Simulation as a Surgical Teaching Model

Ruiz-Gómez, José Luis; Martín-Parra, José Ignacio; González-Noriega, Mónica; Redondo‐Figuero, Carlos; Manuel-Palazuelos, José C.

doi:10.1016/j.cireng.2017.09.011

Cited by 14 publications

(9 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Destaca el surgimiento sostenido de trabajos en el Congreso Chileno de Cirugía en áreas como Cirugía Endoscópica, que cuenta con la Asociación Chilena de Endoscopia Digestiva fundada en 1989 18 , aunque aún no acreditada por la Superintendencia de Salud. Otro ejemplo es Simulación, que actualmente es un complemento a la práctica clínica permitiendo adquirir habilidades técnicas y estandarizar el aprendizaje 19,20 , siendo incorporada en distintos centros formadores reflejándose así en el inicio de sus presentaciones. Es esperable observar un desfase entre el origen de una especialidad y la investigación, posiblemente relacionado al tiempo en la formación de especialistas y el perfeccionamiento de la unidad docente.…”

Section: Discussionunclassified

Presencia de las distintas áreas quirúrgicas en el Congreso Nacional de Cirugía. Análisis de los últimos 12 años

et al. 2022

View full text Add to dashboard Cite

Los trabajos científicos permiten divulgar, compartir y contrastar resultados a terceros. Una de las formas de ver la actividad investigativa de cada especialidad es justamente a través de las presentaciones que realizan en reuniones científicas.Objetivo: Evaluar la tendencia de las presentaciones de las distintas especialidades o áreas quirúrgicas en Chile en el principal congreso realizado a nivel nacional en los últimos 12 años y el impacto que pudo tener la pandemia por coronavirus.Materiales y métodos: Análisis retrospectivo del Congreso Chileno de Cirugía entre los años 2010 y 2021 por parte de dos autores de manera independiente.Resultados: Se identificaron un total de 4.462 presentaciones, incluyendo resúmenes orales, póster, videos y jornada de residentes. La media total fue de 371,83 trabajos anuales. Coloproctología y Cirugía Gastroesofágica aportaron un total de 616 (13,81%) y 598 (13,4%) respectivamente. La media de presentaciones anuales previo a la pandemia por coronavirus (años 2010-2019) fue de 414, en contraste a los 160 trabajos anuales durante ella (2020-2021).Discusión: Existen distintas razones que pueden influenciar la creación de presentaciones científicas, tanto factores internos como cantidad de cirujanos por área, actividad docente, tipo de patologías y surgimiento reciente de nuevas áreas; y factores externos como el impacto de la pandemia por coronavirus.Conclusión: Existen factores que fomentan la creación de presentaciones científicas, pudiendo manifestarse en la tasa de trabajos por área quirúrgica

show abstract

Section: Discussionunclassified

Presencia de las distintas áreas quirúrgicas en el Congreso Nacional de Cirugía. Análisis de los últimos 12 años

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The experience of senior clinicians, and the value they add to teaching of more junior trainees is unlikely to ever be eclipsed by a new technological development such as new simulation training options, and the benefit of such models would appear to be the ability to provide a setting for more basic learning experiences in a way which allows goodquality educators to provide guidance and feedback, repeatedly if needed. Simulation training should complement, not be a substitute for, the immeasurable value of clinical experience (Ruiz-Gómez et al, 2018). Among more junior trainees there does appear to be evidence that simulation training is beneficial, if only to instil confidence and familiarity with a procedure which can determine whether or not a patient ultimately requires surgery.…”

Section: Discussionmentioning

confidence: 99%

A scoping review of high-fidelity bench models for teaching closed reduction of distal radial fractures

