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2013, Number S1

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Rev Mex Cir Endoscop 2013; 14 (S1)

Pedagogical revolution in surgery, Part III. Methodology for teaching psychomotor skills: Simulators

Quirarte CC, Muñoz HJD

Language: Spanish
References: 64
Page: 37-51
PDF size: 225.60 Kb.


ABSTRACT

This part III out of IV is dedicated to the new instruments in surgical skills training: the simulators. We discuss about the three roles of simulation in surgery: 1) as a training device, 2) as a measuring instrument of skills (objective assessment) and 3) as a research tool. The difference between simulators and simulations and their field of application. The primary purpose of surgery simulation: the acquisition and improvement of psychomotor technical skills transferable to real surgery in the actual patient. Analysis of the difficulties posed by the technological interface in laparoscopic surgery in relation to traditional surgery and the importance of such a difference in training, using simulators. Types and fidelity of simulators for surgical training; mechanical models, virtual reality models and biological models, with some examples. Methods: We conducted an online search through Medline, Pubmed NCBI, Google Scholar, Medigraphic and Wikipedia, using the key words: «surgical education», «surgical teaching», «simulators in surgery», «surgical competencies», «research methodology», «theories of learning», «psychomotor skills learning» and by consultation of some original books on the subject.


REFERENCES

  1. Aggarwal R, Darzi A. Technical-Skills Training in the 21st Century. N Eng J Med 2006; 355: 2695-2696.

  2. Reznick RK, MacRae H. Teaching Surgical Skills-Changes in the Wind. N Eng J Med 2006; 355: 2664-2669.

  3. Aggarwal R, Mytton OT, Derbrew M, Hananel D, Heydenburg M, Issenberg B et al. Training and simulation for patient safety. Qual Saf Health Care 2010; 19: 34-43.

  4. Brailovsky CA. Educación médica, evaluación de las competencias. Aportes para un cambio curricular. Buenos Aires; OPS/OMS eds: 2001.

  5. Roberts KE, Bell RL, Duffy AJ. Evolution of surgical skills training. WJ Gastroenterol 2006; 12: 3219-3224.

  6. Satava RM. Historical review of surgical simulation. A personal perspective. World J Surg 2008; 32: 141-148.

  7. Satava RM, Hunter AM. The surgical ensemble: choreography as a simulation and training tool. Surg. Endosc 2011; 25: 3080-3086.

  8. Sutton E, Park A. Simulation´s Role in Surgical Training. Park A. Minimally invasive surgery training: theories, methods, outcomes [Internet]. Washington: Department of Health & Human Services (US),. MIS online text. 2012, 7, págs. 1-11. http://mastri.umm.edu/NIH-Book/simulation_role.html.

  9. Stahel PF. Learning from aviation safety: a call for formal «readbacks» in Surgery. Patient Safety in Surgery 2008; 2: 21.

  10. Stefandis D. Optimal acquisition and assessment of proficiency on simulators in surgery. Surg Clin N Amer 2010; 90: 475-489.

  11. Issenberg SB et al. Simulation technology for health care professional skills training and assessment. JAMA 2012; 282: 861-866.

  12. Gallager AG, O’Sullivan GC. Fundamentals of surgical simulation. Principles and practice. New York; Springer London Dortecht Heildelberg, 2012.

  13. Gallagher AG, Ritter EM, Champion H, Higgings G, Fried MP, Moses G et al. Virtual reality simulation for the operating room. Proficiency-based training as a paradigm shift in surgical skills training. Ann Surg 2005; 241: 364-372.

  14. Sudgen C, Aggarwal R. Assessment and feedback in the skills laboratory and operating room. Surg Clin N. Amer 2010; 90: 519-533.

  15. Seymour NE, Anthony G, Gallagher AG, Roman SA, O’Brien MK, Bansal VK et al. Virtual Reality Training Improves Operating Room Performance. Ann Surg 2002; 236: 458-464.

  16. Fried GM. Transfer of training from the skill laboratory to the operating room. [Klein RV, editors. Park A. Minimally Invasive Training: Methods and Outcomes.] MIS online. 2012; 8:1-6.

  17. Torkington J, Smith SGT, Rees BI, Darzi A. Skill transfer from virtual reality to a real laparoscopic task. Surg Endosc 2001; 15: 1076-1079.

  18. Gallagher AG, O’Sullivan GC. Human factors in acquiring medical skills; learning and skill acquisition in surgery. New York: Improving medical outcome-Springer-Verlag London Limited, 2012.

