Google Glass for Remote Surgical Tele-proctoring in Low- and Middle-income Countries: A Feasibility Study from Mozambique

McCullough, Meghan; Kulber, Louie; Sammons, Patrick M.; Santos, Pedro; Kulber, David A.

doi:10.1097/gox.0000000000001999

Cited by 35 publications

(58 citation statements)

References 28 publications

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“…Teleproctoring in surgery was first reported more than 20 years ago [ 5 ]. According to McCullough et al, it is a “technology where audio and video interaction facilitate the virtual presence of a teacher to provide real-time instruction and technical assistance from a different geographic location.” Similar to the traditional approach, this method allows the proctor to provide training to the surgery fellow amid clinical setting [ 6 ]. However, it mitigates logistic obstacles concerning distance, time constraints, and costs [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, it mitigates logistic obstacles concerning distance, time constraints, and costs [ 11 ]. Teleproctoring was a success as an educational tool in different countries [ 6 , 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Alternatively, teleproctoring has long been employed in surgical training and allows virtual real-time instructions through video and audio interaction from a distant location. In this sense, the proctor may train a fellow in a clinical environment [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Learning Process Effectiveness During the COVID-19 Pandemic: Teleproctoring Advanced Endoscopic Skills by Training Endoscopists in Endoscopic Sleeve Gastroplasty Procedure

Neto¹,

Jerez²,

Brunaldi

et al. 2021

OBES SURG

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Background and Aims The COVID‐19 pandemic has led health institutions to cancel many of the activities including training in different fields. Most practices and training programs have been encouraged to use teleproctoring as an alternative method to enhance physician’s ability and assure training. We aimed to evaluate remote training program for endoscopy sleeve gastroplasty (ESG). Methods Ten consecutive patients underwent an endoscopic sleeve gastroplasty procedure guided by a proctor expert using an online platform. A stepwise approach was created to assure skill acquisition. Results All cases were safely performed with no serious adverse events under teleproctoring. The average surgical and suturing times significantly decreased during the training model. From the first 5 cases to the last 5 ones, the endoscopic procedure time decreased from 120 to 93.4 min while suturing time from 92.8 to 68.4 min. The effect size was large in both cases, and the changes were meaningful according to the fitted learning curves. Conclusions The proposed teleproctoring program was effective to deliver advanced endoscopic skills such as endosuturing for ESG, despite the restrictions imposed by the COVID-19 pandemic. Graphical abstract

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Learning Process Effectiveness During the COVID-19 Pandemic: Teleproctoring Advanced Endoscopic Skills by Training Endoscopists in Endoscopic Sleeve Gastroplasty Procedure

Neto¹,

Jerez²,

Brunaldi

et al. 2021

OBES SURG

View full text Add to dashboard Cite

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“…Similar models have been used in teleproctoring for peer teaching across surgical specialty centers on both a national and international level. 12 With a myriad of potential benefits derived from the integration of telemedicine into every facet of clinical environments in the wake of the COVID pandemic; this randomized control trial aimed to evaluate the perceived benefit of surgical bedside teaching sessions using common surgical conditions on a virtual platform.…”

Section: Introductionmentioning

confidence: 99%

Student Acceptance of Virtual Bedside Surgical Tutorials During COVID-19: A Randomized Controlled Trial

Feeley¹,

Feeley²,

Carroll³

et al. 2022

Journal of Surgical Research

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Teleproctoring uses telemedicine technology to provide surgical oversight from a remote expert surgeon to an on-site surgeon [7]. Studies looking at tele-proctoring in other fields have found this to be feasible, although widespread acceptance is lacking [3,[8][9][10]. A 2020 literature review found no studies focused on the use of robotic surgery for tele-mentoring or tele-proctoring in gynecology, thus this represents a critical literature gap [11].…”

Section: Introductionmentioning

confidence: 99%

Surgeon satisfaction and outcomes of tele-proctoring for robotic gynecologic surgery

2021

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Surgical proctoring requires increasing resources in growing healthcare systems. In addition, travel has become less safe in the era of COVID-19. This study demonstrates surgeon satisfaction and safety with tele-proctoring in robotic gynecologic surgery. This pilot study assesses surgeon satisfaction and operative outcomes with a novel operative tele-proctoring system with a continuous two-way video-audio feed that allows the off-site surgeon to see the operating room, surgical field, and hands of the robotic surgeon. After thorough system testing, two experienced surgeons underwent tele-proctoring for hospital credentialing, completing 7 total cases. Each completed pre-and post-surveys developed from the Michigan Standard Simulation Experience Scale. Surgical characteristics were compared between tele-proctored cases and 59 historical cases proctored in-person over the last 8 years. Surgeons reported unanimous high satisfaction with tele-proctoring (5 ± 0). There were no major technologic issues. Five of the tele-proctored cases and 35 of controls were hysterectomies. Mean age was 48.2 ± 1.4 years, mean BMI was 29.6 ± 0.9 kg/m 2 , and mean uterine weight was 152 ± 112.3 g. Two-thirds had prior abdominal surgery (P > 0.1). Tele-proctored hysterectomies were 58 ± 6.5 min shorter than controls (P = 0.001). There were no differences in EBL or complication rates (P > 0.1). Tele-proctoring resulted in high surgeon satisfaction rates with no difference in EBL or complications. Tele-mentoring is a natural extension of tele-proctoring that could provide advanced surgical expertise far beyond where we can physically reach.

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Google Glass for Remote Surgical Tele-proctoring in Low- and Middle-income Countries: A Feasibility Study from Mozambique

Abstract: Supplemental Digital Content is available in the text.

Cited by 35 publications

References 28 publications

Learning Process Effectiveness During the COVID-19 Pandemic: Teleproctoring Advanced Endoscopic Skills by Training Endoscopists in Endoscopic Sleeve Gastroplasty Procedure

Learning Process Effectiveness During the COVID-19 Pandemic: Teleproctoring Advanced Endoscopic Skills by Training Endoscopists in Endoscopic Sleeve Gastroplasty Procedure

Student Acceptance of Virtual Bedside Surgical Tutorials During COVID-19: A Randomized Controlled Trial

Surgeon satisfaction and outcomes of tele-proctoring for robotic gynecologic surgery

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