Innovative growth and development of a neurological surgery residency cadaveric skull base simulation training program: A single institution experience

Pang, Brandi W; Obayashi, James T.; Schreiner, Bryan; R, Unger; McCartney, Shirley; Dingman, Jackie; Selden, Nathan R.; Cetas, Justin S.; Doğan, Aclan; Ciporen, Jeremy N.

doi:10.1016/j.clineuro.2023.107585

Cited by 2 publications

(2 citation statements)

References 38 publications

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“…For learning complex anatomy and techniques, cadaver-based training is considered essential for resident requisite learning. 8 Cadaver procurement, embalming, and arranging sessions for students are arduous and expensive tasks that also require well-developed infrastructure and trained personnel. Moreover, only a limited number of students can be taught on a single cadaver.…”

Section: Discussionmentioning

confidence: 99%

Innovations in craniovertebral junction training: harnessing the power of mixed reality and head-mounted displays

Ganeshkumar,

Katiyar,

Singh

et al. 2024

Neurosurgical Focus

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OBJECTIVE The objective of this study was to analyze the potential and convenience of using mixed reality as a teaching tool for craniovertebral junction (CVJ) anomaly pathoanatomy. METHODS CT and CT angiography images of 2 patients with CVJ anomalies were used to construct mixed reality models in the HoloMedicine application on the HoloLens 2 headset, resulting in four viewing stations. Twenty-two participants were randomly allocated into two groups, with each participant rotating through all stations for 90 seconds, each in a different order based on their group. At every station, objective questions evaluating the understanding of CVJ pathoanatomy were answered. At the end, subjective opinion on the user experience of mixed reality was provided using a 5-point Likert scale. The objective performance of the two viewing modes was compared, and a correlation between performance and participant experience was sought. Subjective feedback was compiled and correlated with experience. RESULTS In both groups, there was a significant improvement in median (interquartile range [IQR]) objective performance with mixed reality compared with DICOM: 1) group A: case 1, median 6 (IQR 6–7) versus 5 (IQR 3–6), p = 0.009; case 2, median 6 (IQR 6–7) versus 5 (IQR 3–6), p = 0.02; 2) group B: case 1, median 6 (IQR 5–7) versus 4 (IQR 2–5), p = 0.04; case 2, median 6 (IQR 6–7) versus 5 (IQR 3–7), p = 0.03. There was significantly higher improvement in less experienced participants in both groups for both cases: 1) group A: case 1, r = −0.8665, p = 0.0005; case 2, r = −0.8002, p = 0.03; 2) group B: case 1, r = −0.6977, p = 0.01; case 2, r = −0.7417, p = 0.009. Subjectively, mixed reality was easy to use, with less disorientation due to the visible background, and it was believed to be a useful teaching tool. CONCLUSIONS Mixed reality is an effective teaching tool for CVJ pathoanatomy, particularly for young neurosurgeons and trainees. The versatility of mixed reality and the intuitiveness of the user experience offer many potential applications, including training, intraoperative guidance, patient counseling, and individualized medicine; consequently, mixed reality has the potential to transform neurosurgery.

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Section: Discussionmentioning

confidence: 99%

Innovations in craniovertebral junction training: harnessing the power of mixed reality and head-mounted displays

Ganeshkumar,

Katiyar,

Singh

et al. 2024

Neurosurgical Focus

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“…2-6 Much of the neurosurgical education literature concentrates on systematic improvements, pilot studies, educational theory, or highlighting gaps in training. 7-14 However, there is no centralized repository of tangible opportunities for those interested in becoming neurosurgical educators. Our letter aims to outline resources that residents and fellows as well as junior and senior faculty can join to improve their skills and practice as surgical educators.…”

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confidence: 99%

Letter: Neurosurgical Educators

et al. 2023

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To the Editor:We recently read with excitement the Neurosurgical Focus volume titled Education Methodology and Metrics in the Training of Neurosurgical Residents. 1 The Focus volume drew attention to a number of innovative educational initiatives including simulation, virtual reality, milestone evaluations, intraoperative autonomy assessments, and subintern curriculum reforms. [2][3][4][5][6] Much of the neurosurgical education literature concentrates on systematic improvements, pilot studies, educational theory, or highlighting gaps in training. 7-14 However, there is no centralized repository of tangible opportunities for those interested in becoming neurosurgical educators. Our letter aims to outline resources that residents and fellows as well as junior and senior faculty can join to improve their skills and practice as surgical educators. Neurosurgeons who share this interest will be offered a landscape of the current institutional and national certificate programs, medical education degrees, target journals, and medical education conferences.Certificate programs remain a common and practical means of obtaining a short-term, high-yield primer for medical education. Many institutions have outstanding local programs (Table ). At a national level, Harvard Macy Institute remains a pillar for medical education training, offering 6 courses. Two of these are particularly important to highlight: for residents and fellows, the Program for Post-Graduate Trainees: Future Academic Clinician-Educators (PGME) is a 3-day (currently virtual) foundational course in medical education; for faculty, the Program for Educators in Health Professions runs over the course of a year and includes Fall and Spring 3-day sessions intermixed with monthly CORRESPONDENCE

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Innovative growth and development of a neurological surgery residency cadaveric skull base simulation training program: A single institution experience

Cited by 2 publications

References 38 publications

Innovations in craniovertebral junction training: harnessing the power of mixed reality and head-mounted displays

Innovations in craniovertebral junction training: harnessing the power of mixed reality and head-mounted displays

Letter: Neurosurgical Educators

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