Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2019.0002
J. Andrews, P. Hewett
Background: The concept of warming up is well established in many complex motor skills, but has only recently been of interest to those performing surgery. An increasing body of evidence suggests that there may be a measurable benefit to warming up. However, the most efficient and cost-effective method of warm-up has yet to be established. This pilot study aims to determine if a simple video game may be used. Methods: Medical students and junior doctors with little laparoscopic experience were recruited and randomized to either the control group (n = 10) or the intervention group (n = 10). The control group performed three increasingly complex simulated laparoscopic tasks and the time and number of errors were recorded. The intervention group spent 10 min warming up on a Playstation 3 Move video games console before performing the same simulated tasks. Results: The performance of both groups was similar for the first two tasks. However, on the third and most complex task, the intervention group made significantly more errors than the control group. Conclusions: Although the Playstation 3 Move video game appears to replicate laparoscopic simulation well, it does not appear to offer any benefit in performing warm-up. The results of this study suggest that warming up may be more complex than previously understood.
{"title":"The effect of a video game warm-up on laparoscopic proficiency in a simulated setting: a randomized trial","authors":"J. Andrews, P. Hewett","doi":"10.1102/2051-7726.2019.0002","DOIUrl":"https://doi.org/10.1102/2051-7726.2019.0002","url":null,"abstract":"Background: The concept of warming up is well established in many complex motor skills, but has only recently been of interest to those performing surgery. An increasing body of evidence suggests that there may be a measurable benefit to warming up. However, the most efficient and cost-effective method of warm-up has yet to be established. This pilot study aims to determine if a simple video game may be used. Methods: Medical students and junior doctors with little laparoscopic experience were recruited and randomized to either the control group (n = 10) or the intervention group (n = 10). The control group performed three increasingly complex simulated laparoscopic tasks and the time and number of errors were recorded. The intervention group spent 10 min warming up on a Playstation 3 Move video games console before performing the same simulated tasks. Results: The performance of both groups was similar for the first two tasks. However, on the third and most complex task, the intervention group made significantly more errors than the control group. Conclusions: Although the Playstation 3 Move video game appears to replicate laparoscopic simulation well, it does not appear to offer any benefit in performing warm-up. The results of this study suggest that warming up may be more complex than previously understood.","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"286 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123309133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2019.a007
C. Small
{"title":"Interactive systems for use by patients in hospital: disruptive or disrupting?","authors":"C. Small","doi":"10.1102/2051-7726.2019.a007","DOIUrl":"https://doi.org/10.1102/2051-7726.2019.a007","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123719120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2022.0004
R. Blackham, J. Hamdorf
{"title":"Development of an Australasian laparoscopic sleeve gastrectomy curriculum: a content validation study","authors":"R. Blackham, J. Hamdorf","doi":"10.1102/2051-7726.2022.0004","DOIUrl":"https://doi.org/10.1102/2051-7726.2022.0004","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"83 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131457659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2021.a009
{"title":"Building a virtual community of practice based on critical appraisal skills - the CRAMSURG experience","authors":"","doi":"10.1102/2051-7726.2021.a009","DOIUrl":"https://doi.org/10.1102/2051-7726.2021.a009","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131737971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2021.0010
Andrew Keogan, R. Maier, Molly Hagen
Objective: The management of cardiac arrest in after cardiac surgery requires resuscitative efforts that deviate from the established American Heart Association Advanced Cardiac Life Support guidelines (ACLS) guidelines. The Society of Thoracic Surgeons (STS) and the European Association of Cardiothoracic Surgery have established guidelines for managing cardiac arrest and resternotomy in these patients and recommend regular practice by the multidisciplinary recovery team. This study, conducted at a single institution, aimed to identify areas of deficiency in knowledge of STS guidelines and evaluate the effects of simulation on comfort with the procedure and perceived value of training. Methods: A before and after study was performed whereby participants were given hands-on resternotomy training and completed preand post-training surveys that assessed knowledge of the STS protocol, comfort level, and value perception. The training, simulation, and survey were conducted in a clinical simulation laboratory. Study participants included registered nurses, attending physicians, resident physicians, pharmacists, and respiratory therapists. The training consisted of a lecture followed by a high-fidelity simulation of a cardiac arrest leading to bedside surgical exploration utilizing a resternotomy manikin. Results: Participants’ baseline scores of knowledge of STS guidelines averaged 53.3%. This average increased to 81.3% after training, with improvement on four of the six knowledge questions achieving statistical significance (P 5 0.001 in all cases). Participant comfort with the STS protocol and the resternotomy procedure increased significantly (both P 5 0.0001), as well as value perceptions of the simulation training (P 5 0.03) and utilizing a resternotomy capable manikin (P 5 0.02). Conclusions: Participants’ inadequate knowledge of STS guidelines suggests that delivering education to all post-cardiac surgery team members would be beneficial and is desired by clinicians. High-fidelity resternotomy simulation has favorable effects on participant comfort and their perceived value of training and can be made affordable by modifying widely available supplies.
{"title":"A prospective cohort study evaluating the effectiveness of cardiac arrest and resternotomy simulation training of the post-cardiac surgery recovery team","authors":"Andrew Keogan, R. Maier, Molly Hagen","doi":"10.1102/2051-7726.2021.0010","DOIUrl":"https://doi.org/10.1102/2051-7726.2021.0010","url":null,"abstract":"Objective: The management of cardiac arrest in after cardiac surgery requires resuscitative efforts that deviate from the established American Heart Association Advanced Cardiac Life Support guidelines (ACLS) guidelines. The Society of Thoracic Surgeons (STS) and the European Association of Cardiothoracic Surgery have established guidelines for managing cardiac arrest and resternotomy in these patients and recommend regular practice by the multidisciplinary recovery team. This study, conducted at a single institution, aimed to identify areas of deficiency in knowledge of STS guidelines and evaluate the effects of simulation on comfort with the procedure and perceived value of training. Methods: A before and after study was performed whereby participants were given hands-on resternotomy training and completed preand post-training surveys that assessed knowledge of the STS protocol, comfort level, and value perception. The training, simulation, and survey were conducted in a clinical simulation laboratory. Study participants included registered nurses, attending physicians, resident physicians, pharmacists, and respiratory therapists. The training consisted of a lecture followed by a high-fidelity simulation of a cardiac arrest leading to bedside surgical exploration utilizing a resternotomy manikin. Results: Participants’ baseline scores of knowledge of STS guidelines averaged 53.3%. This average increased to 81.3% after training, with improvement on four of the six knowledge questions achieving statistical significance (P 5 0.001 in all cases). Participant comfort with the STS protocol and the resternotomy procedure increased significantly (both P 5 0.0001), as well as value perceptions of the simulation training (P 5 0.03) and utilizing a resternotomy capable manikin (P 5 0.02). Conclusions: Participants’ inadequate knowledge of STS guidelines suggests that delivering education to all post-cardiac surgery team members would be beneficial and is desired by clinicians. High-fidelity resternotomy simulation has favorable effects on participant comfort and their perceived value of training and can be made affordable by modifying widely available supplies.","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129549028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2021.a026
{"title":"Survey of perceived barriers to medical students for progression into surgery","authors":"","doi":"10.1102/2051-7726.2021.a026","DOIUrl":"https://doi.org/10.1102/2051-7726.2021.a026","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133964447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2023.0002
Lydia Robb, P. Rust
{"title":"A validated benchtop simulation model for flexor tendon repair","authors":"Lydia Robb, P. Rust","doi":"10.1102/2051-7726.2023.0002","DOIUrl":"https://doi.org/10.1102/2051-7726.2023.0002","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133526699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2021.a024
{"title":"Flat elastic band: an alternative, inexpensive, invaluable material to develop models for laparoscopic suturing practice","authors":"","doi":"10.1102/2051-7726.2021.a024","DOIUrl":"https://doi.org/10.1102/2051-7726.2021.a024","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"256 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133137748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2022.0019
Gabrielle Santangelo, Doran S. Mix, Michael Stoner, J. Stone
{"title":"Transcarotid artery revascularization simulation using 3D printing and polymers","authors":"Gabrielle Santangelo, Doran S. Mix, Michael Stoner, J. Stone","doi":"10.1102/2051-7726.2022.0019","DOIUrl":"https://doi.org/10.1102/2051-7726.2022.0019","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114996334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.1102/2051-7726.2022.0010
B. Kumar, R. Roberts
{"title":"Challenges in evaluation of a simulation-based educational course for repair of obstetric anal sphincter injuries","authors":"B. Kumar, R. Roberts","doi":"10.1102/2051-7726.2022.0010","DOIUrl":"https://doi.org/10.1102/2051-7726.2022.0010","url":null,"abstract":"","PeriodicalId":202461,"journal":{"name":"Journal of Surgical Simulation","volume":"128 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131811046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}