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:5/23/2017)... Rosa, California (PRWEB) , ... May 23, 2017 ... ... health management (PHM) technology and a 2017 Best in KLAS category winner, has ... advantageous market position to extend and enhance its technology platform and product offerings,” ...
(Date:5/23/2017)... Newport Beach, CA (PRWEB) , ... May 23, 2017 , ... ... Capital Partners was honored to serve earlier this month as a Guest Speaker and ... by the British Royal Family and Common Purpose. , Walter Schindler ...
(Date:5/23/2017)... (PRWEB) , ... May 23, 2017 , ... By all ... underway in Sonoma County. While officials call for diligence, asking homeowners to scout for ... at potential health concerns. Along with the annoying buzz of mosquitos is the buzz ...
(Date:5/23/2017)... ... May 23, 2017 , ... MedTech ... in the modern ART laboratory, to provide hands-on training utilizing cutting-edge equipment at ... NextGen LifeLabs, a MedTech Group Purchasing vendor , will provide specialized equipment ...
(Date:5/23/2017)... ... ... New patients from Charleston, SC, are now welcome to receive a full mouth ... or without a referral. A full mouth reconstruction can transform the appearance of the ... SC. Those who suffer from gum disease, misaligned teeth or jaw pain can also ...
Breaking Medicine News(10 mins):
(Date:5/15/2017)... Enterin Inc., a privately-held CNS pharmaceutical company based ... to treat Parkinson,s disease (PD), has enrolled the first patient ... randomized, controlled, multicenter study involving patients with PD and taking ... over a 9-to-12-month period. The first stage is open label ... Participating sites include Denver , ...
(Date:5/10/2017)... May 10, 2017 Hologic, Inc. (Nasdaq: ... for the fiscal second quarter ended April 1, 2017 ... $1.84 increased 666.7% compared to the prior year period ... in a significant gain, while non-GAAP diluted EPS of ... or 3.8% in constant currency terms.  Excluding the effects ...
(Date:5/10/2017)... -- Radiology has become the number one diagnostic tool ... to the number one ranking as a result.  More ... as the most complete and reliable method for clinical ... pain an MRI may confirm a suspected herniated disc ... entirely different treatment protocols.  In these circumstances, patients need ...
Breaking Medicine Technology: