614 results match your criteria novice residents

Simulation on synthetic bone: a tool for teaching thoracolumbar pedicle screw placement.

Orthop Traumatol Surg Res 2021 Sep 15:103056. Epub 2021 Sep 15.

Service de Chirurgie du Rachis, Hôpitaux Universitaires de Strasbourg, Hautepierre 2, 1 avenue Molière, 67200 Strasbourg, France.

Introduction: Simulation workshops for surgical training of residents are becoming popular. The gold standard for teaching thoracolumbar pedicle screw placement are cadaver labs; however, the availability of human bodies is limited. The primary objective of this study was to determine if training on a synthetic bone model improves the apprenticeship of accurate pedicle screw placement. Read More

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September 2021

Action-related eye measures to assess surgical expertise.

BJS Open 2021 Jul;5(4)

Computing Science, Simon Fraser University, British Columbia, Canada.

Background: Eye-tracking offers a new list of performance measures for surgeons. Previous studies of eye-tracking have reported that action-related fixation is a good measuring tool for elite task performers. Other measures, including early eye engagement to target and early eye disengagement from the previous subtask, were also reported to distinguish between different expertise levels. Read More

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The Fundamentals of Vaginal Surgery pilot study: developing, validating, and setting proficiency scores for a vaginal surgical skills simulation system.

Am J Obstet Gynecol 2021 Aug 28. Epub 2021 Aug 28.

University of Michigan, Ann Arbor, MI, Department of Learning and Health Sciences.

Background: Surgical training in the simulation lab can develop basic skills that translate to the operating room. Standardized, basic skills programs that are supported by validated assessment measures exist for open, laparoscopic, and endoscopic surgery; however, there is yet to be a nationally recognized and widely implemented basic skills program specifically for vaginal surgery.

Objectives: Develop a vaginal surgical simulation system; evaluate robust validity evidence for the simulation system and its related performance measures; and establish a proficiency score that discriminates between novice and experienced vaginal surgeon performance. Read More

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Management of small perforated corneal ulcers: Training model in mammalian eye to enhance surgical skills of residents.

Eur J Ophthalmol 2021 Aug 25:11206721211035628. Epub 2021 Aug 25.

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India.

Purpose: To demonstrate a training technique on the mammalian eye for optimum Cyanoacrylate Tissue adhesive application in cases of perforated corneal ulcers.

Methods: A full-thickness defect simulating a perforation was created on the goat's eye cornea to teach the technique of cyanoacrylate glue application in cases of corneal perforations to novice surgeons.

Results: This training model on the mammalian eye was tested by 10 residents at our centre. Read More

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

Cureus 2021 Jul 21;13(7):e16541. Epub 2021 Jul 21.

Neurosurgery, University of Wisconsin, Madison, USA.

Background Minimally 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 low-cost endoscopic spine training simulator. Read More

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Use of saliva stress biomarkers to estimate novice male endoscopist's stress during training in a high-end simulator.

Scand J Gastroenterol 2021 Aug 23:1-6. Epub 2021 Aug 23.

Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden.

Objective: Simulated endoscopic training can be challenging and stressful for the novice trainee. The absence of a reliable stress detection method during simulated endoscopic training makes estimating trainees' mental stress difficult to quantify. This study concomitantly measures the responses of four saliva stress biomarkers and compares them to the video score (VS) achieved by novice endoscopists in a reproducibly stressful simulation environment. Read More

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A professional knowledge base for collaborative reflection education: a qualitative description of teacher goals and strategies.

Perspect Med Educ 2021 Aug 17. Epub 2021 Aug 17.

Department of Family Medicine, Maastricht University, Care and Public Health Research Institute (CAPHRI), Maastricht, The Netherlands.

Introduction: For several decades, educational experts have promoted reflection as essential to professional development. In the medical setting, collaborative reflection has gained significant importance across the curriculum. Collaborative reflection has a unique edge over individual reflection, but many medical teachers find facilitating group reflection sessions challenging and there is little documentation about the didactics of teaching in such collaborative reflection settings. Read More

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Role of virtual modules to supplement neurosurgery education during COVID-19.

J Clin Neurosci 2021 Sep 7;91:125-130. Epub 2021 Jul 7.

Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India. Electronic address:

The advent of the COVID-19 pandemic has disrupted all aspects of neurosurgery education, and it is now challenging to conduct routine sessions. Maintenance of essential standard education among novice neurosurgeons during the pandemic is of paramount importance. The aim of this study was the development of virtual modules and validation of its role to supplement the neurosurgery education program. Read More

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September 2021

The Utility of Peers and Trained Raters in Technical Skill-based Assessments a Generalizability Theory Study.

J Surg Educ 2021 Aug 2. Epub 2021 Aug 2.

Department of medical education, University of Illinois at Chicago, Chicago, Illinois.

Objective: The gold standard for evaluation of resident procedural competence is that of validated assessments from faculty surgeons. A provision of adequate trainee assessments is challenged by a shortage of faculty due to increased clinical and administrative responsibilities. We hypothesized that with a well constructed assessment instrument and training, there would be minimal differences in procedural assessments made by near-peer resident raters (RR), faculty raters (FR), and trained raters (TR). Read More

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Neurosurgical performance between experts and trainees: Evidence from drilling task.

Int J Med Robot 2021 Oct 23;17(5):e2313. Epub 2021 Jul 23.

Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.

Background: Lumbar laminectomy is a common neurosurgery that requires precise manipulation of power drills. We examined the fine movement controls of novice neurosurgeons in drilling tasks and compared its accuracy to expert surgeons' performance.

Methods: Four experts and three novice neurosurgeons performed a lumbar laminectomy on a three-dimensional printed spine model. Read More

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October 2021

Perception of an Introductory Point-of-Care Ultrasound Course for Thai Medical Students on Emergency Medicine Rotation.

Open Access Emerg Med 2021 5;13:291-298. Epub 2021 Jul 5.

Department of Emergency Medicine, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.

Introduction: Point-of-care ultrasonography (POCUS) is increasingly utilized in emergency departments (EDs) throughout Thailand. Although emergency medicine (EM) residents are trained in POCUS, Thai medical students receive limited training. An introductory POCUS course was implemented for medical students to prepare them for internships. Read More

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Ten hours of simulator training in arthroscopy are insufficient to reach the target level based on the Diagnostic Arthroscopic Skill Score.

Knee Surg Sports Traumatol Arthrosc 2021 Jun 29. Epub 2021 Jun 29.

Zentrum für Orthopädie und Unfallchirurgie, Medizinische Hochschule Theodor Fontane, 14770, Brandenburg, Germany.

Purpose: Simulator arthroscopy training has gained popularity in recent years. However, it remains unclear what level of competency surgeons may achieve in what time frame using virtual training. It was hypothesized that 10 h of training would be sufficient to reach the target level defined by experts based on the Diagnostic Arthroscopic Skill Score (DASS). Read More

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Training Surgeons to Perform Arthroscopic All-Inside Meniscal Repair: A Randomized Controlled Trial Evaluating the Effectiveness of a Novel Cognitive Task Analysis Teaching Tool, Imperial College London/University College London Meniscus Repair Cognitive Task Analysis (IUMeRCTA).

Am J Sports Med 2021 07 24;49(9):2341-2350. Epub 2021 Jun 24.

Department of Surgery and Cancer, Imperial College London, London, UK.

Background: All-inside meniscal repair is an increasingly common technique for the surgical treatment of meniscal tears. There are currently no standardized techniques for training residents in this procedure. Cognitive task analysis (CTA) is a method of analyzing and standardizing key steps in a procedure that allows training to be conducted in a validated and reproducible manner. Read More

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Disaster Day: A Simulation-Based Disaster Medicine Curriculum for Novice Learners.

J Med Educ Curric Dev 2021 Jan-Dec;8:23821205211020751. Epub 2021 Jun 8.

Division of Simulation, Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.

Background: Mass casualty and multi-victim incidents have increased in recent years due to a number of factors including natural disasters and terrorism. The Association of American Medical Colleges (AAMC) recommends that medical students be trained in disaster preparedness and response. However, a majority of United States medical students are not provided such education. Read More

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SonoSim ultrasound simulator training for novice residents: A randomised study.

Eur J Anaesthesiol 2021 07;38(7):791-792

From the Service Anesthésie-Réanimation Chirurgicale, Hôtel Dieu, Centre Hospitalo-Universitaire de Nantes, France.

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Comprehensive metrics for evaluating surgical microscope use during tympanostomy tube placement.

Int J Comput Assist Radiol Surg 2021 Sep 4;16(9):1587-1594. Epub 2021 Jun 4.

Department of Otolaryngology-Head and Neck Surgery, Western University, London, ON, Canada.

Purpose: Learning to use a surgical microscope is a fundamental step in otolaryngology training; however, there is currently no objective method to teach or assess this skill. Tympanostomy tube placement is a common otologic procedure that requires skilled use of a surgical microscope. This study was designed to (1) implement metrics capable of evaluating microscope use and (2) establish construct validity. Read More

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September 2021

Construct Validity of a Virtual Reality Simulator for Surgical Training in Knee Arthroscopy.

Cureus 2021 May 25;13(5):e15237. Epub 2021 May 25.

Department of Orthopedic Surgery, Faculty of Medicine, University of Chile, Santiago, CHL.

Objective Surgical techniques are learned gradually throughout an orthopedic residency. Training on real patients carries drawbacks such as limited access and elevated risk. Alternatively, surgical simulation allows residents to practice in a safe environment with greater access to standardized surgical tasks. Read More

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Creating Low-Cost Phantoms for Needle Manipulation Training in Interventional Radiology Procedures.

Radiographics 2021 Jul-Aug;41(4):1230-1242. Epub 2021 May 28.

From the Department of Radiology, McGill University Health Centre, 1001 Decarie Blvd, Montreal, QC, Canada H4A 3J1.

Image-guided procedures play a critical role in the clinical practice of radiologists. Training radiology residents in these procedures, with early teaching of basic but fundamental skills, is therefore crucial to develop competence before they become autonomous and start their practice. It has been proposed in the literature that low-fidelity phantoms are appropriate to teach novice trainees. Read More

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Effectiveness of simulation-based training for manual small incision cataract surgery among novice surgeons: a randomized controlled trial.

Sci Rep 2021 May 26;11(1):10945. Epub 2021 May 26.

John A. Moran Eye Center, Salt Lake City, UT, USA.

This study was designed to determine the effect of a novel simulation-based training curriculum for scleral tunnel construction in manual small incision cataract surgery (MSICS) compared with traditional training. In this multicenter, investigator-masked, randomized clinical trial, resident surgeons within 3 months of matriculation with minimal or no prior experience with MSICS were assigned either to simulation-based training, the Experimental Group (EG), or to conventional training, the Control Group (CG). EG residents were trained to perform scleral tunnel construction using a simulation-based curriculum (HelpMeSee Eye Surgery Simulator), while residents in the CG followed institution-specific curriculum before progressing to live surgery. Read More

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New Technologies for Kidney Surgery Planning 3D, Impression, Augmented Reality 3D, Reconstruction: Current Realities and Expectations.

Curr Urol Rep 2021 May 25;22(7):35. Epub 2021 May 25.

Department of Urology, Campus Bio-Medico University, Rome, Italy.

Purpose Of Review: We aim to summarize the current state of art about 3D applications in urology focusing on kidney surgeries. In addition we aim to provide a snapshot about future perspective of intraoperative applications of augmented reality (AR).

Recent Findings: A variety of applications in different fields have been proposed. Read More

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A review of participant recruitment transparency for sound validation of hip surgery simulators: a novel umbrella approach.

J Med Eng Technol 2021 Aug 21;45(6):434-456. Epub 2021 May 21.

Orthopaedic Research Institute, Bournemouth University, UK.

Malposition of implants is associated with complications, higher wear and increased revision rates in total hip replacement (THR) along with surgeon inexperience. Training THR residents to reach expert proficiency is affected by the high cost and resource limitations of traditional training techniques. Research in extended reality (XR) technologies can overcome such barriers. Read More

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Otoskills training during covid-19 pandemic: a before-after study.

BMC Med Educ 2021 May 18;21(1):284. Epub 2021 May 18.

Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Service d'ORL, d'otoneurochirurgie et de chirurgie cervico-faciale, 165 Chemin du Grand Revoyet, F-69495, Pierre-Bénite cedex, France.

Background: The ongoing COVID-19 pandemic has disrupted the surgical training of residents. There is a real concern that trainees will not be able to meet their training requirements. Low-fidelity surgical simulation appears to be an alternative for surgical training. Read More

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Shoulder Arthroscopy Simulator Training Improves Surgical Procedure Performance: A Controlled Laboratory Study.

Orthop J Sports Med 2021 May 10;9(5):23259671211003873. Epub 2021 May 10.

Brooke Army Medical Center, San Antonio, Texas, USA.

Background: Previous simulation studies evaluated either dry lab (DL) or virtual reality (VR) simulation, correlating simulator training with the performance of arthroscopic tasks. However, these studies did not compare simulation training with specific surgical procedures.

