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Procedure: Laparoscopy

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Pd19-02 using the wisdom of crowds: validation through the basic laparoscopic urologic surgery (blus) curriculum
Crowd-sourcing is the practice of obtaining services from a large group of people; typically from an online community such as the Amazon.com Mechanical Turk Project. We hypothesized that large numbers of presumably non-medical crowd workers could assess videos of the technical skill of urology residents and faculty doing basic laparoscopic simulation drills comparably to scores derived from expert surgeon assessors during the AUA BLUS curriculum validation project.
Source: The Journal of Urology - April 1, 2015 Category: Urology & Nephrology Authors: Thomas Lendvay, Timothy Kowalewski, Robert Sweet, Ashleigh Menhadji, Timothy Averch, Geoffrey Box, Timothy Brand, Michael Fearrandino, Jihad Kaouk, Bodo Knudsen, Jamie Landman, Benjamin Lee, Bradley Schwartz, Bryan Comstock, Elspeth McDougall Tags: Technology & Instruments: Surgical Education Skills Assessment III Source Type: research

Simulation Improves Nontechnical Skills Performance of Residents During the Perioperative and Intraoperative Phases of Surgery
Failures in nontechnical skills (NTS) rather than technical expertise are frequently at the root of medical errors in the operating room (OR). NTS are the cognitive (decision making and situation awareness) and interpersonal (communication and teamwork) skills that are recognized but are not formally addressed in surgical training.The purpose of the study was to examine the effect of simulation-based training (SBT) on NTS performance of surgical residents during simulated laparoscopic cholecystectomy (LC).
Source: Journal of Surgical Education - April 21, 2015 Category: Surgery Authors: Ngan Nguyen, John O. Elliott, William D. Watson, Edward Dominguez Tags: Original Reports Source Type: research

The Fundamentals of Laparoscopic Surgery and LapVR evaluation metrics may not correlate with operative performance in a novice cohort.
CONCLUSIONS: Neither the low-fidelity box trainer or the high-fidelity virtual simulator demonstrated significant correlation with GOALS operative scores. These findings offer caution against the use of these modalities for brief assessments of novice surgical trainees, especially for predictive or selection purposes. PMID: 26641071 [PubMed - in process]
Source: Medical Education Online - December 10, 2015 Category: Universities & Medical Training Tags: Med Educ Online Source Type: research

Comparison of the effect of rocuronium dosing based on corrected or lean body weight on rapid sequence induction and neuromuscular blockade duration in obese female patients.
CONCLUSION: In obese patients, dosing of 1.2 mg/kg rocuronium based on LBW provides excellent or good tracheal intubating conditions within 60 seconds after administration and does not lead to prolonged duration of action. PMID: 26739976 [PubMed - in process]
Source: Saudi Medical Journal - January 13, 2016 Category: Middle East Health Tags: Saudi Med J Source Type: research

Gynaecological Endoscopic Surgical Education and Assessment. A diploma programme in gynaecological endoscopic surgery
Publication date: April 2016 Source:European Journal of Obstetrics & Gynecology and Reproductive Biology, Volume 199 Author(s): Rudi Campo, Arnaud Wattiez, Vasilis Tanos, Attilio Di Spiezio Sardo, Grigoris Grimbizis, Diethelm Wallwiener, Sara Brucker, Marco Puga, Roger Molinas, Peter O’Donovan, Jan Deprest, Yves Van Belle, Ann Lissens, Anja Herrmann, Mahmood Tahir, Chiara Benedetto, Igno Siebert, Benoit Rabischong, Rudy Leon De Wilde In recent years, training and education in endoscopic surgery has been critically reviewed. Clinicians, both surgeons as gynaecologist who perform endoscopic sur...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - March 8, 2016 Category: OBGYN Source Type: research

Gynaecological endoscopic surgical education and assessment. A diploma programme in gynaecological endoscopic surgery
Abstract In recent years, training and education in endoscopic surgery has been critically reviewed. Clinicians, both surgeons as gynaecologist who perform endoscopic surgery without proper training of the specific psychomotor skills, are at higher risk to increased patient morbidity and mortality. Although the apprentice-tutor model has long been a successful approach for training of surgeons, recently, clinicians have recognised that endoscopic surgery requires an important training phase outside the operating theatre. The Gynaecological Endoscopic Surgical Education and Assessment programme (GESEA) recognises t...
Source: Gynecological Surgery - June 20, 2016 Category: OBGYN Source Type: research

