Teaching Model for Evaluation of the Ability and Competence Progress in Endosuture in Surgical Skill Laboratory

Abstract

Background : Laparoscopic manual suturing is probably the most difficult skill to be acquired in minimally invasive surgery. However, laparoscopic exercise endo-sutures can be learned with a simulator and are of great practical importance and clinical applicability, absorbing concepts that are immediately transferred to the operating room. Aim : To assess the progression of skills competence in endo-sutures through realistic simulation model of systematized education. Method : Evaluation of the progression of competence of students in three sequential stages of training in realistic simulation, pre-test (V.1), teaching concepts (V.2) and training station for absorption of video concepts in surgery - ergonomics, stereotaxia, ambidexterity, haptic touch, fucral effect, applied in the manufacture of points corresponding to a Nissen fundoplication, in endo-suture for realistic simulation. Results : All students who attended the course absorbed the video concepts in surgery; most participants showed steady and continued improvement and during the stages of training, obtained progression of appropriate skills, defining competence and validation of the teaching model to achieve proficiency. Conclusions : The teaching model was adequate, safe, revealed the profile of the student, the evolutionary powers of the endo-sutures performance and critical analysis of the training to achieve proficiency in bariatric procedures.

Simulação clínica de emergência infantil no contexto da formação profissional em enfermagem: revisão integrativa

“…As temáticas abordadas versaram sobre atendimento de urgência e emergência infantil. Os autores da pesquisa encerraram o estudo afirmando que os incidentes ocorridos durante a simulação clínica foram multicausais (O'Leary et al, 2014).…”

“…Após experimentar a simulação realística o aluno sente-se mais preparado e seguro para executar suas atividades, além de estar constantemente exposto a oportunidades de construção e consolidação da teoria e da técnica, em um ambiente onde errar não culmina em Research, Society and Development, v. 9, n. 7, e421974261, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i7.4261 prejuízo a saúde dos pacientes, além de, no final de cada cenário, ser passível de auto avaliação, processo que auxilia o aprendizado (Moura-Júnior et al, 2017).…”

Research Hotspots and Trend Exploration on the Clinical Translational Outcome of Simulation-Based Medical Education: A 10-Year Scientific Bibliometric Analysis From 2011 to 2021

“…Future progress will require methodological refinements in outcome evaluation and rigorous evaluation on interventions already suggested, many of which such as practice error and complications are well-conceptualized and widely endorsed. With the completion of simulated medical education facilities in recent years, the simulated medical training laboratory transformation in laparoscopic surgical suture has achieved great results (50). Clinical diagnostic medicine is gradually establishing laboratory conditions to simulated skills training, which is the research hotspot of laboratory simulation-based medical education at present (51).…”

Can Virtual Reality Be as Good as Operating Room Training? Experience From a Residency Program in General Surgery

“…Furthermore, the ethical implications of learning using humans and the legal risks during such a process are to be considered. Training, particularly in laparoscopic surgery, must be done in a step-wise fashion of increasing difficulty, first encompassing skills that are fundamental to understand the tools used during the procedure, then the procedure in itself, according to the level of complexity 9 , 14 . In this way, virtual reality (VR) is an educational tool of great potential, able to provide practice in an ambient controlled and free from the pressure of the operating room 1 , and, as shown in a systematic review of 22 studies with 622 participants, to enhance the training of basic skills that will be transferred to the operating room practice 19 .…”