Navigation Links
Surgical residents perform better in OR if they receive structured training in simulated environment
Date:7/5/2012

TORONTO, July 4, 2012New research has shown that surgical residents who received structured training in a simulated environment perform significantly better when they start operating on patients.

The results of the study by researchers at St. Michael's Hospital were so convincing that the University of Toronto implemented the training program they developed even before their research was published in the July issue of the Annals of Surgery.

"Often surgical residents came to the OR and we didn't know whether they had the skills or the knowledge to perform safe surgery. Their education took place in the OR under the guidance of an experienced surgeon," said Dr. Teodor Grantcharov, a surgeon at St. Michael's and one of the researchers.

"Now we are moving that learning curve from the OR to a virtual environment. Only people who demonstrate proficiency are allowed to come to the OR."

Dr. Grantcharov and Dr. Vanessa Palter, a U of T surgical resident at St. Michael's, said that even though preventable medical errors contribute to between 9,000 and 24,000 deaths in Canada each year, there was no effective mechanism to ensure that residents have the skills and knowledge to perform safe surgery.

They devised a study in which surgical residents were divided into two groups. One group received the conventional training for laparoscopic colorectal surgeryremoving a tumour from the colon. The other group trained on a virtual reality simulator, received cognitive training (when and how to operate, how to work as a team) and practiced surgery on cadavers.

After five months of training, each resident performed a laparoscopic right hemicolectomy (removed a tumour from the right side of the colon) that was videotaped and analyzed by outside experts.

Those who went through the simulated training performed the procedure significantly better and did better on a multiple choice test.

They scored an average of 16 out of 20 on technical performance, double the 8 out of 20 score for those who underwent the conventional training. On the multiple choice test of their knowledge of the procedure they scored 10 out of 18, compared to 7.5 out of 18 for those in the conventional program.

"We are very proud to bring this groundbreaking research into the U of T general surgery curriculum," said Dr. Andy Smith, the Bernard and Ryna Langer Chair of the division of general surgery at U of T. "It is a fine example of knowledge translation: education research implemented into the 'real world' of surgical education."

Dr. Grantcharov said he has received inquiries from medical schools around the world regarding the curriculum he and Dr. Palter developed. This curriculum currently applies to colorectal procedures but they are designing similar approaches for a number of other high-risk procedures.

"We're excited that it actually makes a difference," he said.


'/>"/>

Contact: Kate Taylor
TaylorKa@smh.ca
416-864-5034
St. Michael's Hospital
Source:Eurekalert

Related medicine news :

1. In children born with severe heart defect, surgical management has little effect on neuro outcomes
2. Nonsurgical Method to Measure Brain Pressure Shows Promise
3. Study examines medicare use for Mohs micrographic surgery and surgical excision for skin cancer
4. New surgical technique for removing inoperable tumors of the abdomen
5. Surgical excision unnecessary in some patients with benign papillomas
6. Boston researcher, surgical oncologist receives national award
7. Surgical removal of abdominal fat reduces skin cancer in mice
8. Surgical Residents Often Fatigued, Study Confirms
9. Study finds Massachusetts health reform leads to increased inpatient surgical procedures
10. Surgical sling reduces risk of weakened bladder control after prolapse surgery, U-M study says
11. DRE Medical Equipment Unveils FX-300+ Surgical Headlight and Light Source
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/2/2020)... ... July 02, 2020 , ... Temprian, ... of autoimmune diseases. Its lead indication is vitiligo. Vitiligo patients develop progressive ... , While vitiligo is equally prevalent in all ethnic groups, it ...
(Date:7/2/2020)... SHELTON, Conn. (PRWEB) , ... July 02, 2020 ... ... closure of many businesses, including dental offices for non-emergency work. In conjunction with ... released reopening guidelines for Connecticut dental practices in mid-May. , Due to ...
(Date:7/1/2020)... ... July 01, 2020 , ... The Society to Improve Diagnosis ... at the University of Massachusetts Medical School- Baystate and Ann Gaffey, RN, MSN, ... Board of Directors. Dr. Salvador and Ms. Gaffey’s service began in May and ...
(Date:6/28/2020)... ... , ... PathAI, a global provider of artificial intelligence (AI)-powered technology for use ... of PD-L1 expression to assess response in patients treated with Bristol Myers Squibb’s PD-1 ... Cancer Research (AACR) Annual Meeting. AACR was held June 22 to June 24. , ...
(Date:6/28/2020)... , ... June 27, 2020 , ... ... Classroom, the first online, full-day educational conference in the organization’s history. The online ... facioscapulohumeral muscular dystrophy (FSHD), which was cancelled this year due to COVID-19. Nearly ...
Breaking Medicine News(10 mins):
(Date:7/7/2020)... ... July 07, 2020 , ... With ... Navajo Nation residents, the 33 nonprofits who received the latest ISA Foundation ... round of funding, the foundation awarded grants totaling $838,527 to the U.S.-based 501(c)(3) ...
(Date:7/4/2020)... , ... July 03, 2020 , ... By Heidi Jean ... we’ve retreated into our homes for cover, Assuaged, Inc. is going full ... all over the globe this year to get their feet wet in marketing, social ...
(Date:7/2/2020)... ... July 02, 2020 , ... Realty ONE Group ... health series on its live agent Town Halls, furthering its commitment to its ... series includes special guests and Realty ONE Group leadership discussing social, mental, physical ...
Breaking Medicine Technology: