The Value of a Synthetic Model-based Training Lab to Increase Proficiency with Endoscopic Approaches to the Spine

Basil, Gregory W.; Brusko, G. Damian; Brooks, Jordan; Wang, Michael Y.

doi:10.7759/cureus.7330

Cited by 4 publications

(2 citation statements)

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“…Despite the frequent incorporation of simulators in training, currently little to no literature has been published specifically highlighting endoscopic spine simulator training. To date, the only other study in the literature is a recent endoscopic spine model-based lab published by Basil et al [ 5 ]. In their study, cadavers and synthetic models were used to produce an entire curriculum, which was evaluated in the post-lab survey to demonstrate an increase in the comfort level of participants with endoscopic procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the steep learning curve being a barrier to the adoption of these procedures, scant literature exists on methods to reduce this learning curve. Due to the limited amount of literature on this topic, many authors have argued that training simulators may reduce the learning curve associated with these procedures [5][6][7]. These simulators facilitate a low-stress environment where the surgical trainee is free to gain experience without the potential of harming the patient.…”

Section: Introductionmentioning

confidence: 99%

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Development and Validation of a Low-Cost Endoscopic Spine Surgery Simulator

Liu¹,

Page²,

Brooks³

2021

Cureus

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BackgroundMinimally invasive endoscopic techniques in spine surgery continue to gain in popularity. Unfortunately, there is a long learning period for novice endoscope users to acquire basic skills, and complex training simulators are frequently cost-prohibitive. This paper describes the development and validation of a lowcost endoscopic spine training simulator. MethodologyA low-cost endoscopic spine training model was created utilizing a budget of less than 65 USD. Afterward, a training curriculum consisting of five tasks was designed to mimic standard techniques frequently utilized in endoscopic spine surgery. This curriculum was tested on a cohort of surgical trainees. The initial time to completion as well as errors made during the tasks and repeat trials were recorded. A composite score was generated to quantify the overall scores which included both time and errors in each task. ResultsIn total, 11 students and surgical residents completed the curriculum. The first attempt required an average of 622 seconds for the completion of the curriculum compared to 283 seconds in the second trial (p < 0.001; SD = 36.75). In regards to trials in which errors were counted, fewer errors occurred during the second attempt (2.55 vs. 1.53); however, this difference was not statistically significant (p > 0.05). In regards to the composite score, the composite score of the intern group demonstrated an average improvement of 0.345 compared to an average improvement of 0.47 in the resident group. ConclusionsOur study demonstrates the feasibility of a low-cost endoscopic spine trainer as well as its efficacy in improving basic endoscopic skills in trainees.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%