  19. Hamdorf JM, Hall JC. Acquiring surgical skills. BJS 2000; 87: 28-37.

  20. Fried GM, Feldman LS. Objective Assessment of technical performance. World J Surg 2008; 32:156-160.

  21. Fried GM, Feldman LS, Vassiliou MC, Fraser SA, Stanbride D, Ghitulescu G. Proving the value of simulation in laparoscopic surgery. Ann Surg 2004; 240: 518-528.

  22. Dubrowski A, MacRae H. Measurement of competence. V, editors. Minimally invasive surgery training: theories, method [Internet]. Washington: Department of Health & Human Services (US), Park A. Minimally Invasive Surgery Training: Methods and Outcomes. MIS online text. 2012; 2, págs. 1-18.

  23. Gallagher AG, Satava RM. Virtual reality as a metric for the assessment of laparoscopic psycomotor skills. Surg Endosc 2002; 16: 1746-1752.

  24. Strup S, Garret Myers JE. Minimally Invasive Urology Training. [aut. libro] Klein RV, editors Park A. Minimally invasive surgery training: theories, methods, outcomes [Internet]. Washington: Department of Health & Human Services (US),. MIS online. 2012; 11, págs. 1-6.

  25. Emken JL, McDougall EM, Clayman RV. Training and assessment of laparoscopic skills. JSLS 2004; 8: 195-199.

  26. Buchs NC et al. Three-dimensional laparoscopy: a step toward advanced surgical navigation. Surg Endosc, 2012: Published online 18 jul. 2012

  27. Kunert W, Storz P, Kirscniak A. For 3D laparoscopy: a step toward advanced surgical navigation: how to get maximum benefit from 3D vision. Surg Endosc, 2012.

  28. Shah J, Buckley D, Frisby J, Darzi, A. Depth cue reliance in surgeons and medical students. Surg Endosc 2003; 17: 1472-1474.

  29. Arora S, Aggarwal R, Sedvalis N, Moran A, Sirimanna P, Kneebone R el al. Development and validation of mental practice as a training strategy for laparoscopic surgery. Surg Endosc 2010; 24: 179-187.

  30. Breedveld, P. Observation, Manipulation and Eye Hand Coordination Problems in Minimally Invasive Surgery. Engeneering & Marine Technology. Delfi, Netherlands 1998: 219-231.

  31. Mueller MD, Camartin C, Dreher W, Hanggi W. Three-dimensional laparoscopy. Gadget or progress? A randomized trial on the efficacy of three dimensional laparoscopy. Surg Endosc 1999; 13: 469-472.

  32. Taffinder N, Smith SG, Huber J, Russel RCG, Darzi A. The effects of a second-generation 3D endoscope on the laparoscopic precision of novices and experienced surgeons. Surgic Endosc 1999; 13: 1087-1092.

  33. Wagner OJ, Hagen M, Kurmann A, Horgan S, Candinas D, Vorburger SA. Three-dimensional vision enhances task performance independently of the surgical method. Surg Endosc 2012; 26: 2961-2968.

  34. Kong SH, Oh BM, Yoon H, Ahn HS, Lee HJ, Chung SG et al. Comparison of two- and three-dimensional camera systems in laparoscopic performance: a novel 3D system with one camera. Surg Endosc 2010; 24: 1132-1143.

  35. Storz P, Buess GF, W, Kunert, Kirschniak, A. 3D HD versus 2D HD: surgical task efficiency in standardized phantom tasks. Surg Endosc 2012; 26: 1454-1460.

  36. van der Meijden, OAJ. The value of haptic feedback in conventional and robot-assisted minimal invasive surgery and virtual reality training: a current review. Surg Endosc 2009; 23: 1180-1190.

  37. Li LJ, Zheng XM, Jiang DZ, Zhang W, Shen HL, Shan C et al. Progress in laparoscopic anatomy research: a review of the chinese literature. World J Surg 2010; 16: 2341-2347.

  38. Way LW, Stewart L, Grantert W, Liu K, Lee CR, Whang K et al. Causes and prevention of laparoscopic bile injuries: analysis of 252 cases from a human factors and cognitive psychology perspective. Ann Surg 2003; 237; 460-469.

  39. Singh, K, Ohri, A. Anatomic landmarks: their usefulness in safe laparoscopic cholecistectomy. Surg Endosc 2006; 20: 1754-1758.

  40. Roth JS, Dexter D. Training in laparoscopic colon surgery. Minimally invasive surgery training, methods and outcomes. Washington: department of health & human services 2012; 9: 1-7.

  41. Dávila F, Tsin DA. Cirugía por orificios naturales (NOTES y manos) ¿La tercera revolución quirúrgica? Rev Mex Cir Endosc 2006; 7: 6-13.