Laparoscopic Colorectal Training Gap in Colorectal and Surgical Residents.
CONCLUSION: There is a gap between general surgery and colon and rectal surgery residency training for laparoscopic colorectal surgery. General surgery residents are not meeting the volume of cases necessary for proficiency in colorectal surgery. This deficit represents a structural difference in training. PMID: 27493468 [PubMed - in process]
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - August 8, 2016 Category: Surgery Tags: JSLS Source Type: research

Is the fourth port routinely required for laparoscopic cholecystectomy? Our three-port laparoscopic cholecystectomy experience
ConclusionWe concluded that in experienced hand, LC with three ports is safe and feasible technique if it is not endanger the course of the surgery.
Source: Irish Journal of Medical Science - August 30, 2016 Category: Journals (General) Source Type: research

Milestone assessment of minimally invasive surgery in Pediatric Urology fellowship programs
Minimally invasive surgery has become an important aspect of Pediatric Urology fellowship training. In 2014, the Accreditation Council for Graduate Medical Education published the Pediatric Urology Milestone Project as a metric of fellow proficiency in multiple facets of training, including laparoscopic/robotic procedures.
Source: Journal of Pediatric Urology - September 14, 2016 Category: Urology & Nephrology Authors: P.H. Smith, M. Carpenter, K.W. Herbst, C. Kim Source Type: research

Basic Laparoscopic Skills Assessment Study – Validation and Standard Setting among Canadian Urology Trainees
As urology training programs move to a competency-based medical education model, iterative assessments with objective standards will be required. To develop a valid set of technical skills standards, we initiated a national skills assessment study focusing initially on laparoscopic skills.
Source: The Journal of Urology - December 12, 2016 Category: Urology & Nephrology Authors: Jason Y. Lee, Sero Andonian, Kenneth T. Pace, Ethan Grober Source Type: research

Laparoscopic assistance by operating room nurses: Results of a virtual-reality study
Laparoscopic assistance is often entrusted to a less experienced resident, medical student, or operating room nurse. Data regarding laparoscopic training for operating room nurses are not available.
Source: Nurse Education Today - January 19, 2017 Category: Nursing Authors: M. Paschold, T. Huber, S. Maedge, S.R. Zeissig, H. Lang, W. Kneist Source Type: research

The Fundamentals of Laparoscopic Surgery and LapVR evaluation metrics may not correlate with operative performance in a novice cohort.
Conclusions Neither the low-fidelity box trainer or the high-fidelity virtual simulator demonstrated significant correlation with GOALS operative scores. These findings offer caution against the use of these modalities for brief assessments of novice surgical trainees, especially for predictive or selection purposes. PMID: 28229687 [PubMed]
Source: Medical Education Online - February 27, 2017 Category: Universities & Medical Training Tags: Med Educ Online Source Type: research

Basic Laparoscopic Skills Assessment Study: Validation and Standard Setting among Canadian Urology Trainees
As urology training programs move to a competency based medical education model, iterative assessments with objective standards will be required. To develop a valid set of technical skills standards we initiated a national skills assessment study focusing initially on laparoscopic skills.
Source: The Journal of Urology - December 12, 2016 Category: Urology & Nephrology Authors: Jason Y. Lee, Sero Andonian, Kenneth T. Pace, Ethan Grober Tags: Adult Urology Source Type: research

Take-Home Training in Laparoscopy.
Authors: Thinggaard E Abstract When laparoscopy was first introduced, skills were primarily taught using the apprenticeship model. A limitation of this method when compared to open surgery, was that it requires more time to practise and more frequent learning opportunities in clinical practice. The unique set of skills required in laparoscopy highlighted the need for new training methods that reduce the need for supervision and do not put the patient at risk. Simulation training was developed to meet this need. The overall purpose of this thesis was to explore simulation-based laparoscopic training at home. The the...
Source: Danish Medical Journal - April 9, 2017 Category: Journals (General) Tags: Dan Med J Source Type: research

‘The other right’: control strategies and the role of language use in laparoscopic training
DiscussionAs in open surgery, laparoscopic surgical educators attempt to exert control over surgical procedures when the instruments are in the hands of a trainee. One dominant strategy is the use of deictic language, which may be ambiguous. In addition to the physical manoeuvres and bidirectional communication used to disambiguate, instructors must attend to potential uncertainties and explicitly clarify frames of reference in order to enhance educational experiences and maximise patient safety.
Source: Medical Education - October 10, 2017 Category: Universities & Medical Training Authors: Heather Emmerton ‐Coughlin, Christopher Schlachta, Lorelei Lingard Tags: Context Matters Source Type: research