Ensuring competency: Are fundamentals of laparoscopic surgery training and certification necessary for practicing surgeons and operating room personnel?

Hafford, Melanie L.; Sickle, Kent R. Van; Willis, Ross E.; Wilson, Todd; Gugliuzza, Kristene; Brown, Kimberly M.; Scott, Daniel J.

doi:10.1007/s00464-012-2437-7

Cited by 77 publications

(41 citation statements)

References 23 publications

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“…17 In a study evaluating FLS proficiency in practicing attending surgeons who perform laparoscopic surgery on a regular basis, the baseline skills pass rate was 33%, while after practicing in the skills laboratory, this improved to more than 98%. 18 Use of the skills laboratory to prepare for this exam is beneficial for residents as well. 19,20 The ABS mandate for FLS certification may very well serve as a stimulus to surgical simulation during resident training and indirectly encourage the use of new and innovative methods, including VR.…”

Section: Discussionmentioning

confidence: 99%

Identifying Opportunities for Virtual Reality Simulation in Surgical Education

et al. 2015

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Objectives To conduct a review of the state of virtual reality (VR) simulation technology, to identify areas of surgical education that have the greatest potential to benefit from it, and to identify challenges to implementation. Background Data Simulation is an increasingly important part of surgical training. VR is a developing platform for using simulation to teach technical skills, behavioral skills, and entire procedures to trainees and practicing surgeons worldwide. Questions exist regarding the science behind the technology and most effective usage of VR simulation. A symposium was held to address these issues. Methods Engineers, educators, and surgeons held a conference in November 2013 both to review the background science behind simulation technology and to create guidelines for its use in teaching and credentialing trainees and surgeons in practice. Results Several technologic challenges were identified that must be overcome in order for VR simulation to be useful in surgery. Specific areas of student, resident, and practicing surgeon training and testing that would likely benefit from VR were identified: technical skills, team training and decision-making skills, and patient safety, such as in use of electrosurgical equipment. Conclusions VR simulation has the potential to become an essential piece of surgical education curriculum but depends heavily on the establishment of an agreed upon set of goals. Researchers and clinicians must collaborate to allocate funding toward projects that help achieve these goals. The recommendations outlined here should guide further study and implementation of VR simulation.

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Section: Discussionmentioning

confidence: 99%

Identifying Opportunities for Virtual Reality Simulation in Surgical Education

et al. 2015

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“…In recent years, technical difficulties of laparoscopic procedures, legal issues and time limitations have increased the need to perform training even outside of the operating theater [9], [10], [11], [12]. Laparoscopic simulators represent a satisfactory response to this request but their high costs have limited their spread.…”

Section: Discussionmentioning

confidence: 99%

“…Compared to open surgery, laparoscopy presents different difficulties such as limited motion range of instruments, loss of depth perception, haptic feedback and fulcrum effect [7], [8]. Considering the technical difficulty of laparoscopic procedures, legal issues and time limitation, validation of appropriate trainings even outside of the operating rooms is ongoing [9], [10], [11], [12].…”

Section: Introductionmentioning

confidence: 99%

Play to Become a Surgeon: Impact of Nintendo WII Training on Laparoscopic Skills

et al. 2013

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BackgroundVideo-games have become an integral part of the new multimedia culture. Several studies assessed video-gaming enhancement of spatial attention and eye-hand coordination. Considering the technical difficulty of laparoscopic procedures, legal issues and time limitations, the validation of appropriate training even outside of the operating rooms is ongoing. We investigated the influence of a four-week structured Nintendo® Wii™ training on laparoscopic skills by analyzing performance metrics with a validated simulator (Lap Mentor™, Simbionix™).Methodology/Principal FindingsWe performed a prospective randomized study on 42 post-graduate I–II year residents in General, Vascular and Endoscopic Surgery. All participants were tested on a validated laparoscopic simulator and then randomized to group 1 (Controls, no training with the Nintendo® Wii™), and group 2 (training with the Nintendo® Wii™) with 21 subjects in each group, according to a computer-generated list. After four weeks, all residents underwent a testing session on the laparoscopic simulator of the same tasks as in the first session. All 42 subjects in both groups improved significantly from session 1 to session 2. Compared to controls, the Wii group showed a significant improvement in performance (p<0.05) for 13 of the 16 considered performance metrics.Conclusions/SignificanceThe Nintendo® Wii™ might be helpful, inexpensive and entertaining part of the training of young laparoscopists, in addition to a standard surgical education based on simulators and the operating room.

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“…[19] Trainees experience technical challenges during laparoscopic surgery such as limited motion range of instruments, loss of depth perception, haptic feedback, and fulcrum effect. [37] Video games are cost-effective and can help the trainers develop cognitive skills. [38] Schlickum et al .…”

Section: Modalities For Surgical Educationmentioning

confidence: 99%

The cutting-edge training modalities and educational platforms for accredited surgical training: A systematic review

Forgione

Guraya²

2017

J Res Med Sci

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Background:Historically, operating room (OR) has always been considered as a stand-alone trusted platform for surgical education and training. However, concerns about financial constraints, quality control, and patient safety have urged the surgical educators to develop more cost-effective, surgical educational platforms that can be employed outside the OR. Furthermore, trained surgeons need to regularly update their surgical skills to keep abreast with the emerging surgical technologies. This research aimed to explore the value of currently available modern surgical tools that can be used outside the OR and also elaborates the existing laparoscopic surgical training programs in world-class centers across the globe with a view to formulate a blended and unified structured surgical training program.Materials and Methods:Several data sources were searched using MeSH terms “Laparoscopic surgery” and “Surgical training” and “Surgical curriculum” and “fundamentals of endoscopic surgery” and “fundamentals of laparoscopic surgery” and “Telementoring” and “Box trainer.” The eligibility criteria used in data extraction searched for original and review articles and by excluding the editorial articles, short communications, conference proceedings, personal view, and commentaries. Data synthesis and data analysis were done by reviewing the initially retrieved 211 articles. Irrelevant and duplicate and redundant articles were excluded from the study.Results:Finally, 12 articles were selected for this systematic review. Data results showed that a myriad of cutting-edge technical innovations have provided modern surgical training tools such as the simulation-based mechanical and virtual reality simulators, animal and cadaveric labs, telementoring, telerobotic-assisted surgery, and video games. Surgical simulators allow the trainees to acquire surgical skills in a tension-free environment without supervision or time constraints.Conclusion:The existing world-renowned surgical training centers employ various clusters of training tools that essentially endeavor to embed the acquisition of knowledge and technical skills. However, a unified training curriculum that may be accepted worldwide is currently not available.

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Ensuring competency: Are fundamentals of laparoscopic surgery training and certification necessary for practicing surgeons and operating room personnel?

Cited by 77 publications

References 23 publications

Identifying Opportunities for Virtual Reality Simulation in Surgical Education

Identifying Opportunities for Virtual Reality Simulation in Surgical Education

Play to Become a Surgeon: Impact of Nintendo WII Training on Laparoscopic Skills

The cutting-edge training modalities and educational platforms for accredited surgical training: A systematic review

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