Simulation in surgical education

Lu, Joyce; Cuff, Robert; Mansour, M. Ashraf

doi:10.1016/j.amjsurg.2020.12.016

Cited by 37 publications

(26 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Live-tissue training enables simulation with realistic haemorrhage and similarities to human physiology in real time, potentially provoking a realistic stress response from the training clinicians, but it does come with issues of anatomical fidelity when comparing animals and humans, as well as obvious ethical objections 25 26. To mitigate the requirement and logistic difficulty in training with animal models, there is a need for development in realistic simulation 27–29. For example, work has been done in the USA to develop simulation using industrial special effects, combined with role-players wearing an anatomically correct Human Worn Partial Task Surgical Simulator (‘Cut Suit’—manufactured by Strategic Operations, San Diego, California, USA), in a hyper-realistic environment 30.…”

Section: Discussionmentioning

confidence: 99%

Acquisition and retention of military surgical competencies: a survey of surgeons’ experiences in the UK Defence Medical Services

et al. 2022

View full text Add to dashboard Cite

IntroductionThe acquisition and retention of militarily relevant surgical knowledge and skills are vital to enable expert management of combat casualties on operations. Opportunities for skill sustainment have reduced due to the cessation of combat operations in Iraq and Afghanistan and lack of military-relevant trauma in UK civilian practice.MethodsA voluntary, anonymous online survey study was sent to all UK Defence Medical Services (DMS) surgical consultants and higher surgical trainees in Trauma and Orthopaedics, Plastic and Reconstructive, and General and Vascular surgical specialties (three largest surgical specialties in the DMS in terms of numbers). The online questionnaire tool included 20 questions using multiple choice and free text to assess respondents’ subjective feelings of preparedness for deployment as surgeons for trauma patients.ResultsThere were 71 of 108 (66%) responses. Sixty-four (90%) respondents were regular armed forces, and 46 (65%) worked in a Major Trauma Centre (MTC). Thirty-three (47%) had never deployed on operations in a surgical role. Nineteen (27%) felt they had sufficient exposure to penetrating trauma. When asked ‘How well do you feel your training and clinical practice prepares you for a surgical deployment?’ on a scale of 1–10, trainees scored significantly lower than consultants (6 (IQR 4–7) vs 8 (IQR 7–9), respectively; p<0.001). There was no significant difference in scores between regular and reservists, or between those working at an MTC versus non-MTC. Respondents suggested high-volume trauma training and overseas trauma centre fellowships, simulation, cadaveric and live-tissue training would help their preparedness.ConclusionsThere was a feeling among a sample of UK DMS consultants and trainees that better preparedness is required for them to deploy confidently as a surgeon for combat casualties. The responses suggest that UK DMS surgical training requires urgent attention if current surgeons are to be ready for their role on deployed operations.

show abstract

Section: Discussionmentioning

confidence: 99%

Acquisition and retention of military surgical competencies: a survey of surgeons’ experiences in the UK Defence Medical Services

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Surgical simulation is gaining a pivotal role in the training of surgeons [1–4], in order to guarantee a balance between patient’s safety and a proper acquisition of technical skills, self-awareness and self-confidence by young surgeons. Available simulators – based on the use of animals, cadavers, or standard mannequin – can provide only standard or simplified anatomies, without the chance of presenting specific pathological conditions and rare cases, thus preventing the training on the possible anatomical-related challenges of the clinical practice.…”

Section: The Role Of 3d Printing In Surgical Trainingmentioning

confidence: 99%

Quantitative Assessment of 3D Printed Blood Vessels Produced with J750^™ Digital Anatomy^™ for Suture Simulation

Marconi

Mauri

Negrello

et al. 2022

Preprint

View full text Add to dashboard Cite

Blood vessels anastomosis is one of the most challenging and delicate tasks to learn in many surgical specialties, especially for vascular and abdominal surgeons. Such a critical skill implies a learning curve that goes beyond technical execution. The surgeon needs to gain proficiency in adapting gestures and the amount of force expressed according to the type of tissue he/she is dealing with. In this context, surgical simulation is gaining a pivotal role in the training of surgeons, but currently available simulators can provide only standard or simplified anatomies, without the chance of presenting specific pathological conditions and rare cases. 3D printing technology, allowing the manufacturing of extremely complex geometries, find a perfect application in the production of realistic replica of patient-specific anatomies. According to available technologies and materials, morphological aspects can be easily handled, while the reproduction of tissues mechanical properties still poses major problems, especially when dealing with soft tissues. The present work focuses on blood vessels, with the aim of identifying – by means of both qualitative and quantitative tests – materials combinations able to best mimic the behavior of the biological tissue during anastomoses, by means of J750™ Digital Anatomy™ technology and commercial photopolymers from Stratasys. Puncture tests and stitch traction tests are used to quantify the performance of the various formulations. Surgical simulations involving anastomoses are performed on selected clinical cases by surgeons to validate the results. A total of 37 experimental materials were tested and 2 formulations were identified as the most promising solutions to be used for anastomoses simulation. Clinical applicative tests, specifically selected to challenge the new materials, raised additional issues on the performance of the materials to be considered for future developments.

