Performing in the Surgical Amphitheater of Today: Perception of Urologists Conducting Live Case Demonstrations

Salami, Simpa S.; Elsamra, Sammy; Motato, Hector; Leavitt, David; Friedlander, Justin I.; Paoli, Michèle; Duty, Brian; Okeke, Zeph; Smith, Arthur D.

doi:10.1089/end.2014.0094

Cited by 12 publications

(8 citation statements)

References 13 publications

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“…These concerns are in concordance with the outcomes of other survey studies [ 7 , 9 – 12 ]. In the study by Elsamra et al, 22% of the survey respondents had doubts about the ethical value of LSD and 41% of the respondents would not participate as a patient themselves [ 9 ].…”

Section: Discussionsupporting

confidence: 91%

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Surgical teaching in urology: patient safety and educational value of ‘LIVE’ and ‘SEMI-LIVE’ surgical demonstrations

et al. 2018

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PurposeTo evaluate the opinion of urologists and their audience regarding patient safety and educational value of live surgical demonstrations (LSD) and semi-live surgical demonstrations (semi-LSD).MethodsFollowing the ‘2017 Challenges in Endourology’ meeting, a survey addressing patient safety and the educational value of LSD and semi-LSD was disseminated online to all participants. Survey outcomes of LSD and semi-LSD were compared. ResultsAll 279 respondents attended both LSD and semi-LSD. Overall, 53% of said respondents stated that patient safety was always the highest priority for LSD, while 74% noted the same for semi-LSD. The complication risk in LSD was perceived equal by 57% of the respondents when compared to cases of similar difficulty in routine practice, while 38% perceived it as a greater risk. For semi-LSD, the complication risk was perceived equal by 84%, while 5% perceived it to be a greater risk in comparison to general practice. On a scale from 0 (no value) to 10 (highly valuable), the average educational value of LSD and semi-LSD was rated 8.4 and 8.3, respectively. A substantial percentage of the surgeons who perform LSD express concerns that live surgery is not the optimal setting to ensure patient safety.ConclusionsLSD remains a popular tool for surgical education among urologists and their audience. However, patient safety remains a concern and is perceived less of a concern for semi-LSD. The educational value of LSD and semi-LSD was scored equally high. Therefore, we should consider to advocate the use of semi-LSD more often.Electronic supplementary materialThe online version of this article (10.1007/s00345-018-2291-x) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 91%

“…The items addressed in the survey were based on the literature and on input from the organizers, who coordinated the live and semi-live surgeries [ 7 , 9 – 12 ]. A committee of ten test participants reviewed the survey questions in several rounds to ensure the comprehensibility.…”

Section: Methodsmentioning

confidence: 99%

Surgical teaching in urology: patient safety and educational value of ‘LIVE’ and ‘SEMI-LIVE’ surgical demonstrations

et al. 2018

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“…The benefit of live surgery events for surgical training has been repeatedly and critically discussed [21,23,36]. However, we observed a high degree of approval for this training concept.…”

Section: Discussionmentioning

confidence: 78%

“…A large number of surgeons are introduced to new surgical techniques and the relevant clinical anatomy is demonstrated on a single patient [19,21]. Furthermore, live surgery events offer the opportunity to learn from experts as a role model in real life, as well as handle surgical complications and manage difficult cases appropriately [22,23]. Such events are especially attractive in minimally invasive surgery because the perspective of the operating surgeon is directly transmitted to the attendees in the auditorium, who then participate virtually in the operation [20].…”

Section: Introductionmentioning

confidence: 99%

Didactic Benefits of Surgery on Body Donors during Live Surgery Events in Minimally Invasive Surgery

Ackermann

Wedel

Holthaus

et al. 2020

JCM

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Background: Live surgery events serve as a valuable tool for surgical education, but also raise ethical concerns about patient safety and professional performance. In the present study, we evaluate the technical feasibility and didactic benefits of live surgery on body donors compared to real patients. Methods: A live surgery session performed on a body donor’s cadaver embalmed in ethanol–glycerol–lysoformin was integrated into the live surgery program presented at a major gynecological convention of minimally invasive surgery. Surgical procedures carried out in real patients were paralleled in the body donor, including the dissection and illustration of surgically relevant anatomical landmarks. A standardized questionnaire was filled by the participants (n = 208) to evaluate the appropriateness, effectiveness, and benefits of this novel concept. Results: The live surgery event was appreciated as a useful educational tool. With regard to the use of body donors, authenticity was rated high (85.5%), and the overall value of body donors for surgical education and training was rated very high (95.0%). The didactic benefit of simultaneous operations performed on body donors and real patients was considered particularly useful (95.5%), whereas complete replacement of real patients by body donors was not favored (14.5%). Conclusions: The study demonstrated both the technical feasibility and didactic benefits of performing minimally invasive surgery in body donors as part of live surgery events. This novel concept has the potential to enhance anatomical knowledge, providing insights into complex surgical procedures, and may serve to overcome yet unresolved ethical concerns related to live surgery events.

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“…We have used live case demonstrations (LCDs) to teach others minimally invasive surgery. Salami et al [6] have shown that LCDs are perceived to be an effective mode of education by performers and moderators.…”

Section: Discussionmentioning

confidence: 99%

Can endourology fellowship training enhance minimally invasive surgery in urology practice?

Al-Kandari

Elshebiny

Ibrahim

et al. 2016

Arab Journal of Urology

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ObjectiveTo evaluate the influence of fellowship training in endourology on different endourological procedures in a single institution.Subjects and methodsThe operative records of endourological and open surgeries were reviewed. Data analysed included numbers, types, and technical issues related to surgeries. The early study period ranged from September 1998 to September 2004, and the later period from January 2014 to June 2016. The study duration was classified into three periods according to the availability of an endourology fellowship trained member of staff (EFTS). In period A (September 1998 to September 2001) no EFTS was available, in period B (October 2001 to September 2004) an EFTS joined the urology unit, and in period C (January 2014 to June-2016) the EFTS had left the urology unit.ResultsIn periods B and C the number of rigid ureteroscopy (URS) significantly increased compared with period A. Also, flexible URS was used for the first time in period B and continued in period C. The number of percutaneous nephrolithotomies increased in period B and continued to be performed in period C. Laparoscopic urological surgery was not undertaken in period A, and only done in four cases in period C, whilst it was performed in 62 patients in period B. Holmium laser enucleation of the prostate was carried out in 36 patients during period B and not performed in periods A and C. Finally, the number of open stone surgeries decreased in periods B and C.ConclusionThe introduction of an EFTS definitely enhanced the practice of minimally invasive procedures.

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Performing in the Surgical Amphitheater of Today: Perception of Urologists Conducting Live Case Demonstrations

Abstract: LCDs are perceived to be an effective mode of education by performers and moderators of LCDs. Standard guidelines and policies are needed, however, for the selection of patient, surgeon and team, equipment, and facility. Studies are needed to evaluate the impact of this education process.

Cited by 12 publications

References 13 publications

Surgical teaching in urology: patient safety and educational value of ‘LIVE’ and ‘SEMI-LIVE’ surgical demonstrations

Surgical teaching in urology: patient safety and educational value of ‘LIVE’ and ‘SEMI-LIVE’ surgical demonstrations

Didactic Benefits of Surgery on Body Donors during Live Surgery Events in Minimally Invasive Surgery

Can endourology fellowship training enhance minimally invasive surgery in urology practice?

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