and, in 2 classes, performed more bedside procedures than their peers. CONCLUSION: Significant differences in objective on-call experience exist between junior neurosurgery residents. Self- and peer-assigned weather labels did not consistently align with a pattern of these differences, suggesting that other factors contribute to such labels.

show abstract

Changing Hands: A Rising Role of the Tumor Surgeon in Teaching Sylvian Fissure Dissection

Cited by 2 publications

References 25 publications

Training Cerebrovascular and Neuroendovascular Surgery Residents: A Systematic Literature Review and Recommendations

Training Cerebrovascular and Neuroendovascular Surgery Residents: A Systematic Literature Review and Recommendations

On-Call Workload Differences in Neurosurgery: Resident Call “Weather” and a Departure from Colored Cloud Labels

Contact Info

Product

Resources

About