Craig¹,

Walsh²

2021

MedEdPublish

View full text Add to dashboard Cite

Introduction:Simulation training can be beneficial for developing clinical skills without risks to patients. This review considers the literature on simulation models used for teaching closed reduction (manipulation) procedures for distal radius (wrist) fractures, particularly high-fidelity models, and the evidence supporting the use of such models. Methods:A scoping review of Medline and Embase was performed. Results:Five articles described low-fidelity models, predominantly focussing on low costs and teaching basic principles. Three articles and two commentary pieces discussing high-fidelity models were identified. Discussion:Attitudes towards a high-fidelity simulator were assessed by Egan et al. (2013), who found the majority of participants to be in favour of the model's use as a teaching tool, although participant selection may have been subject to bias. Mayne et al. (2016) subsequently used a high-fidelity model including radio-opaque markers and more objective measurements tools to assess orthopaedic trainees' closed reduction technique and adequacy of the achieved fracture position and casting. Seniority correlated with higher scores on objective structured assessment of technical skills (OSATS) and global rating scores (GRS) but not radiological measures of fracture position or cast quality, and over 90% of all participants achieved an adequate reduction. Seeley et al. (2017) used radiological measurements and time to task completion with another high-fidelity reduction model. The two most experienced participant groups could not be differentiated on any radiological measures of fracture reduction or on the time taken for reduction, although these groups were significantly better than the most

show abstract

“…Our findings are consistent with literature on effective components of quality improvement interventions; for example, skills training via simulation and observation, data feedback on performance, mentoring and peer support, and the use of structured clinical pathways and tools. 20,[44][45][46][47] The nature of the therapeutic intervention in PRISM Back Pain is primarily education, reassurance, and guidance toward physical activation and consideration of psychological factors. As such, the physiotherapist uses his or her expert coach skills rather than focusing on a pathology detector and corrector skillset.…”

Section: Discussionmentioning

confidence: 99%

Implementing high value back pain care in private physiotherapy in Australia: A qualitative evaluation of physiotherapists who participated in an “implementation to innovation” system

Gardner

Moseley

Karran

et al. 2020

Canadian Journal of Pain

View full text Add to dashboard Cite

Objectives: Many barriers exist to delivering high-value care for people with low back pain (LBP). We have developed a multistrategy implementation system to overcome these barriers. Here we describe a qualitative evaluation of the experiences of private-sector physiotherapists implementing the system. Design: PRISM (Practice-based innovation and implementation system) is an iterative clinicianas-scientist implementation program, tailored here for acute and subacute LBP. PRISM integrates strategies from behavioral change, implementation, and educational science fields. Semistructured interviews, group discussion forums, and electronic questionnaires were used to collect data at multiple time points that were then analyzed using an interpretative descriptive approach. Participants: Six physiotherapists (purposive sample) practicing in private practice physiotherapy clinics in the Adelaide region, South Australia, were enrolled in the study. Interventions: Interventions included an educational pain science and care workshop incorporating self-regulated learning principles, a co-planned clinical pathway, an electronic decision support tool, development and support of a community of practice, case study simulations, audit and feedback, and collaborative problem solving and innovation for physiotherapists. Results: Participants' experiences and perceptions centered around five themes: (1) knowledge and skills training; (2) networking and mentoring; (3) a clear clinical pathway; (4) practical tools; and (5) data feedback. Participants appraised the implementation process positively but identified patient receptiveness as a challenge at times. Suggestions for improvement included streamlining/automating data collection forms and processes and providing more simulation opportunities. Conclusions: PRISM appears to be a promising approach to overcoming several barriers that prevent people with back pain from receiving high-value care. It consolidates and increases pain science knowledge and increases physiotherapist confidence in delivering high-value care. It appears to legitimize some current practices, enhance clinical reasoning and communication skills, extend knowledge in line with contemporary pain science, and facilitate the application of a biopsychosocial management approach. The high-level acceptance by participants provides a foundation for further research to test outcomes and delivery in different settings. Contribution of the article • A quality improvement intervention designed to improve delivery of high-value care was well received by private practice physiotherapists. • Physiotherapists particularly valued using experiential learning to improve fluency in communicating with, and educating patients about, contemporary pain science. • A structured clinical pathway and tools guided physiotherapists on the basic elements of necessary care and allowed them to concentrate on higher levels of decision making and communication with patients. RÉSUMÉ Objectifs: Il existe de nombreux obstacles à la prestation de soi...

show abstract

Simulation as a Surgical Teaching Model

Cited by 14 publications

References 34 publications

Presencia de las distintas áreas quirúrgicas en el Congreso Nacional de Cirugía. Análisis de los últimos 12 años

Presencia de las distintas áreas quirúrgicas en el Congreso Nacional de Cirugía. Análisis de los últimos 12 años

A scoping review of high-fidelity bench models for teaching closed reduction of distal radial fractures

Implementing high value back pain care in private physiotherapy in Australia: A qualitative evaluation of physiotherapists who participated in an “implementation to innovation” system

Contact Info

Product

Resources

About