Pilot Program in Surgical Anatomy Education for Complex Cranial and Skull Base Procedures: Curriculum Overview & Initial 2-Year Experience at Mayo Clinic
Juliana Capp, M. M. Bauman, Christopher S. Graffeo, L. Carlstrom, A. Perry, C. Pinheiro-Neto, J. V. van Gompel, David J. Daniels, Michael J. Link, L. Leonel, Maria Peris Celda
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Abstract
Background: Cadaveric dissection remains a preferred and irreplaceable learning modality among neurosurgery residents. We aimed to develop and describe a tiered, quantifiable, and practical curriculum for cranial neurosurgical anatomy education. We report the structure and evaluation of our 2-year pilot study to serve as a suggested guide for other neurosurgery programs.
Method: Our Complex Cranial Dissection Program is tailored to the needs of junior-level neurosurgery residents based on their post-graduation year (PGY) 1-4. Dissections are performed in a sequential manner, each of which emphasize a particular set of manual skills and neuroanatomic knowledge. Dissections are scored on a scale of 10 points. The grading was based on specific landmarks and anatomical structures which need to be exposed, explored, and preserved.
Results: Out of 16 residents, 14 individuals (87.5%) attended the dissections in the first iteration of the program and 16 individuals (100%) attended the dissections in the second iteration. A total of seventeen dissections were performed across all years. In survey feedback about the program, 100% (Year 1) and 94% (Year 2) of residents considered the assigned dissections to be appropriate for their respective training level. Further, 100% (Year 1) and 94% (Year 2) of residents endorsed that the dissections were important and helpful for their practice prior to similar operating room experiences.
Conclusions: The development and implementation of structured dissection programs within residency training, along with dedicated staff, and objective feedback serve a crucial role in neurosurgical education to further develop and enhance surgical skills in the operative setting.
期刊介绍:
The Journal of Neurological Surgery Part B: Skull Base (JNLS B) is a major publication from the world''s leading publisher in neurosurgery. JNLS B currently serves as the official organ of several national and international neurosurgery and skull base societies.
JNLS B is a peer-reviewed journal publishing original research, review articles, and technical notes covering all aspects of neurological surgery. The focus of JNLS B includes microsurgery as well as the latest minimally invasive techniques, such as stereotactic-guided surgery, endoscopy, and endovascular procedures. JNLS B is devoted to the techniques and procedures of skull base surgery.