  42. Anderson JA et al. The first national examination of outcomes and trends in robotic surgery in the United States. J Am Coll Surg 2012; 215: 107-116.

  43. Arain NA, Dulan G, Hogg DC, Rege RV, Powers CE, Tesfay ST et al. Comprehensive proficiency-based inanimate training for robotic surgery: relability, feasibility and educational benefit. Surg Endosc; 27: 2740-2745.

  44. Ballantyne GH. Robotic surgery, telerobotic surgery, telepresence and telementoring. Surg Endosc 2002; 16: 1389-1402.

  45. Satava RM. Surgical education and surgical simulation. Worl J Surg 2001; 25: 1484-1489.

  46. Gallagher AG, O’Sullivan GC. Fundamentals of surgical simulation. Improving medical outcome-zero tolerance. New York: Springer London Dordrecht Heidelberg; 2012.

  47. Choy I, Okrainec A. Simulation in surgery: perfecting tha practice. Surg Clin N Am 2010; 90: 457-473.

  48. Marescaux J, Mutter D, Leroy J, Smith M, Vix M, Simone M et al. Transcontinental robot-assisted remote telesurgery: feasibility and potential applications. Ann Surg 2002; 235: 487-492.

  49. Al-Kadi AS, Donnon T, Paolucci EO, Mitchel P, Debru WE, Church N. The effect of simulation in improving students performance in laparoscopic surgery: a meta-analysis. Surg Endosc 2012; 3215-3224.

  50. Chung JY, Sackier JM. A method of objectively evaluating improvements in laparoscopic skills. Surg Endosc 1998;12: 1111-1116.

  51. Roser JC, Davis BR, Qureshi HN. Intracorporeal suturing: the top gun experience. Mastery of Surgery. Philadelphia (PA): Lippincott Williams & Wilkins, 2007, Vol. 2, pág. 2592. Citado por: Choy, I, Okrainec, A. Simulation in Surgery: Perfecting the Practice. Surg Clin N. Amer. Vol 20, No. 3.

  52. Rosser JC, Young SM. The top gun laparoscopic skill and suturing program. laparoscopy today. 2004. Disponible en: http://www.laparoscopytoday.com/2004/01/the_top_gun_lap.html

  53. Satava RM. Virtual reality surgical simulator. The first steps. Surg Endosc 1993; 7: 203-205.

  54. Bashankaev B, Baido S, Wexner SD. Review of the available methods of simulation training to facilitate surgical education. Surg Endosc 2011; 25: 28-35.

  55. Jordan JA, Gallagher AG, McGuigan J, McClure N. Virtual reality training leads to faster adaptation to the novel psychomotor restrictions encountered by laparoscopic surgeons. Surg Endosc 2001; 15: 1080-1084.

  56. Hyltander A, Liljegren E, Rhodin PH, Lönroth H. The transfer of basic skills learned in laparoscopic simulator to the operating room. Surg Endosc 2002; 16: 1324-1328.

  57. Van Dongen KW, Tournoij E, van der Zee DC, Schijven MP, Broeders JA. Construct validity of the LapSim: can the LapSim virtual reality simulator distinguish between novices and experts? Surg Endosc 2007; 21: 1413-1417.

  58. Verdaasdonk EGG, Stassen LPS, Schijven MP, Dankelman J. Construct validity and assessment of the learning curve for the SIMENDO endoscopic simulator. Surg Endosc 2007; 21: 1406-1412.

  59. Gaba DM, DeAnda A. A comprehensive anesthesia simulation environment: re-creating the operating room for research and training. Anesthesiology 1988: 69: 387-394.

  60. Cates CU, Patel AD, Nicholson WJ. Use of a virtual reality simulation for mission rehearsal for carotid stenting. JAMA 2007; 267: 265. citado por Gallagher & O’Sulliva, GC. Fundamentals of Surgical Simulation. Principles and Practice Chapter 2.

  61. Wolfe BM, Szabo Z, Moran M, Chan P, Hunter J. Training for minimally invasive surgery. Surg Endosc 1993; 7: 93-95. Presented at the Third World Congress of Endoscopic Surgery, June 20, 1992, Bordeaux, France.

  62. Torkington J, Smith SGT, Darzi A. The role of simulation in surgical training. Ann R Coll Surg Engl 2000; 82: 88-94.

  63. Gaba D. Improving anesthesiologist´s performance by simulating reality. Anesthesiology 1992; 76: 491-494.

  64. Wolfe BM et al. Training for minimally invasive surgery. Surg Endosc 1993; 7: 93-95. Presented at the Third World Congress of Endoscopic Surgery, June 20, 1992, Bordeaux, France.




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