Download or read book Validity of Video based Intraoperative Self assessment by Surgical Trainees written by Saba Balvardi and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Introduction: Efforts to improve surgical safety and outcomes have traditionally placed little emphasis on intraoperative performance, partly due to difficulties in measurement. Video-based assessment (VBA) provides an opportunity for blinded and unbiased appraisal of surgeon performance. Furthermore, these recordings also offer new opportunities for trainees to extend technical learning outside of the operating room through self-assessment, in the context of well-documented reduction in intraoperative technical learning. Therefore, in this thesis we first aimed to systematically review the existing literature on the association between intraoperative technical performance, measured using VBAs, and patient outcomes. We then aimed to contribute evidence regarding the validity of intraoperative performance assessment tools for video-based self-assessment by general surgery trainees as a technical learning adjunct. Methods: For the systematic review, major databases (Medline, Embase, Cochrane Database, and Web of Science) were systematically searched for studies assessing the association of intraoperative technical performance measured by tools supported by validity evidence with short-term (d"0days) and/or long-term postoperative outcomes. Results were appraised descriptively as study heterogeneity precluded meta-analysis. For the validity assessment, general surgery trainees were recruited from McGill University and submitted recording of their performance in laparoscopic cholecystectomy. Operative performance was measured by the attending surgeon and trainees using global and hybrid (global + procedure-specific) assessment tools (GOALS and OPRS, respectively). The validity of GOALS and OPRS for trainee self-assessment was investigated by testing the hypotheses that self-assessment scores correlate with (H1) expert assessment scores, (H2) expert entrustability score, and (H3) procedure time; and that (H4) self-assessment based on these instruments differentiates junior (postgraduate year (PGY)1-3) and senior trainees (PGY4-5), as well as (H5) simple (Visual Analogue Scale [VAS]d"4) versus complex cases (VAS>4). Results: In our systematic review, a total of 11 observational studies were identified involving 8 different procedures in foregut/bariatric (n=4), colorectal (n=4), urologic (n=2) and hepatobiliary surgery (n=1). Better intraoperative performance was associated with fewer short term postoperative complications (6 of 7 studies), reoperations (3 of 4 studies) and readmissions (1 of 4 studies). Long-term outcomes were less commonly investigated with mixed results. In our validity study a total of 35 videos from 11 trainees were submitted (45% female and 45% senior trainees) and self-assessed. Our data supported 2 out of 5 hypotheses (H1 and H4) for the GOALS tool and 3 out of 5 hypotheses (H1, H4 and H5) for the OPRS. Conclusion: Our results supported an association between superior intraoperative technical performance measured using surgical videos and improved short-term postoperative outcomes. Furthermore, we demonstrated stronger evidence supporting the validity of OPRS as a trainee video-based self-assessment tool, suggesting an advantage for assessments that include procedure specific items compared to global assessments alone. Given the reduced operative exposure of surgical trainees, and the association between technical proficiency and patient outcomes, strategies such as self-assessment to expand skills training outside the operating room are becoming crucial"--

Download or read book Advances in Surgery 2020 written by John L. Cameron and published by Elsevier Health Sciences. This book was released on 2020-08-30 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, Advances in Surgery reviews the most current practices in general surgery. A distinguished editorial board, headed by Dr. John Cameron, identifies key areas of major progress and controversy and invites preeminent specialists to contribute original articles devoted to these topics. These insightful overviews in general surgery bring concepts to a clinical level and explore their everyday impact on patient care.

Download or read book Comprehensive Healthcare Simulation Surgery and Surgical Subspecialties written by Dimitrios Stefanidis and published by Springer. This book was released on 2019-01-05 with total page 391 pages. Available in PDF, EPUB and Kindle. Book excerpt: This pragmatic book is a guide for the use of simulation in surgery and surgical subspecialties, including general surgery, urology, gynecology, cardiothoracic and vascular surgery, orthopedics, ophthalmology, and otolaryngology. It offers evidence-based recommendations for the application of simulation in surgery and addresses procedural skills training, clinical decision-making and team training, and discusses the future of surgical simulation. Readers are introduced to the different simulation modalities and technologies used in surgery with a variety of learners including students, residents, practicing surgeons, and other health-related professionals.

Download or read book Operative Techniques in Laparoscopic Colorectal Surgery written by Conor P. Delaney and published by Lippincott Williams & Wilkins. This book was released on 2014 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: Laparoscopic surgery has been established as a safe, effective approach in the management of colorectal disease. Compared with open surgery, laparoscopy is associated with decreased postoperative analgesia requirements, faster return of bowel function and resumption of oral intake, shorter hospital stay, and better cosmetic repair. Now in its second edition, this book gives surgeons the learning tools they need to understand and successfully incorporate laparoscopic colorectal surgery into their practice.

Download or read book OR 2 0 Context Aware Operating Theaters Computer Assisted Robotic Endoscopy Clinical Image Based Procedures and Skin Image Analysis written by Danail Stoyanov and published by Springer. This book was released on 2018-10-01 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book constitutes the refereed joint proceedings of the First International Workshop on OR 2.0 Context-Aware Operating Theaters, OR 2.0 2018, 5th International Workshop on Computer Assisted Robotic Endoscopy, CARE 2018, 7th International Workshop on Clinical Image-Based Procedures, CLIP 2018, and the First International Workshop on Skin Image Analysis, ISIC 2018, held in conjunction with the 21st International Conference on Medical Imaging and Computer-Assisted Intervention, MICCAI 2018, in Granada, Spain, in September 2018. The 11 full papers presented at OR 2.0 2018, the 5 full papers presented at CARE 2018, the 8 full papers presented at CLIP 2018, and the 10 full papers presented at ISIC 2018 were carefully reviewed and selected. The OR 2.0 papers cover a wide range of topics such as machine vision and perception, robotics, surgical simulation and modeling, multi-modal data fusion and visualization, image analysis, advanced imaging, advanced display technologies, human-computer interfaces, sensors. The CARE papers cover topics to advance the field of computer-assisted and robotic endoscopy. The CLIP papers cover topics to fill gaps between basic science and clinical applications. The ISIC papers cover topics to facilitate knowledge dissemination in the field of skin image analysis, as well as to host a melanoma detection challenge, raising awareness and interest for these socially valuable tasks.

Download or read book The ASCRS Textbook of Colon and Rectal Surgery written by Scott R. Steele and published by Springer. This book was released on 2016-03-24 with total page 1269 pages. Available in PDF, EPUB and Kindle. Book excerpt: This third edition text provides a completely revised and updated new version of this unique, modern, practical text that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert colorectal surgeons caring for patients with complex problems–whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides a narrative by the author on his/her operative technical details and perioperative “tips and tricks” that they utilize in the management of these complex surgical challenges. Distinctive to this book, is the reliance on experts in the field including past presidents of the ASCRS, as well as multiple other national and internationally recognized surgeons, to lend their personal insight into situations where data may be more sparse, but individual and collective experience is paramount to making sound decisions and thereby optimizing patient outcomes. The text includes chapters on the assessment of risk and methods utilized to minimize perioperative complications. In addition, it incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is on providing pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. However, it also goes beyond the technical aspects of colorectal surgery and includes special sections highlighting the essence of a surgeon; covering aspects involving the medical-legal, ethical, and economic challenges confronting surgeons. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, and key points of patient care inherent to that topic. Additionally, where appropriate, links to online videos give the reader an up-front look into technical aspects of colorectal surgery.

