COMPUTER-BASED SIMULATOR TRAINING IN THE HOSPITAL - A Structured Program for Surgical Residents

Minna Silvennoinen, Teuvo Antikainen, Jukka-Pekka Mecklin

2009

Abstract

Rapid developments in techniques and new skills requirements have increased the need for surgical training outside the operating room (OR). Simulator training is often seen as a vital part of the surgical resident’s education. This paper presents a simulator training program aimed at providing surgical skills training for residents in a hospital. The theoretical background on the subject is considered and initial findings discussed. The results highlight the need to organize the training systematically. Simulator training prior to entering the OR should be mandatory for all residents, even though the study showed the motivation for voluntary participation to be high. The role of the specialist surgeon emerged as an essential element in the simulator training, both as an evaluator and as an instructor.

References

  1. Ahlberg, G., Heikkinen, T., Iselius, L., 2006. Does training in a virtual reality simulator improve surgical performance? Surg. Endosc.16;126-129.
  2. Ahlberg, G., Kruuna, O., Leijonmarck, C., Ovaska, J., Rosseland, A., Sandbu, R., Strömberg, C., Arvidsson, D. 2005. Is the learning curve for laparoscopic fundoplication determined by the teacher or the pupil? The Am.J Surg. 189; 184-189.
  3. Berguer, R., Forkey, D. L., Smith, W. D. 2000. The effect of laparoscopic instrument working angle on surgeons' upper extremity workload. Surg. Endosc. 15; 1027- 1029.
  4. Brydges, R., Carnahan, H., Dubrowski, A. 2005. Surface exploration using laparoscopic surgical instruments: The perception of surface roughness. Ergonomics, 48; 874-894.
  5. Cosman, P.H., Cregan, P.C., Martin, C.J., Cartmill, J.A. 2002. Virtual reality simulators: Current status in acquisition and assessment of surgical skills. ANZ Journal of Surgery. 72;30-34.
  6. Conrad, J., Shah, A.H., Divino, C.M., Schluender, S., Gurland, B., Shlasko, E., Szold, A. 2006. The role of mental rotation and memory scanning on the performance of laparoscopic skills. Surg. Endosc. 20;504-510.
  7. Feldman, L. 2004. Using simulators to assess laparoscopic competence: ready for widespread use? Surgery. 135;28 - 42.
  8. Gallagher, A.G., Satava, R.M. 2002.Virtual reality as a metric for the assessment of laparoscopic psychomotor skills. Surg. Endosc. 16;1746-1752.
  9. Jordan, J.A., Gallagher, A.G., McGuigan, J., McClure, N. 2000. Virtual reality training leads to faster adaptation to the novel psychomotor restrictions encountered by laparoscopic surgeons. Surg. Endosc. 15;1080-1084.
  10. Kneebone, R. 2003. Simulation in surgical training: educational issues and practical implications. Med. Educ. 37:267-277.
  11. Madan, A. K., Frantzides, C. T., Park, W. C., Tebbit, C. L., Kumari, N. V. A., O Leary, P. J. 2005. Predicting baseline laparoscopic surgery skills. Surg. Endosc.19;101-104.
  12. Poulin, E.C., Gagne, J.P., Boushey, R.P. 2006. Advanced laparoscopic skills acquisition: The case of laparoscopic colorectal surgery. Surg Clin N Am. 86;987-1004.
  13. Reznick, K. & MacRae, H. 2006. Teaching surgical skills -Changes in the Wind. NEJM. 355;2664-2669.
  14. Soper, N, J., Brunt, L. M., Kerbl, K. 1994. Laparoscopic General Surgery. NEJM. 6;409-419.
  15. Schjiven, M.P., Jakimowicz, J.J., Broeders, I.A., Tseng, L.N. 2005. The Eindhoven laparoscopic cholecystectomy training course-improving operating room performance using virtual reality training. Surg. Endosc.19;1220-1226.
  16. Ström, P., Kjellin, A., Hedman, L., Johnson, E., Wredmark, T., Felländer-Tsai, L. 2002. Validation and learning in the Procedius KSA virtual reality surgical simulator: Implementing a new safety culture in medical school. Surg. Endosc.17;227-231.
  17. Villegas, L., Schneider, B.E., Callery, M.P., Jones, D.B. 2003. Laparoscopic skills training. Surg. Endosc. 17; 1879-1888.
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Paper Citation


in Harvard Style

Silvennoinen M., Antikainen T. and Mecklin J. (2009). COMPUTER-BASED SIMULATOR TRAINING IN THE HOSPITAL - A Structured Program for Surgical Residents . In Proceedings of the First International Conference on Computer Supported Education - Volume 1: CSEDU, ISBN 978-989-8111-82-1, pages 278-283. DOI: 10.5220/0001979502780283


in Bibtex Style

@conference{csedu09,
author={Minna Silvennoinen and Teuvo Antikainen and Jukka-Pekka Mecklin},
title={COMPUTER-BASED SIMULATOR TRAINING IN THE HOSPITAL - A Structured Program for Surgical Residents},
booktitle={Proceedings of the First International Conference on Computer Supported Education - Volume 1: CSEDU,},
year={2009},
pages={278-283},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0001979502780283},
isbn={978-989-8111-82-1},
}


in EndNote Style

TY - CONF
JO - Proceedings of the First International Conference on Computer Supported Education - Volume 1: CSEDU,
TI - COMPUTER-BASED SIMULATOR TRAINING IN THE HOSPITAL - A Structured Program for Surgical Residents
SN - 978-989-8111-82-1
AU - Silvennoinen M.
AU - Antikainen T.
AU - Mecklin J.
PY - 2009
SP - 278
EP - 283
DO - 10.5220/0001979502780283