Questions related to Surgical Training
Minimally invasive surgery technique has taken the central role in modern surgery specially in abdominal surgery. So, every surgeons need to get trained into the field of minimally invasive surgery.
Training by using simulation technology (with virtual reality) allows the surgeon to learn or improve their laparoscopic surgical skills in a safe and stress free environment.
Various simulation training sets ( you know, they are different from conventional "endotrainer", as they contains computerized system which visually mimic and imitate operative response of an organ/part like whole Gall bladder+CBD+ structures of calot's triangle+ liver bed.... everything as seen during lap cholecystectomy ) are available in the market for hands on training in laparoscopic and robotic surgery.Quality of some of the machines, specially one with 3D technology, is really good.They give near real views with operative response of that particular abdominal parts and even a very realistic view of the operation theater as well.
But the simulation sets are not widely available in all the institutes.
I invite all learned surgeons to share their views on simulation techniques as a methods of laparoscopic surgical training and inputs about the cost and names of the companies that supply them.
According to Dawson and colleagues (2007), some surgical faculty identified some shortcoming of knowledge and skills. Example of these include the choice of catheter, balloon , and stent size. Adequate placing of the sheath was also identified as an issue in training residents.
What do vascular surgical residents struggle most with in their surgical education and training? Do vascular surgical residents and attendings believe that their medical education should be changed from the current standards?
Dawson and colleagues (2007)
In the past 15 years or so, there has been exponential growth of technology in surgery. This new era requires a specialized workforce. The 20th century was truly the age of surgeons; however, the 21st century will be the age of multidisciplinary patient care. One good example is the treatment of cancer patients
Are General Surgery trained personnel perform better in other specialties too?
How are their performance on other surgical specialties?
Any evidence to suggest their skill transferability to other disciplines?
At least one semester has passed since the Covid-9 pandemia appeared worldwide. Many residency programs have stopped or reduced significantly their clinical and surgical training activities due to the known risks of exposure and contagion with SARS-CoV-2 virus. What has happened and what is going to happen to specialties medical education?
Various models like Apprenticeship model, BID model, Koen's Model, One Minute Preceptor (OMP), 4C/ID model etc have been previously utilized for surgical resident's training. Dynamics of student learning and resident learning, however, in operating room are significantly different. Which models of learning are appropriate for medical student's learning in Operating Room and why?
We are trying to establish the role of structured learning process of a medical graduate in Operating Room (OR) setting and trying to analyze the potential role of various models being currently used for surgical resident training in OR-based learning of a medical student.
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In today's era of sub specialisation in all surgical Fields specially orthopaedics, hands on surgical training in specialty of choice is a must. Considering the steep learning curve for most technically demanding surgeries, are cadaveric courses helpful for the young trainee ?
Some argue that it's the way forward to hone one's surgical skills while others are of the opinion that it's more of a commercialised driven industry activity.
Do such courses equip a young surgeon enough to operate independently on a real patient ?
In particular, medical, surgical or ultrasonographic skills with the use of simulation metrics outputs. Example of a laparoscopic basic skills simulator with embedded metrics (SurgTrac) in this link.
studies have shown that training novice intubators how to perform glidoscope for intubation have higher success rate at performing regular DL intubation than the ones who learn DL only
During learning curve of laparoscopic skills such as anastomosis and intracorporal suturing surgeon can use laparoscopic training box. Do you belevie it is useful ?
There is a need for fresh frozen unembalmed cadavers for surgical training, how many times can this cadavers be reused? Can a cadaver can be frozen and defrosted several times (how many times) so that it can be reused several times for different surgical procedures? Please urgently advise.
Gaining experience and involvement in research is paramount to appreciate not only the evidence-based medicine but also to understand various important aspects of disease processes and their treatment. Surgical trainees very often ask about the most appropriate time when they should get involved in research during their training period, which, I believe, is dependent on the organisation of individual surgical training programme. I would very much appreciate your views based on your individual current practice.
The motion capture data is needed to train classification models which could basically help surgical trainees to improve their body posture and manual techniques applying motion capture technology. The data would be recorded during exercises on surgery training system like CAST (see attached link) or similar systems. After classifiers have been trained using different algorithms and different sets of extracted features, their performance and reliability will be evaluated in order to find the best combination of classification algorithm and feature extraction. The final goal is a reliable classifier which tells trainees what exactly they have to improve in their movements and maybe even how to. Of course that's easier said than done though - and there are many intermediate steps to accomplish prior to that.
A confident grasp over Surgical Anatomy is essential for a trainee surgeon to be proficient in Operative Surgery. However, many 'Structured' training programs do not have a specific system for assessment or evaluation of knowledge of Surgical Anatomy. Mostly it is assumed that the residents will pick this up as they pass through their training.
Should Surgical Anatomy be a separately assessed component of training?