Simulation in paediatric urology and surgery. Part 1: An overview of educational theory

Nataraja, Ramesh M.; Webb, Nathalie; López, Pedro-José

doi:10.1016/j.jpurol.2017.12.021

Cited by 19 publications

(15 citation statements)

References 27 publications

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“…Furthermore, practice on a low-cost model can allow trainees to perform dedicated practice of this technique on their own time, which may be important for skills acquisition and maintenance given strict duty hour restrictions imposed on trainees in many jurisdictions. 27 In addition, having an ONSD of a known size allows for an evaluation of competence and accuracy of trainee measurements. While volunteers can be free and even more realistic, they are often in short supply and could be reserved for those trainees that have already gained some degree of competence on a practice model.…”

Section: Discussionmentioning

confidence: 99%

A New Inexpensive Simulation Model for Ultrasound Assessment of Optic Nerve Sheath Diameter

Jelic

Derksen

Unger

et al. 2020

Can. J. Neurol. Sci.

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ABSTRACT:Background:Sonographic measurement of optic nerve sheath diameter (ONSD) is becoming increasingly accepted as a diagnostic modality to detect elevations in intracranial pressure. As this technique becomes more widespread, methods to address the inherent operator-dependent nature of this modality will need to be developed. We propose a novel low-cost model to accurately simulate sonographic ONSD measurement for purposes of training and assessment.Methods:We designed models composed of medical tubing of various diameters readily available from typical hospital supplies and suspended them in gelatin. The models were evaluated by ultrasound by three expert point-of-care sonographers using a standard linear array probe and technique proposed in the literature.Results:This model generates faithful simulation of the ONS that closely approximates in vivo images and can be used to produce accurate, reproducible measurements. Materials are low cost and easy to acquire and assemble.Conclusions:Our model provides realistic simulated images of the ONS. Through comparison of sonographic measurements to the known tube diameters, this model serves as a promising inexpensive tool to teach the method of ultrasound assessment of ONSD or as a way to determine accuracy of this novel ultrasound technology.

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Section: Discussionmentioning

confidence: 99%

A New Inexpensive Simulation Model for Ultrasound Assessment of Optic Nerve Sheath Diameter

Jelic

Derksen

Unger

et al. 2020

Can. J. Neurol. Sci.

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“…Throughout the SBME, core educational principles such as mastery learning, deliberate practice and feedback were utilized. 6,[15][16][17] Mastery learning involves the division of a complex task into individual steps which the learner must obtain competence in performing before proceeding to learn the next step. 18 This progressive achievement and demonstration of competence is incorporated in the SBME programme for increasing complexity of procedural tasks or mannequin-based scenarios.…”

Section: Overview Of Core Educational Principlesmentioning

confidence: 99%

“…4 SBME allows the acquisition of new clinical skills, competency achievement, mastery learning and deliberate practice in a safe environment, prior to actual patient care. [5][6][7][8][9] It may also be used for the safe introduction of novel technology, potentially avoiding the initial learning curve which may have a negative impact on patient outcomes. 10 The current evidence base for the use of SBME in LMICs is very limited.…”

Section: Introductionmentioning

confidence: 99%

Overview of a novel paediatric surgical simulation‐based medical education programme in Myanmar

Nataraja

Ljuhar

et al. 2020

ANZ Journal of Surgery

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Background: Simulation-based medical education (SBME) is an integral part of undergraduate and postgraduate training in high-income countries (HICs). Despite potential benefits to low-and middle-income countries (LMICs), it has not been widely applied. Our aim was to use SBME to address some essential paediatric surgery learning needs in a LMIC. Methods: Eleven SBME courses were designed, implemented and evaluated over a 4-year period in partnership with local paediatric surgeons and the University of Medicine 1 in Yangon, Myanmar. All courses were simulation-based and different major SBME modalities were utilized. Evaluation included pre-and post-course questionnaires, other evaluation assessments including Likert scale self-rated confidence in different domains, as well as, mixed method evaluation and Kirkpatrick's hierarchy of evaluation. Results: Over 4 years, a multidisciplinary team consisting of surgical consultants, fellows, and educational specialists delivered 11 courses at a tertiary LMIC paediatric surgical centre. Attendance varied between 23 and 50 healthcare professionals, with some participants attending all of the educational activities. SBME modalities were utilized to meet each courses' learning objectives. All educational courses scored highly and showed statistically significant differences in all the self-rated pre and post-course confidence Likert scale domains. SBME was accepted and embraced by local participants and faculty, and transition to local delivery of educational content has begun. Level 4 of Kirkpatrick's hierarchy of evaluation was demonstrated. Conclusion: SBME can be used to meet essential learning objectives of local staff in a LMIC. Through various modalities, it offers a reliable, proven and affordable means of teaching multiple aspects of paediatric surgical clinical practice. By employing innovative simulation-based solutions, it can be adapted by local faculty to continue meeting ongoing learning needs.

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“…It is easiest to conceptualize educational models by grouping them either into explicit mastery models of instruction that lead to expertise or implicit constructivist models that consider the cognitive and social perspectives of the learner. 10 Mastery models are readily apparent in surgical training, in which skills acquisition and technical proficiency are primary goals. For instance, Ericsson's theory outlines that deliberate practice is a key factor in achieving expertise, with the specific intention and motivation to improve, as opposed to rote repetition.…”

Section: Educational Models For Surgical Trainingmentioning

confidence: 99%

“…Vygotsky's theory identifies a zone of proximal development (ZPD), in which learning tasks that are outside of the learner's current abilities are achievable with guidance from a more knowledgeable teacher, who provides observation and feedback that serves as a scaffold for progression through the ZPD, before deliberately fading when no longer needed. 7,10 These concepts are beginning to be used more formally by neurosurgery programs for procedural training: Duke Neurosurgery has recently implemented a surgical autonomy program that applies the ZPD concept to the development of operative skills among their residents. 11 This type of learning can be enhanced further within communities of practice, which allow for shared repertoire, joint enterprise, and mutual engagement among peers.…”

Section: Educational Models For Surgical Trainingmentioning

confidence: 99%

Letter to the Editor “Incorporating Telehealth to Improve Neurosurgical Training During the COVID-19 Pandemic”

et al. 2020

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Letter to the Editor "Incorporating Telehealth to Improve Neurosurgical Training During the COVID-19 Pandemic" LETTER: T raining in neurologic surgery has evolved significantly since its formalization in 1953. 1 Training is highly regulated, both by the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Neurological Surgery, and curricular structure has evolved over the years to accommodate changes in health care and ensure proficiency on graduation. Evidence-based practice Mentorship and teaching Research Professionalism Well-being Ethical behavior Interpersonal and communication skills Communication in coordination of care Patient and family communication

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Simulation in paediatric urology and surgery. Part 1: An overview of educational theory

Cited by 19 publications

References 27 publications

A New Inexpensive Simulation Model for Ultrasound Assessment of Optic Nerve Sheath Diameter

A New Inexpensive Simulation Model for Ultrasound Assessment of Optic Nerve Sheath Diameter

Overview of a novel paediatric surgical simulation‐based medical education programme in Myanmar

Letter to the Editor “Incorporating Telehealth to Improve Neurosurgical Training During the COVID-19 Pandemic”

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