Download or read book The Surgical Procedure Feedback Rubric for Assessing Resident Performance in the Operating Room written by and published by . This book was released on 2015 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: Competency-based training models in surgical education challenge programs to adequately document and assess trainees' clinical decision-making, problem solving, and procedural skills in the operating room. While a variety of tools for the assessment of procedural skills exist, validated intraoperative assessment tools are scarce. Those that have been validated often employ checklists or numerical rating scales, which are prone to bias and provide limited feedback to residents. The Surgical Procedure Feedback Rubric (SPR) was developed by the Department of Surgery at Queen's University to document the quality of resident performance during a single, directly observed operative encounter and provide targeted feedback to support learning. It differs from other assessment tools because it defines performance criteria by increasing complexity through the use of behavioural anchors, thus embedding standards of performance in the tool. This study begins the process of building a validity argument for the SPR. Validity in educational assessment is an evaluation of the appropriateness of inferences made with the use of an assessment tool. Kane and Stobart's validity frameworks guided this study. The purpose of this study was to examine the inference that the SPR is able to distinguish between the intraoperative performances of different levels of learners. A 14-month observational study was conducted in the General Surgery, Orthopaedic and Obstetrics and Gynecology training programs. Document analysis of the SPR provided evidence that the SPR was being used as intended. Exploratory factor analysis identified a 3-factor structure of the SPR consisting of Operating Room Preparation, Technical Skills and Intrinsic Competencies. Three-way (PGY x Program x Role) ANOVA confirmed the results of factor analysis, showed the utility of the SPR in discriminating between residents by postgraduate training year (PGY), and provided evidence for partial transferability of the SPR between programs and different roles in surgery. These results contributed to evidence to support scoring, generalizability and extrapolations inferences in the validity argument of the SPR. In addition to supporting the validity argument for the SPR itself, results of this study provide evidence for the use of rubric-based assessment tools to support competency-based assessment systems in medical education.

Download or read book Enhancing Surgical Performance written by Rhona Flin and published by CRC Press. This book was released on 2015-07-13 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: Enhancing Surgical Performance: A Primer in Non-Technical Skills explains why non-technical skills are vital for safe and effective performance in the operating theatre. The book provides a full account, with supporting empirical evidence, of the Non-Technical Skills for Surgeons (NOTSS) system and behavioural rating framework, which helps identify

Download or read book Small Animal Endoscopy An Issue of Veterinary Clinics of North America Small Animal Practice E Book written by Elsevier Clinics and published by Elsevier Health Sciences. This book was released on 2024-05-23 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Veterinary Clinics: Small Animal Practice, guest editor Dr. Boel A. Fransson brings her considerable expertise to the topic of Small Animal Endoscopy. Top experts discuss minimally invasive surgical (MIS) procedures which have come of age within the past several years, including surgical technique, case selection, outcome, and complications. Articles also cover the available technology to augment MIS, developments on skills training opportunities, and the future of veterinary robotic surgery. Contains 11 relevant, practice-oriented topics including new training options for small animal minimally invasive surgeons; laparoscopic treatment of sliding hiatal hernia; advances in minimally invasive procedures of the thoracic cavity; advances in treatment of canine chylothorax; new technology augmenting veterinary minimally invasive surgery; 3D technology, cannulas, and surgical instruments; and more. Provides in-depth clinical reviews on small animal endoscopy, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Download or read book Simulation in Otolaryngology An Issue of Otolaryngologic Clinics of North E Book written by Sonya Malekzadeh and published by Elsevier Health Sciences. This book was released on 2017-09-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Otolaryngologic Clinics, guest edited by Dr. Sonya Malekzadeh, is devoted to Surgical Simulation in Otolaryngology. Articles in this issue include: Physical Models and Virtual Reality Simulators in Otolaryngology; Improving Rhinology Skills with Simulation; Simulators for Laryngeal and Airway Surgery; Advanced Pediatric Airway Simulation; Otologic Skills Training; Emerging Role of 3D Printing in Simulation; Assessment of Surgical Skills and Competency; Improving Team Performance Through Simulation-based Learning; Formal Debriefing in Simulation Education; Boot Camps: Preparing for Residency; Using Simulation to Improve Systems; and Economics of Surgical Simulation.

