Surgical training during COVID-19: a validated solution to keep on practicing

Trujillo, Cristian Jarry; Tirado, Pablo Achurra; Vivas, Gabriel Escalona; Eulufi, Fernando Crovari; Varas, Julián

doi:10.1002/bjs.11923

Cited by 31 publications

(29 citation statements)

References 5 publications

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“…Multiple publications report various attempts to creatively maintain skills training via remote methods. These curricula have focused on using at-home or easily accessible products, a variety of low- to high-fidelity products, and spanned many different disciplines of surgery 1 , 2 , 3 , 4 , 5 .…”

Section: Introductionmentioning

confidence: 99%

Creating a Proficiency-based Remote Laparoscopic Skills Curriculum for the COVID-19 Era

Nagaraj

AbdelFattah

Scott

et al. 2022

Journal of Surgical Education

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Objective Social distancing restrictions due to COVID-19 challenged our ability to educate incoming surgery interns who depend on early simulation training for basic skill acquisition. This study aimed to create a proficiency-based laparoscopic skills curriculum using remote learning. Design Content experts designed five surgical tasks to address hand-eye coordination, depth perception, and precision cutting. A scoring formula was used to measure performance: cutoff time - completion time - (K × errors) = score; the constant K was determined for each task. As a benchmark for proficiency, a fellowship-trained laparoscopic surgeon performed three consecutive repetitions of each task; proficiency was defined as the surgeon's mean score minus two standard deviations. To train remotely, PGY1 surgery residents (n = 29) were each issued a donated portable laparoscopic training box, task explanations, and score sheets. Remote training included submitting a pre-test video, self-training to proficiency, and submitting a post-test video. Construct validity (expert vs. trainee pre-tests) and skill acquisition (trainee pre-tests vs. post-tests) were compared using a Wilcoxon test (median [IQR] reported). Setting The University of Texas Southwestern Medical Center in Dallas, Texas Participants Surgery interns Results Expert and trainee pre-test performance was significantly different for all tasks, supporting construct validity. One trainee was proficient at pre-test. After 1 month of self-training, 7 additional residents achieved proficiency on all five tasks after 2-18 repetitions; trainee post-test scores were significantly improved vs. pre-test on all tasks ( p =.01). Conclusions This proficiency-based curriculum demonstrated construct validity, was feasible as a remote teaching option, and resulted in significant skill acquisition. The remote format, including video-based performance assessment, facilitates effective at-home learning and may allow additional innovations such as video-based coaching for more advanced curricula.

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Section: Introductionmentioning

confidence: 99%

Creating a Proficiency-based Remote Laparoscopic Skills Curriculum for the COVID-19 Era

Nagaraj

AbdelFattah

Scott

et al. 2022

Journal of Surgical Education

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“…However, these methodologies have some problems due to potential complications of confronting low-expertise students with real patients [2] limited possibilities for personalized feedback for a large number of students [3,4], and lack of practice opportunities for students to reach optimal levels of procedural performance [5]. Also, the pandemic caused by COVID-19 showed that practical learning is the most difficult to transfer in a remote learning context, highlighting the need for remote learning strategies when face-to-face practice is not possible [6]. Faced with these difficulties, learning mediated by technological resources has emerged as a strategy with numerous benefits, such as preparing the previous student in a safe environment, training the student asynchronously and remotely, and favoring interaction between teachers, students, and educational resources [7,8].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Effects of Applying Learning Analytics for Teaching Procedural Skills in Health Sciences Education

Villagrán

2021

Companion Publication of the 2021 Conference on Computer Supported Cooperative Work and Social Computing

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In Health Science Education (HSE), students must demonstrate technical skills in many procedures. However, traditional teaching methodologies limit the possibilities for personalized feedback from an instructor and generally do not allow students to achieve the required proficiency levels. Concerning this, technology has been installed as a learning resource with numerous benefits that allow new multidisciplinary lines of research, such as learning analytics (LA) and educational data mining (EDM). Both LA and EDM seek to improve educational practice based on the intensive use of educational data, such as analyzing online learning patterns, creating performance predictions, and incorporating artificial intelligence techniques. There is a range of possibilities in applying LA and EDM in teaching procedural skills that have not yet been explored. For this reason, this study aims to answer (1) How the educational data explain the development of procedural skills in virtual environments to support the teaching-learning process in Health Science Education?; and (2) How automatic feedback and adaptive personalization affect the performance and instructional design of the procedural skills learning process of health science students? We expect that this study contributes to the field of technical skills learning mediated by technology in higher education by using the data provided by the interaction of students with virtual resources to support educational decision-making and optimize the teaching and learning processes in HSE.

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“…The first reaction was an exponential increase in the number of webinars held, but when quarantine and restrictions began to extend in duration, other solutions arose. As an alternative to the low operation volumes, the local simulation centre boosted a web–mobile-based platform to remotely train laparoscopic abilities 4 . This has helped to reduce the handicap of generation 2020, but has not improved the central concern, namely surgical exposure.…”

mentioning

confidence: 99%

Decrease in operative volume in general surgery residents in Chile: effects of the COVID-19 pandemic

Inzunza

Besser

Bellolio

2021

British Journal of Surgery

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Surgical training during COVID-19: a validated solution to keep on practicing

Cited by 31 publications

References 5 publications

Creating a Proficiency-based Remote Laparoscopic Skills Curriculum for the COVID-19 Era

Creating a Proficiency-based Remote Laparoscopic Skills Curriculum for the COVID-19 Era

Exploring the Effects of Applying Learning Analytics for Teaching Procedural Skills in Health Sciences Education

Decrease in operative volume in general surgery residents in Chile: effects of the COVID-19 pandemic

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