Bryce T Gillespie

University Center Rochester, Rochester, Minnesota, United States

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Publications (3)7.55 Total impact

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    ABSTRACT: Foot and ankle surgery is one of the orthopaedic subspecialties to which residents not uncommonly receive limited exposure. Therefore, it is important to identify what both faculty and residents regard as fundamental to a foot and ankle rotation. The purposes of this study were to identify the essential components of a foot and ankle rotation and to correlate these with the American Orthopaedic Foot and Society (AOFAS) core curriculum, and to discuss how to integrate resident input and AOFAS guidelines into a valued foot and ankle rotation. Over a 5-year period, each orthopaedic resident beginning a 10-week postgraduate year (PGY) 3 foot and ankle rotation was asked to choose topics to be covered during weekly 45-minute discussion conferences. Each resident also identified personal goals for the rotation. Data were collected in this prospective nature, and the responses of the 24 PGY 3 residents from our program who completed the rotation between February, 2000, and April, 2005, were analyzed. The discussion conference topics were compared to the AOFAS guidelines, and the top 10 personal goals were determined. Prerotation and postrotation Orthopaedic Inservice Training Examination (OITE) foot and ankle scores for the residents also were analyzed. Among the nine AOFAS core curriculum categories, residents most frequently chose chronic soft-tissue foot and ankle problems, followed in frequency by foot and ankle arthritis, foot and ankle trauma, and diabetic foot. Individually, posterior tibial tendon insufficiency, hallux valgus, diabetic foot, and calcaneal fracture were the most frequently chosen discussion conference topics. In regards to personal goals for the rotation, residents most commonly wanted to improve their physical examination skills (88%) and increase their orthotic knowledge (71%). The OITE scores improved by a mean of 12% after the rotation. This study provides new and detailed information about resident expectations for a valued foot and ankle rotation. These results should be integrated with existing AOFAS guidelines to further refine the essential components of a core foot and ankle curriculum.
    No preview · Article · Oct 2006 · Foot & Ankle International
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    ABSTRACT: The Vascular Intervention System Training simulator (Mentice AB, Gothenburg, Sweden) consists of a haptics interface unit coupled to a desktop computer running the Procedicus (Mentice AB) simulation software. Real endovascular instruments can be introduced into the haptic interface unit and, by using simulated fluoroscopy, displayed within the vascular anatomy on a computer monitor (Fig 1). On-screen instrument characteristics, such as size, shape, deployment, and retrieval, are simulated. Fluoroscopy is activated by foot pedal controls, and a syringe is used for simulated contrast injection. An additional touch-screen monitor allows for selecting desired instruments and using the simulator’s cine-loop and road-mapping capabilities. Joystick controls allow for table and fluoroscopic C-arm positioning.
    Full-text · Article · Feb 2006 · Journal of Vascular Surgery
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    ABSTRACT: The Vascular Intervention System Training simulator (VIST; Mentice AB) is a device consisting of a personal computer–based software interface (Procedicus; Mentice AB) coupled to a mechanical device (haptics unit) that allows the user to insert and manipulate catheters, wires, stents, balloons, and an embolic protection device (Fig 1, A). The device has the notable ability to provide tactile feedback (eg, resistance when a stiff guide wire is passed around a curve or through a lesion) along with the simulated visual images. Femoral access is simulated, real instruments (wires, catheters, embolic protection device [AngioGuard; Cordis Corp) are used, and separate controllers for simulated stent deployment, balloon inflation, and contrast material injection are provided. Fluoroscopic imaging is simulated and activated with a foot pedal; calculated flow dynamics enable simulation of contrast angiography. User interface functions include table movement, fluoroscopic C-arm positioning, catheter and wire selection, cine-loop recording, roadmapping, and a measuring tool. The anatomic model is a 3-dimensional graphic reconstruction created by loading actual patient data (computed tomography [CT] scans) into the computer, enabling patient-specific simulation to be performed. The software uses this reconstruction to define the physical boundaries of the vascular tree. Specific lesions such as stenoses may be added to the model afterward. Thus 1 reconstruction of the aortic arch and major branch vessels can be used to create several different lesions in various locations. A CT scan may be sent to the company (Mentice AB) in digital format (CD-ROM) for uploading onto the simulator. This process may ultimately use a high-speed internet connection to transfer CT scans to the company. The turnaround time for uploading a new CT scan can be as little as 48 hours.
    Full-text · Article · Jan 2005 · Journal of Vascular Surgery

Publication Stats

126 Citations
7.55 Total Impact Points

Institutions

  • 2006
    • University Center Rochester
      • Division of Vascular Surgery
      Rochester, Minnesota, United States
  • 2005
    • University of Rochester
      Rochester, New York, United States