Maintaining proficiency after Fundamentals of Laparoscopic Surgery training: A 1-year analysis of skill retention for surgery residents

Castellvi, Antonio O.; Hollett, Lisa A.; Minhajuddin, Abu; Hogg, Deborah C.; Tesfay, Seifu T.; Scott, Daniel J.

doi:10.1016/j.surg.2009.05.009

Cited by 61 publications

(38 citation statements)

References 19 publications

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“…19 The addition of laparoscopic skills certification 20 and endoscopy case requirements 21 further reduces time for the inclusion of the core competencies. While it may be tempting and appealing to use current conferences such as morning report 3 and morbidity and mortality 2 as an aid for teaching these core competencies, we have found that residents perceive these current methods are insufficient to develop an adequate knowledge base or skill set.…”

Section: (73)mentioning

confidence: 99%

Identifying and Eliminating Deficiencies in the General Surgery Resident Core Competency Curriculum

et al. 2014

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General surgery residents in our program do not report being knowledgeable or comfortable with several areas of the nonclinical Accreditation Council for Graduate Medical Education core competencies. We developed a formal health care policy and management curriculum, with integration into preexisting protected surgical didactic time. This curriculum fulfills educational requirements, without negatively affecting resident work hours and without increased expense to the department of surgery. Future studies measuring the effect of this integrated program on resident education, knowledge, and satisfaction are warranted.

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Section: (73)mentioning

confidence: 99%

Identifying and Eliminating Deficiencies in the General Surgery Resident Core Competency Curriculum

et al. 2014

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“…Studies exploring skills decay (fade) in surgeons have suggested that the skills taught during initial education are still evidence six to nine months after the training [27] and that any skills fade can be repaired by structured practice every six months. [28] This suggests that registered nurses may only need to practice the skill of manually recording a blood pressure two or three times a year to maintain their competence in this area. While the maintenance of competency is associated with the frequency of skills use [29] overlearning of the skill can assist with retention.…”

Section: Discussionmentioning

confidence: 99%

Man versus Machine: the importance of manual blood pressure measurement skills amongst registered nurses

Unsworth

Tucker

Hindmarsh

2015

JHA

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Background: The manual recording of blood pressure is widely accepted to be more accurate than the recording of blood pressure using an automated device. Despite this many western healthcare systems have moved almost entirely to the automated recording of this important vital sign using oscillometric devices. Such devices may either fail to record the patient's blood pressure in persistent hypotension or may give inaccurate readings in people with arteriosclerotic or atherosclerotic changes. This paper explores the importance of manual blood pressure recording, the availability of aneroid sphygmomanometers in UK hospitals and the maintenance of the skills of the workforce following initial nurse education. Methods: Using a survey of nursing students to explore what opportunities they have to practice manual blood pressures in the clinical setting, the paper explores the maintenance of skills following initial nurse education. The paper also describes the results of data collection, using unobtrusive methods, regarding the availability of aneroid sphygmomanometers in general and specialist hospital facilities in Northern England (UK). Data using both methods were collected in the spring of 2014. Results: The results suggest that despite most hospitals having some aneriod sphygmomanometers available (mean was 1 device for every 6 beds in acute, 1 device for every 3 beds in specialist hospitals and 1 device for every 12 beds in mental health) they were rarely used in clinical practice with only 35% of students reporting that they had undertaken a manual blood pressure in a clinical setting during the first year of their course. In addition, some hospitals had no aneroid devices and several others had no central record of location and regular calibration of such devices. Conclusions: The suggested infrequent use of aneroid devices raises a concern that nurses skills in manual blood pressure recording may be subject to decay over time. Given the importance of these skills in patient safety and, in ensuring accurate and effective care, failure to ensure adequate equipment and opportunities for skill maintenance could result in practitioners and hospitals being open to negligence claims

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“…Results from previous studies have demonstrated an ability to assess the skill level of surgeons using quantitative measures derived from motion analysis of surgical tools during laparoscopic procedures on virtual reality simulators [5][6] [7], box trainers [8][9] and models [10].…”

Section: Introductionmentioning

confidence: 99%

“…In the laparoscopic domain, the Fundamentals of Laparoscopic Surgery (FLS) program is among the most robust simulation program available for assessing skill level. The program contains both cognitive and skills components, has been correlated with clinical performance, and offers a certification process through validated examinations [8]. Endovascular surgeons are interested in having a comparable program for the training of skills, and to this end, an anatomically inspired inanimate model has been developed to enable task-specific training specifically for endovascular surgery.…”

Section: Introductionmentioning

confidence: 99%

On the development of objective metrics for surgical skills evaluation based on tool motion

Estrada

O’Malley

Duran³

et al. 2014

2014 IEEE International Conference on Systems, Man, and Cybernetics (SMC)

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Abstract-A key competency requirement in endovascular surgery is to optimally visualize and utilize pre-shaped catheters to navigate complex vascular anatomy, yet current performance assessment techniques are limited to grading scales based solely on observation. Since most endovascular procedures involve performing fine motor control tasks that require complex, dexterous movements, this paper explores the potential for a standardized, objective, and quantitative means of measuring technical competence based on analysis of the kinematics of endovascular tool tip motions. To accomplish this goal, we recorded catheter tip movement from twenty subjects performing fundamental endovascular tasks in an inanimate model and in a simulation environment with a virtual representation of the same inanimate model. Several motionbased performance measures that have been shown to reliably assess skill in other domains were computed and tested for correlation with data that were obtained from the global rating scale assessment tool. The metrics that quantified movement quality by assessing movement smoothness produced reliable correlations with the observation-based assessment metrics. These objective and quantitative metrics that capture movement quality could be incorporated into future training protocols to provide detailed feedback on trainee performance.

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Maintaining proficiency after Fundamentals of Laparoscopic Surgery training: A 1-year analysis of skill retention for surgery residents

Cited by 61 publications

References 19 publications

Identifying and Eliminating Deficiencies in the General Surgery Resident Core Competency Curriculum

Identifying and Eliminating Deficiencies in the General Surgery Resident Core Competency Curriculum

Man versus Machine: the importance of manual blood pressure measurement skills amongst registered nurses

On the development of objective metrics for surgical skills evaluation based on tool motion

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