Telementoring of in-home real-time laparoscopy using whatsapp messenger: An innovative teaching tool during the COVID-19 pandemic. A cohort study

Trujillo-Loli, Yeray; Huamán, Moisés; Medina, Stefanie Campos

doi:10.1016/j.amsu.2021.01.085

Cited by 21 publications

(21 citation statements)

References 24 publications

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“…24 However, the study lacks a control group, limiting its informative value. 25 A systematic review assessing the effectiveness of telementoring compared with on-site in-person mentoring in a clinical setting reported similar operation times and rates of complications in both groups in all included trials. 26 However, as stated by the authors, the validity of the review was limited due to the paucity of a uniform definition of adverse events and the lack of detailed information regarding measurements in some studies.…”

Section: Discussionmentioning

confidence: 93%

Telementoring of Open and Laparoscopic Knot Tying and Suturing Is Possible: A Randomized Controlled Study

et al. 2022

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Aim Several motor learning models have been used to teach highly complex procedural skills in medical education. The aim of this randomized controlled trial was to assess the efficiency of telementoring of open and laparoscopic suturing of medical students compared to conventional in-person teaching and training. Methods After randomization, 23 medical students were assigned to either the telementoring or the in-person training group. Both groups were taught by surgically trained residence with a student–teacher ratio of 1:1 (teacher–student). Open suturing was assessed in a model of congenital diaphragmatic hernia and laparoscopic suturing in a model of bowel anastomosis. All subjects were trained according to the spaced learning concept for 3 hours. Primary end points were time, knot quality, precision, knot strength, and overall knotting performance/competency. Furthermore, we utilized the Surgery Task Load Index to evaluate the cognitive load of both teaching techniques. Students' subjective progress regarding skill acquisitions and acceptance of telementoring was assessed using a nine-item questionnaire. Results All 23 trainees significantly improved after training in all knot attributes. More than 90% of all subjects reached proficiency in both groups. In-person training and telementoring were similarly practical, and no significant differences regarding speed, knot quality, precision, knot stability, and procedure performance/competency were found. Students perceived no difference in acquisition of factual or applicational knowledge between the two groups. General acceptance of telementoring was moderate in both groups before training, but increased during training in students actually assigned to this group, in comparison to students assigned to conventional teaching. Conclusion The current study shows that telementoring of open and laparoscopic suturing is an ideal answer to the current coronavirus disease 2019 pandemic, ensuring continuous training. On-site training and telementoring are similarly effective, leading to substantial improvement in proficiency in intracorporeal suturing and knot tying. Likewise, students' subjective progress regarding skill acquisitions and cognitive load does not differ between teaching methods. Skepticism toward telementoring decreases after exposure to this learning method. Given our results, telementoring should be considered a highly effective and resource-saving educational approach even after the current pandemic.

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Section: Discussionmentioning

confidence: 93%

Telementoring of Open and Laparoscopic Knot Tying and Suturing Is Possible: A Randomized Controlled Study

et al. 2022

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“…The main topics discussed within the data selected are the usefulness of social media such as YouTube, Facebook, and Twitter in surgical education as well as the content’s reliability published on mentioned platforms. Additionally, the COVID-19 pandemic has impacted surgical training programs forcing mentors to opt for other forms of teaching such as e-learning using application as WhatsApp to conduct remote trainings which demonstrated to be successful [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Social media as a tool for surgical education: a qualitative systematic review

et al. 2022

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Background Social media use has exploded, attaining a significant influence within medicine. Previous studies have denoted the use of social media in various surgical specialties as a means to exchange professional ideas and improve the conference experience and at the same time, some have assessed its feasibility as a method of education. This systematic review aims to characterize the use of social media as a tool for general surgery education. Methods A systematic review of several databases from each database inception was conducted following the PRISMA guidelines. The JBI’s critical appraisal tools were used to assess quality of the studies. Results A total of 861 articles were identified of which 222 were duplicates removed. The titles and abstracts from the remaining 639 abstracts were screened and 589 were excluded. The remaining 51 full articles were analyzed for eligibility, of which 24 met inclusion criteria and were included in the systematic review. These studies covered the general surgery specialty, of which 11 ( n = 46%) focused on the laparoscopic surgical approach, 1 ( n = 4%) on robotic-assisted surgical procedures, 1 ( n = 4%) on both surgical approaches previously mentioned and 11 ( n = 46%) on the general surgery specialty regardless of the surgical approach or technique. Conclusions Advantages that SM offers should be considered, and content creators and institutions should help collectively to make sure that the content being published is evidence and guideline-based so its use it is taken to the maximum benefit. Supplementary Information The online version contains supplementary material available at 10.1007/s00464-022-09150-9.

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“…37,38 Furthermore, real-time telementoring between trainers and surgical residents using smart-phone-based laparoscopic simulation modules and WhatsApp (Mountain View, California, United States) have been shown to significantly increase laparoscopic skills. 39…”

Section: Simulation-based Medical Educationmentioning

confidence: 99%

Virtual Education in Pediatric Surgery during the COVID-19 Era: Facing and Overcoming Current Challenges

et al. 2021

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The novel coronavirus disease 2019 (COVID-19) pandemic has impacted our way of living in an unprecedented manner. Medical professionals at all levels have been forced to adapt to the novel virus. The delivery of surgical services and the subsequent learning opportunities for surgical residents have especially been disrupted and the pediatric surgical community has not been exempted by this. This article highlights the challenges imposed by the pandemic and outlines the various learning modalities that can be implemented to ensure continued learning opportunities throughout the pandemic and beyond. Furthermore, it aims to show how the utilization and expansion of technologies maintain and further increase the communication, as well as the exchange of and access to knowledge among peers. Virtual education-, application-, and simulation-based learning and social media, as well as telemedicine and online conferences, will play a considerable role in the future of surgical specialties and surgical education.

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Telementoring of in-home real-time laparoscopy using whatsapp messenger: An innovative teaching tool during the COVID-19 pandemic. A cohort study

Cited by 21 publications

References 24 publications

Telementoring of Open and Laparoscopic Knot Tying and Suturing Is Possible: A Randomized Controlled Study

Telementoring of Open and Laparoscopic Knot Tying and Suturing Is Possible: A Randomized Controlled Study

Social media as a tool for surgical education: a qualitative systematic review

Virtual Education in Pediatric Surgery during the COVID-19 Era: Facing and Overcoming Current Challenges

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