Simulation in surgical training and practice:
Gespeichert in:
Weitere beteiligte Personen: | |
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Format: | Buch |
Sprache: | Englisch |
Veröffentlicht: |
Philadelphia, Pa.
Elsevier
2015
|
Schriftenreihe: | Surgical clinics of North America
95,4 |
Links: | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028325490&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
Umfang: | XVIII S., S. 695 - 918 Ill., graph. Darst. |
ISBN: | 9780323393560 |
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Datensatz im Suchindex
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adam_text | Titel: Simulation in surgical training and practice
Autor: Brown, Kimberly M
Jahr: 2015
Simulation in Surgical Training and Practice
Contents
Foreword
Ronald F. Martin
Preface
Kimberly M. Brown and John T. Paige
Training Practice
Applying Educational Theory to Simulation-Based Training and Assessment
in Surgery 695
Sheila W. Chauvin
Considerable progress has been made regarding the range of simulator
technologies and simulation formats. Similarly, results from research in hu-
man learning and behavior have facilitated the development of best prac-
tices in simulation-based training (SBT) and surgical education. Today,
SBT is a common curriculum component in surgical education that can
significantly complement clinical learning, performance, and patient care
experiences. Beginning with important considerations for selecting appro-
priate forms of simulation, several relevant educational theories of learning
are described.
Concepts for Developing Expert Surgical Teams Using Simulation 717
Aimee K. Gardner and Daniel J. Scott
This article investigates how simulation-based training can enhance the
effectiveness of surgical teams. First, a description of team training within
surgical settings is provided. Then, empirical work from a variety of fields is
introduced to describe common characteristics of expert teams, with a
specific focus on training surgical teams in simulated settings. Finally,
methods and suggestions for evaluation of simulation-based team training
are discussed.
Simulation and Faculty Development 729
David A. Rogers, Dawn Taylor Peterson, Brent A. Ponce, Marjorie Lee White,
and John R. Porterfield Jr
As members of the faculty, surgeons take on a variety of roles related to
the use of simulation. Surgeons will continue to interact with simulation
as learners given the emerging role of simulation in continuing medical ed-
ucation. Surgeons who regularly teach others will also be using simulation
because of its unique properties as an instructional method. Leading a
simulation effort requires vision, creativity in resource management, and
team leadership skills. Surgeons can use simulation to innovate in surgical
patient care and in surgical education.
viii Contents
The Evolving Role of Simulation in Teaching Surgery in Undergraduate Medical
Education 739
Robert D. Acton
Simulation-based training (SBT) over the last 10 years has become a main-
stay for surgical education at the graduate medical education (GME) level.
More recently, however, the technique has rapidly become the standard
for early efficient teaching of surgical skills and decision making at the un-
dergraduate medical education (UME) level. The described benefits of SBT
include its ability to compartmentalize education, to combine immediate
assessment and feedback, and to accelerate knowledge and skill acquisi-
tion for the young learner. Consequently, SBT is now being adopted in
multiple national medical student surgical educational initiatives.
Using Simulation in Interprofessional Education 751
John T. Paige, Deborah D. Garbee, Kimberly M. Brown, and Jose D. Rojas
Simulation-based training (SBT) is a powerful educational tool permitting
the acquisition of surgical knowledge, skills, and attitudes at both the indi-
vidual- and team-based level in a safe, nonthreatening learning environ-
ment at no risk to a patient. Interprofessional education (IPE), in which
participants from 2 or more health or social care professions learn interac-
tively, can help improve patient care through the promotion of efficient co-
ordination, dissemination of advances in care across specialties and
professions, and optimization of individual- and team-based function.
Nonetheless, conducting SBT IPE sessions poses several tactical and
strategic challenges that must be effectively overcome to reap IPE s
benefits.
Current Status of Simulation-Based Training in Graduate Medical Education 767
Ross E. Willis and Kent R. Van Sickle
The use of simulation in Graduate Medical Education has evolved signif-
icantly over time, particularly during the past decade. The applications
of simulation include introductory and basic technical skills, more
advanced technical skills, and nontechnical skills, and simulation is gain-
ing acceptance in high-stakes assessments. Simulation-based training
has also brought about paradigm shifts in the medical and surgical edu-
cation arenas and has borne new and exciting national and local consor-
tia that will ensure that the scope and impact of simulation will continue
to broaden.
National Simulation-Based Training of Fellows: The Vascular Surgery Example 781
Malachi G. Sheahan, Cassidy Duran, and Jean Bismuth
Vascular surgery has evolved dramatically as a specialty, with new training
paradigms and an ever-developing, technically demanding field. The abil-
ity to evaluate trainees on their fundamental skills is an important step in
ensuring some uniformity in trainees basic technical abilities. This article
describes the development and implementation of the fundamentals of
vascular and endovascular surgery, including lessons applied from the
Fundamentals of Laparoscopic Surgery and Fundamentals of Endoscopic
Surgery programs.
Contents
ix
Financing a Simulation Center 791
Shawn Tsuda, Adnan Mohsin, and Daniel Jones
As simulation-based training has become established within medical and
health professional disciplines, skills-training laboratories have become a
standard in surgery training programs. In 2008, the American College of
Surgeons and Association of Program Directors in Surgery developed a
simulation-based surgical skills curriculum; the Residency Review Com-
mittee for Surgery of the Accreditation Council for Graduate Medical Edu-
cation mandated access to skills laboratories for all surgery programs.
