Abstract:PURPOSE:To report the experience of the school in implementing the 3 Rs replace, reduce and refine; showing time and assembling cost of the experimental models used in the teaching of Surgical Technique and Experimental Surgery.
METHODS:Assembly time and costs of models: grafts and flaps performed in pork belly, model of intestinal anastomosis and jejunostomy done in Bahiana box and black box model for training videosurgery.
“…The student will move into the wet laboratory to perform these flaps on a porcine belly non-living model. (Andrade et al, 2015) The student must perform the previous cutaneous flap and explain how they planned the flap design.…”
Introduction: Considering the new medical curriculum program, we planned a non-Vivo model training program to teach the cutaneous flap's basic concepts. The purpose of this protocol is to create a basic flap training program for junior surgeons. Methods: Seven days before the presential meeting, the didactic material and a questionnaire (pre-test) to measure the theoretical knowledge will be sent to students. At the meeting day, we will discuss the basic concepts of the cutaneous flap (15 minutes). Then the participants will design and explain several cutaneous flaps design in an ethyl-vinyl-acetate foil (30min). After this training, they will go to the wet lab, and they will perform all the cutaneous flap in a porcine belly non-living model (30min). We will assess participant performance by applying a Global rate scale, confidence level scale (Likert scale) in three different periods (pre-test, immediately post-training, and three months after surgical training). We will analyze all data using non-parametric tests to learn about the efficacy of this method. Discussion: This program aims to increase the student's confidence level as this may reflect somehow his future competence. This study aims to present a step-wise learning method to teach the basic concepts of cutaneous flaps; this method will also help with the consolidation of the learning skills.
“…The student will move into the wet laboratory to perform these flaps on a porcine belly non-living model. (Andrade et al, 2015) The student must perform the previous cutaneous flap and explain how they planned the flap design.…”
Introduction: Considering the new medical curriculum program, we planned a non-Vivo model training program to teach the cutaneous flap's basic concepts. The purpose of this protocol is to create a basic flap training program for junior surgeons. Methods: Seven days before the presential meeting, the didactic material and a questionnaire (pre-test) to measure the theoretical knowledge will be sent to students. At the meeting day, we will discuss the basic concepts of the cutaneous flap (15 minutes). Then the participants will design and explain several cutaneous flaps design in an ethyl-vinyl-acetate foil (30min). After this training, they will go to the wet lab, and they will perform all the cutaneous flap in a porcine belly non-living model (30min). We will assess participant performance by applying a Global rate scale, confidence level scale (Likert scale) in three different periods (pre-test, immediately post-training, and three months after surgical training). We will analyze all data using non-parametric tests to learn about the efficacy of this method. Discussion: This program aims to increase the student's confidence level as this may reflect somehow his future competence. This study aims to present a step-wise learning method to teach the basic concepts of cutaneous flaps; this method will also help with the consolidation of the learning skills.
“…Despite technological advances in alternative methods, it is estimated that scientific research uses around 100 million animals every year worldwide. [17][18][19] The use of animals in several studies remains unacceptable to some people, even to some researchers, due to their constant concern for animal welfare. However, some important pieces of information are not always externalized, such as animal care during the investigation and the role of the veterinarian in this process, ensuring that it is possible to balance scientific goals and animal welfare.…”
Section: Euthanasiamentioning
confidence: 99%
“…Still, the absence of bleeding restricts the training for hemostasis, which is thus a limiting factor. [17][18][19] The embryo of zebra fish (Danio-rerio) is considered a promising model for predicting toxicity in vertebrates, including humans. Its rapid development and transparency facilitate the evaluation of phenotypic effects, making it an effective model for the study of human diseases.…”
“…Simulation of surgical synthesis (tissue suture), a fundamental time for the regeneration of incised or traumatized tissues, plays a prominent role in the teaching of operative technique, since it requires more time of practice and dedication for its assimilation by the medical student. However, contrary to their importance, alternative models of surgical synthesis are particularly poorly described in the literature and, when present, these models tend to be costly 4 .…”
Purpose:
To develop a silicone alternative model of tissue suture simulation to be used in the teaching of surgical technique.
Methods:
Twelve alternative models of silicone for tissue suture simulation were manufactured and implemented as a tool for suture pattern training of undergraduate medical students of Universidade Federal do Amazonas. Forty-eight students participated in the research. The evaluation of the proposed model was done through a questionnaire using the Likert scale, in order to verify the student satisfaction index of the alternative resource and its performance as opposed to the model historically used in the discipline, which is to suture in cloths.
Results:
The alternative model showed satisfactory results, especially with respect to the structural aspect, such as, better perception of anatomical planes, handling and transport. About 89.58% of positive concordant responses demonstrating expressive approval for incorporation of a complementary form of the alternative methodological proposal of the discipline of surgical technique.
Conclusions:
The model developed for experimental simulation of tissue sutures has proved to be a fully feasible alternative method for the training of this surgical skill. It is a simple, reproducible and low-cost model.
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