Purpose/hypothesis: To determine the effectiveness of a shoulder arthroscopy simulator program in improving performance during arthroscopic anterior labral repair. Read More

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Animal and cadaver human eyes for residents' surgical training in ophthalmology.

Surv Ophthalmol 2021 May 13. Epub 2021 May 13.

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

In ophthalmology residency programs surgical training plays a vital role in creating confident and skillful surgeons. As almost all ophthalmic surgery needs microscope training, creating a well-taught environment for hand-eye coordination, ocular tissue handling, and anticipation of complications is essential. Wet lab training with animal or cadaver human eyes offers diverse possibilities. Read More

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Distance Learning and Spaced Review to Complement Dermoscopy Training for Primary Care.

Dermatol Pract Concept 2021 Mar 12;11(2):e2021030. Epub 2021 Apr 12.

Maine Medical Partners Family Medicine, Portland, USA.

Background: Dermoscopy aids in skin cancer identification. For family physicians who use dermoscopy, there is higher sensitivity for melanoma detection than naked-eye examination. There is a shortage of dermoscopy training for primary care providers. Read More

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Quantitative fluorescence angiography aids novice and experienced surgeons in performing intestinal resection in well-perfused tissue.

Surg Endosc 2021 May 3. Epub 2021 May 3.

Department of Surgical Gastroenterology, Copenhagen University Hospital Rigshospitalet, Blegdamsvej 9 DK-2100, Copenhagen Ø, Denmark.

Background: Anastomotic leakage (AL) after gastrointestinal resection is a devastating complication with huge consequences for the patient. As AL is associated with poor blood supply, tools for objective assessment of perfusion are in high demand. Indocyanine green angiography (ICG-FA) and quantitative analysis of ICG-FA (q-ICG) seem promising. Read More

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Biomechanical analysis of expert anesthesiologists and novice residents performing a simulated central venous access procedure.

PLoS One 2021 30;16(4):e0250941. Epub 2021 Apr 30.

Computer Science Department, School of Engineering, Pontificia Universidad Católica de Chile, Santiago, Chile.

Background: Central venous access (CVA) is a frequent procedure taught in medical residencies. However, since CVA is a high-risk procedure requiring a detailed teaching and learning process to ensure trainee proficiency, it is necessary to determine objective differences between the expert's and the novice's performance to guide novice practitioners during their training process. This study compares experts' and novices' biomechanical variables during a simulated CVA performance. Read More

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Exploring Eye-tracking Technology as an Assessment Tool for Point-of-care Ultrasound Training.

AEM Educ Train 2021 Apr 1;5(2):e10508. Epub 2020 Sep 1.

Emergency Department Sunnybrook Health Sciences Centre Toronto Ontario Canada.

Objectives: Eye-tracking technology has emerged as a potentially useful learner assessment tool in several medical specialties. In the fields of general surgery and anesthesiology, it has been shown to reliably differentiate between different levels of expertise in procedural skills. In the field of radiology, it has been shown to be a valid assessment tool for diagnostic test interpretation. Read More

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Common Problematic Scholarly Activity Project Planning Expectations of Project Novices.

Spartan Med Res J 2021 Apr 13;6(1):21274. Epub 2021 Apr 13.

Michigan State University.

Introduction: Scholarly Activity (SA) projects, whether using methods more traditionally associated with research and or "quality improvement" projects, have been shown to confer value to resident physicians and other project novices in multiple ways. The inclusion of community and university-based residents and faculty in spearheading SA projects has led to improved understanding of medical literature and enhanced clinical practices, arguably producing more "well-rounded" physicians.

Purpose Of Paper: The primary purpose of this paper is to provide a summary of problematic expectations frequently assumed by project novices when developing and conducting SA projects. Read More

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Comparison of conventional C-MAC video laryngoscope guided intubation by anesthesia trainees with and without Frova endotracheal introducer: A randomized clinical trial.

J Anaesthesiol Clin Pharmacol 2020 Oct-Dec;36(4):483-488. Epub 2021 Jan 18.

Department of Anesthesia and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.

Background And Aims: Successful intubation with video laryngoscopes necessitates good hand-eye coordination and the use of intubation adjuncts like bougie and stylet. We proposed this study to find whether using Frova introducer with C-MAC video laryngoscope will reduce the intubation time in trainee anesthesiologists.

Material And Methods: We enrolled 140 adults without any difficult airway predictors. Read More

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January 2021