show abstract

“…Bu çalışmada, pandemi döneminin ilk aylarında elektif ve acil fıtık, üst gastrointestinal, hepatobiliyer ve kolorektal cerrahi ameliyat sayılarında önemli bir düşüş olduğu, uzmanlık öğrencileri tarafından yapılan ortalama fıtık ameliyatı sayısının 9,67'den 0,76'ya düştüğü saptanmıştır. White ve ark (12). pandeminin erken döneminin, uzmanlık eğitimine etkilerini araştırdıkları çalışmalarında, 2020 yılının Nisan ayında Amerika Birleşik Devletleri'ndeki 84 uzmanlık eğitimi programı yöneticisine anket uygulamıştır.…”

Section: Gereç Ve Yöntemunclassified

“…Pandemide olduğu gibi, toplam ameliyat hacminin azaldığı durumlarda cerrahi eğitimin aksamaması için alternatif eğitim yöntemleri kullanılmalıdır (11). Cerrahi asistanların teknik yeterliliğin gelişimini sağlamak için simülatör eğitim modelleri kullanılabilir (12). Ayrıca literatürde video tabanlı cerrahi becerileri eğitimlerinin kullanımı, çevrimiçi öğrenme modülleri ve sanal gerçeklik kullanılarak yapılacak eğitimlerin planlanması gibi alternatif eğitim yöntemlerinin kullanımının artırılması önerilmiştir (13,14).…”

Section: Gereç Ve Yöntemunclassified

The effect of the COVID-19 pandemic on general surgery residency training

Bozbıyık

Gök

2021

Ege Tıp Dergisi

View full text Add to dashboard Cite

ÖZ Amaç: Koronavirüs (COVID-19) pandemisi elektif ameliyat sayıları üzerinde belirgin bir değişime neden olmuştur. Bu değişimin genel cerrahi uzmanlık eğitimini etkilemesi olasıdır. Fıtık cerrahisi genel cerrahi eğitiminin temel bir öğesidir. Bu çalışmanın amacı, pandemi dönemini bir yıl önceki aynı dönemle karşılaştırmak ve fıtık ameliyatı sayısındaki değişimden yola çıkarak pandeminin genel cerrahi uzmanlık eğitimi üzerindeki etkisini ortaya koymaktır. Gereç ve Yöntem: Çalışmaya Nisan-Aralık 2019 (Kontrol grubu) ve Nisan-Aralık 2020 (Pandemi Grubu) tarihleri arasında yapılan elektif karın duvarı fıtığı ameliyatları dahil edildi. Elektronik hasta dosyaları retrospektif olarak taranarak ameliyat verileri elde edildi. İki grup toplam vaka sayısı, eğitim amacıyla uzmanlık öğrencileri tarafından yapılan ameliyat sayısı ve vaka sayılarının aylara göre dağılımı açısından karşılaştırıldı. Bulgular: Çalışmaya toplam 273 ameliyat dahil edildi. Kliniğimizde 2019 yılı döneminde 212 fıtık ameliyatı, 2020 yılı döneminde 61 fıtık ameliyatı uygulanmıştı (p:0.001). Uzmanlık öğrencileri tarafından yapılan fıtık ameliyatı sayısı 2019 yılında 88 iken 2020 yılında 18'di (p:0,009). Pandemi döneminde toplam fıtık ameliyatı sayısındaki ve uzmanlık öğrencileri tarafından yapılan ameliyat sayısındaki azalma istatiksel olarak anlamlıydı. Pandemi öncesi dönemde vakaların % 41,5'i, pandemi döneminde ise vakaların % 29,5'i uzmanlık öğrencileri tarafından uygulanmıştı. Ameliyatların asistanlar tarafından yapılma oranında gruplar arasında istatiksel olarak anlamlı fark saptanmadı (p:0,103) Sonuç: COVID-19 pandemisi döneminde elektif fıtık ameliyatı sayısı ve uzmanlık öğrencileri tarafından yapılan ameliyat sayısı azalmıştır. Cerrahi uygulamanın eğitimin önemli bir parçası olduğu göz önüne alındığında, vaka sayısındaki düşüş ve uzmanlık öğrencilerinin ameliyatlara katılımındaki azalma eğitimin kalitesini etkileyecektir. Bu sonuçlar, pandemi döneminde uzmanlık öğrencisi eğitiminin yeniden düzenlenmesi gerektiğini ortaya koymaktadır. Anahtar Sözcükler: COVID-19 pandemisi, fıtık cerrahisi, tıp eğitimi.

show abstract

Simulation in surgical education

Cited by 37 publications

References 39 publications

Acquisition and retention of military surgical competencies: a survey of surgeons’ experiences in the UK Defence Medical Services

Acquisition and retention of military surgical competencies: a survey of surgeons’ experiences in the UK Defence Medical Services

Quantitative Assessment of 3D Printed Blood Vessels Produced with J750^™ Digital Anatomy^™ for Suture Simulation

The effect of the COVID-19 pandemic on general surgery residency training

Contact Info

Product

Resources

About

Simulation in surgical education

Cited by 37 publications

References 39 publications

Acquisition and retention of military surgical competencies: a survey of surgeons’ experiences in the UK Defence Medical Services

Acquisition and retention of military surgical competencies: a survey of surgeons’ experiences in the UK Defence Medical Services

Quantitative Assessment of 3D Printed Blood Vessels Produced with J750™ Digital Anatomy™ for Suture Simulation

The effect of the COVID-19 pandemic on general surgery residency training

Contact Info

Product

Resources

About

Quantitative Assessment of 3D Printed Blood Vessels Produced with J750^™ Digital Anatomy^™ for Suture Simulation