Establishing a surgical skills laboratory and adapting the training curricu-
lum requires a significant amount of resources. This article discusses the
financial aspects of establishing a training center, from funding opportu-
nities to budgeting considerations.
Practice
Surgical Simulation Centers as Educational Homes for Practicing Surgeons 801
Brian J. Dunkin
Given the pace of change in surgery today and a growing need to decrease
variability in the delivery of health care to optimize quality while minimizing
cost, surgeons need an educational home where they can return to inter-
mittently throughout their career to retool. We need as robust of an educa-
tional structure to support practicing surgeons as we have for students
and postgraduate trainees.
Advanced Engineering Technology for Measuring Performance 813
Drew N. Rutherford, Anne-Lise D. D Angelo, Katherine E. Law,
and Carla M. Pugh
The demand for competency-based assessments in surgical training is
growing. Use of advanced engineering technology for clinical skills assess-
ment allows for objective measures of hands-on performance. Clinical perfor-
mance can be assessed in several ways via quantification of an assessee s
hand movements (motion tracking), direction of visual attention (eye tracking),
levels of stress (physiologic marker measurements), and location and pres-
sure of palpation (force measurements). Innovations in video recording tech-
nology and qualitative analysis tools allow for a combination of observer- and
technology-based assessments. Overall the goal is to create better assess-
ments of surgical performance with robust validity evidence.
Moving the Needle: Simulation s Impact on Patient Outcomes 827
Tiffany Cox, Neal Seymour, and Dimitrios Stefanidis
This article investigates the available literature that addresses the impact
simulator training has on patient outcomes. The authors conducted a
comprehensive literature search of studies reporting outcomes of simula-
tion training and categorized studies based on the Kirkpatrick model of
training evaluation. Kirkpatrick level 4 studies reporting patient outcomes
were identified and included in this review. Existing evidence is promising,
demonstrating patient benefits as a result of simulation training for central
line placement, obstetric emergencies, cataract surgery, laparoscopic
inguinal hernia repair, and team training.
x Contents
Conducting Elite Performance Training 839
Elliott Silverman, Scott A. Tucker, Solveig Imsdahl, Justin A. Charles,
Mallory A. Stellato, Mercy D, Wagner, and Kimberly M. Brown
Training to excellence in the conduct of surgical procedures has many
similarities to the acquisition and mastery of technical skills in elite-
level music and sports. By using coaching techniques and strategies
gleaned from analysis of professional music ensembles and athletic
training, surgical educators can set conditions that increase the success
rate of training to elite performance. This article describes techniques
and strategies used in both music and athletic coaching, and it dis-
cusses how they can be applied and integrated into surgical simulation
and education.
Emotional Intelligence and Simulation 855
Sophia K. McKinley and Roy Phitayakorn
Emotional intelligence (El) is an established concept in the business liter-
ature with evidence that it is an important factor in determining career
achievement. There is increasing interest in the role that El has in med-
ical training, but it is still a nascent field. This article reviews the El liter-
ature most relevant to surgical training and proposes that simulation
offers many benefits to the development of El. Although there are
many unanswered questions, it is expected that future research will
demonstrate the effectiveness of using simulation to develop El within
surgery.
Advances in Teaching and Assessing Nontechnical Skills 869
Louise Hull and Nick Sevdalis
The importance of surgeons nontechnical skills is gaining widespread
recognition as a critical element of high-quality and safe surgical care.
This article reviews the knowledge base on training and assessing sur-
geons, and operating room (OR) teams, in nontechnical aspects of their
performance. Nontechnical skills are defined in the context of the OR,
and key assessment instruments that have been developed to capture
these skills are reviewed. Key developments that have taken place in the
past decade on formal skills training are discussed, and recommendations
to further advance nontechnical skills and team-based training and
assessment in surgery are presented.
Using Simulation to Improve Systems 885
Peter W. Lundberg and James R. Korndorffer Jr
Simulation technology provides an important opportunity to prospectively
identify systemic problems with minimal risk to patient safety and quality.
Health care systems are implementing simulation-based exercises on a
more regular basis, especially in high-risk settings such as the emergency
department and operating room. The adoption of simulation-based and
other system-oriented improvement strategies by the health care industry,
especially regarding quality and safety, was preceded by its development
in the manufacturing and aviation sectors.
Contents xi
Simulation for Maintenance of Certification 893
Brian K. Ross and Julia Metzner
Maintenance of certification (MOC) is a process through which practi-
tioners are able to show continuing competence in their areas of expertise.
Simulation plays an increasingly important role in the assessment of stu-
dents and residents, as well as in the initial practice certification for health
care professionals. The use of simulation as an assessment tool in MOC
has been sluggish to be universally accepted. This article discusses the
role of simulation in health care education, how simulation might be effec-
tively applied in the MOC process, and the future role of simulation in the
MOC process.
Index
907
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title | Simulation in surgical training and practice |
title_auth | Simulation in surgical training and practice |
title_exact_search | Simulation in surgical training and practice |
title_full | Simulation in surgical training and practice ed. Kimberly M. Brown ... |
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title_full_unstemmed | Simulation in surgical training and practice ed. Kimberly M. Brown ... |
title_short | Simulation in surgical training and practice |
title_sort | simulation in surgical training and practice |
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