Download or read book Advances in Surgery 2012 written by John L. Cameron and published by Elsevier Health Sciences. This book was released on 2014-11-13 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in Surgery 2012

Download or read book Clinical Simulation written by Gilles Chiniara and published by Academic Press. This book was released on 2019-08-21 with total page 992 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Simulation: Education, Operations and Engineering, Second Edition, offers readers a restructured, comprehensive and updated approach to learn about simulation practices and techniques in a clinical setting. Featuring new and revised chapters from the industry’s top researchers and educators, this release gives readers the most updated data through modern pedagogy. This new edition has been restructured to highlight five major components of simulation education, including simulation scenarios as tools, student learning, faculty teaching, necessary subject matter, and the learning environment. With clear and efficient organization throughout the book, users will find this to be an ideal text for students and professionals alike. Edited by a leading educator, consultant and practitioner in the clinical simulation field Redesigned structure emphasizes the five components of simulation pedagogy Contains over 30 new chapters that feature the most up-to-date industry information and practices

Download or read book Handbook of Medical Image Computing and Computer Assisted Intervention written by S. Kevin Zhou and published by Academic Press. This book was released on 2019-10-18 with total page 1074 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Medical Image Computing and Computer Assisted Intervention presents important advanced methods and state-of-the art research in medical image computing and computer assisted intervention, providing a comprehensive reference on current technical approaches and solutions, while also offering proven algorithms for a variety of essential medical imaging applications. This book is written primarily for university researchers, graduate students and professional practitioners (assuming an elementary level of linear algebra, probability and statistics, and signal processing) working on medical image computing and computer assisted intervention. Presents the key research challenges in medical image computing and computer-assisted intervention Written by leading authorities of the Medical Image Computing and Computer Assisted Intervention (MICCAI) Society Contains state-of-the-art technical approaches to key challenges Demonstrates proven algorithms for a whole range of essential medical imaging applications Includes source codes for use in a plug-and-play manner Embraces future directions in the fields of medical image computing and computer-assisted intervention

Download or read book Manual of Simulation in Healthcare written by Richard H. Riley and published by Oxford University Press. This book was released on 2016 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practising fundamental patient care skills and techniques is essential to the development of trainees' wider competencies in all medical specialties. After the success of simulation learning techniques used in other industries, such as aviation, this approach has been adopted into medical education. This book assists novice and experienced teachers in each of these fields to develop a teaching framework that incorporates simulation. The Manual of Simulation in Healthcare, Second Edition is fully revised and updated. New material includes a greater emphasis on patient safety, interprofessional education, and a more descriptive illustration of simulation in the areas of education, acute care medicine, and aviation. Divided into three sections, it ranges from the logistics of establishing a simulation and skills centre and the inherent problems with funding, equipment, staffing, and course development to the considerations for healthcare-centred simulation within medical education and the steps required to develop courses that comply with 'best practice' in medical education. Providing an in-depth understanding of how medical educators can best incorporate simulation teaching methodologies into their curricula, this book is an invaluable resource to teachers across all medical specialties.

Download or read book Workplace based Assessment as an Educational Tool written by John J. Norcini and published by . This book was released on 2007 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Cumulated Index Medicus written by and published by . This book was released on 2000 with total page 1836 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Essential Clinical Anesthesia Review written by Linda S. Aglio and published by Cambridge University Press. This book was released on 2015-01-08 with total page 577 pages. Available in PDF, EPUB and Kindle. Book excerpt: This concise, evidence-based board review book, organized according to the ABA keyword list, covers all the fundamental concepts needed to pass written and re-certification board examinations. Each chapter begins with a case scenario or clinical problem from everyday practice, followed by concise discussion and clinical review questions and answers. Discussion progresses logically from preoperative assessment and intraoperative management to postoperative pain management, enhancing the reader's knowledge and honing diagnostic and clinical management skills. New guidelines and recently developed standards of care are also covered. Serving as a companion to the popular textbook Essential Clinical Anesthesia, this resourceful work reflects the clinical experiences of anesthesia experts at Harvard Medical School as well as individually known national experts in the field of anesthesiology. This practical review is an invaluable resource for anesthesiologists in training and practice, whether studying for board exams or as part of continuing education and ABA recertification.