Project 6 Summit: SAGES telementoring initiative

Schlachta, Christopher M.; Nguyen, Ninh T.; Ponsky, Todd A.; Dunkin, Brian J.

doi:10.1007/s00464-016-4988-5

Cited by 60 publications

(66 citation statements)

References 3 publications

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“…With regard to the regulation of individual state medical licensing boards, currently telementoring can only be performed between a mentor and mentee who have medical licenses in that particular state. There are only two states (Delaware and West Virginia) that recognize licensed medical practitioners from outside of their own states and allow telementoring across state lines [10]. This regulatory limitation poses an issue whenever the only available mentor is licensed in a different state than the mentee's location where the telementoring is to be performed.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the constraints of individual state medical licensure requirements, the mentors and mentees were paired to be from the same states. There were two state exceptions (Delaware and West Virginia) that permit telementoring across state lines by a medical provider if invited by a physician from these two states [10]. In this initiative, telementoring was also performed internationally, specifically to Guatemala and Argentina.…”

Section: Logistics Of Telementoringmentioning

confidence: 99%

“…Recent improvement in telementoring technology has resulted in a seamless telementoring process using a conventional Wi-Fi connection, making it a reasonable alternative to conventional on-site surgical mentoring [5][6][7][8][9][10]. In an effort to simplify and streamline the three steps of the educational process for learning a new surgical procedure, FAME provided a grant to SAGES to implement a project to improve bariatric surgical skills utilizing the laparoscopic sleeve gastrectomy as a template procedure.…”

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confidence: 99%

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Sleeve gastrectomy telementoring: a SAGES multi-institutional quality improvement initiative

et al. 2017

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Background Sleeve gastrectomy is a relatively new procedure that developed as a result of rapid innovation in the field of bariatric surgery. As with any newly developed operation, there is a learning curve that potentially can be associated with higher morbidity. Real-time surgical mentoring reduces the learning curve effect but can be time intensive for the mentor. The aim of this initiative was to evaluate the feasibility, effectiveness, and satisfaction of surgical telementoring for laparoscopic sleeve gastrectomy. This is the first national specialty society effort to determine if the ''remote presence'' of an expert surgeon (mentor) can help practicing surgeons improve skills. Methods The experience of 15 surgical trainees (mentees) who performed laparoscopic sleeve gastrectomy under real-time telementoring by 7 mentors was reviewed.

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Section: Discussionmentioning

confidence: 99%

Section: Logistics Of Telementoringmentioning

confidence: 99%

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confidence: 99%

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Sleeve gastrectomy telementoring: a SAGES multi-institutional quality improvement initiative

et al. 2017

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“…Our own tele-mentoring approach uses a similar continuing professional development design to extend LQMS knowledge and skills using trained quality assurance mentors as a central hub. Similar to accepted tele-mentoring methods in clinical medicine [15], our mentors built on an established working relationship with laboratory personnel, aided by regular video and telecommunication technologies, and the mentored participants were selected as capable quality assurance personnel to participate in an established educational framework that prepares them for the experience.…”

Section: Remote Tele-mentoringmentioning

confidence: 99%

Strengthening the clinical laboratory workforce in Cambodia; a case study of a mixed-method in-service training program to improve laboratory quality management system oversight.

Ong

Donovan

Ndefru

et al. 2020

Preprint

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Background: Laboratory diagnostic testing service delivery and compliance with international standards for laboratory quality are directly influenced by laboratory workforce competency. Many hospital laboratories in constrained resource settings such as Cambodia struggle to cope with the training needs of laboratory professionals in an environment of competing healthcare development priorities. Resource limited countries need an adaptable and effective approach to provide laboratory professionals with job-specific quality oversight training to ensure the accuracy, timeliness and reliability of diagnostic services. Case Presentation: Here we describe the results of an in-service training and mentoring program conducted with the Cambodia Ministry of Health at 12 tertiary level hospital laboratories to drive improvements in laboratory quality management systems toward ISO 15189 accreditation, which demonstrated significant progress between baseline and outcome audits in a concurrent study. This case study describes the program, and evaluates how the four primary activities, including actionable gap assessments and planning, centralized and in-situ training curriculum, in-person mentoring, and remote tele-mentoring via video communication technologies, contributed towards quality improvement in the participating laboratories.We evaluated participant responses to Likert scale and free response questions from program and training evaluation surveys, and we used thematic analysis to develop a model of best practices within the program’s four primary activities to inform future training approaches. Of these activities, participants agreed most highly that in-person visits and planning based on gap assessments contributed to their learning and ability to improve laboratory operations. Tele-mentoring was rated lowest by participants, who were critical of excessive group dialogue and distraction during web-conferencing; however, feedback suggests both in-person and remote mentoring contribute to continuing education, accountability to action, and peer collaboration and problem solving to improve workforce efforts toward improved quality management systems.Conclusions: We recommend here a package of in-service training activities for laboratory quality management system improvement initiatives in resource constrained settings that includes needs-based curricula and personalized action plans for participants; interactive and on-site training workshops; and in-person mentoring, complemented with well managed and regular tele-mentoring that focuses on knowledge retention, accountability to goals, and collaborative problem solving. Our model presents an adaptable approach to human resource development for quality improvement in medical laboratories.

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“…The application of telemedicine should be guided by the same ethical principles upon which medi-providing this service(10) with surgical robots and joint development projects have appeared in recent years (11). Several review studies on the application of telementoring in mini-invasive surgery have been published, and concluded that it is a safe and effective procedure that is comparable to face-to-face mentoring (12)(13)(14)(15)(16)(17).…”

Section: Telemedicine Ethics and Ethical Guidelinesmentioning

confidence: 99%

Ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoring

Fuertes-Guiró

Velasco

2018

Acta bioeth.

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The surgical telementoring is a technology that involves surgical procedures guided by an expert or mentor, performed by other surgeons from a distance, using information and knowledge technologies. This therapeutic innovation has generated new opportunities to improve the surgical attention and the training of the surgeons. However, their ethical implications should be analyzed to clarify their use, to check the patient's safety and eliminate uncertainties. The characteristics of surgical telementoring generate specific challenges and ethical dilemmas that must be identified, analyzed and solved. In this paper the ethical challenges and dilemmas of surgical telementoring identified and analyzed cover multiple aspects such as patient safety, privacy and vulnerability, the surgeon-mentor-patient relationship and informed consent, professional responsibility, cost-effectiveness analysis and Solidarity and social justice regarding the use of healthcare resources, the systematic approach to validation of the proposed new technology and conflicts of interest. Surgical telementoring potentially improves patient healing and surgeon education. It will have a rapid evolution in the next years. This rapid growth should not be anticipated to the solid implantation of ethical guarantees for its use due to the particular characteristics that this technology has in the field of telemedicine.

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Project 6 Summit: SAGES telementoring initiative

Abstract: Telementoring activities are poised for exponential growth but will require a coordinated effort by stakeholders working through and around a healthcare system not yet suited for this paradigm shift.

Cited by 60 publications

References 3 publications

Sleeve gastrectomy telementoring: a SAGES multi-institutional quality improvement initiative

Sleeve gastrectomy telementoring: a SAGES multi-institutional quality improvement initiative

Strengthening the clinical laboratory workforce in Cambodia; a case study of a mixed-method in-service training program to improve laboratory quality management system oversight.

Ethical aspects involving the use of information technology in new surgical aplications: telesurgery and surgical telementoring

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