Navigation Links
Telementoring may address need for surgical subspecialty expertise in remote locations
Date:10/21/2010

CHICAGO (October 21, 2010) Telementoring may be an effective way for subspecialist surgeons to assist remotely located general surgeons in the care of patients in need of emergency subspecialty surgical procedures, according to new research findings published in the September issue of the Journal of the American College of Surgeons.

In the study, eight general surgery residents with no formal subspecialty training participated in three mock operations using animal cadavers intended to simulate live procedures. When telementored, the residents achieved higher overall mean performance scores (4.30 0.25 versus 2.43 0.20; p < 0.001).

Wounds suffered in combat often require the expertise of several surgical subspecialists and the ability to provide that level of emergency care in military field hospitals is often not possible. In a civilian setting, telementoring could have wide-ranging applications for general surgeons in rural medical centers where they must treat a wide range of conditions, often without the breadth of subspecialty expertise needed for all cases.

"We wanted to determine if a robotic telementoring platform using real-time audio and video could impact the ability of onsite surgeons to deliver subspecialty surgical care," said lead author Alexander Q. Ereso, MD, resident physician at Wayne State University, Detroit, MI. "This study demonstrates how telementoring could be successfully applied in these surgical settings."

General surgery residents had 20 minutes to perform each operation, first with no assistance from subspecialty surgeons and then immediately afterwards with telerobotic mentoring. The three surgical procedures performed were a suture repair of a penetrating right ventricular injury in a cadaveric bovine heart, simulating a stab wound to the chest; an operative external fixation of a cadaveric porcine open tibial fracture, simulating an injury consistent with a fall; and a craniectomy on a cadaveric porcine skull, simulating an injury caused by a traumatic fall.

Mean performance scores for individual metrics, including tissue handling, instrument handling, speed of completion and knowledge of anatomy, were all superior when residents were telementored (p < 0.001). Telementoring led to the greatest improvement in performance during the cardiac scenario (4.75 0.16 versus 2.00 0.19; p < 0.001). When surveyed after the un-mentored scenario, residents believed that they would be unable to complete the surgical objectives if asked to do so in a similar real-world clinical setting. When surveyed after completing the same scenario with telementoring, residents believed they would be much more comfortable if asked to complete the surgical objectives in a similar real-world clinical setting.

"Not only did residents show improvement during telementoring, but when surveyed afterwards they also felt more competent in all three scenarios," said T. Sloane Guy, MD, FACS, the study's senior author and cardiovascular surgeon at Saint Joseph's Hospital, Atlanta, GA. "The study results demonstrate how we could feasibly use this technology to provide necessary advanced surgical care."


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
Weber Shandwick Worldwide
Source:Eurekalert

Related medicine news :

1. Governor Rendell Proposes Budget With No Tax Increase, More Money for Public Schools, Strategy for Jobs, Plan to Address Future Deficits
2. Nevada Qui Tam Attorney Tim Terry to Address Sacramento Gold Rush Chapter of the National Contract Management Association (NCMA)
3. AnchorPoint Sponsored Aberdeen Group Report Addresses Telecom Lifecycle Management
4. Sen. Arlen Specter to Address Town Hall at UCSF Today
5. Website for Nursing Jobs Launches -- Streamlined Job Board Created to Address Nursing Shortage
6. Pew Report: Connecticut is a National Leader in Addressing Childrens Dental Health
7. Pew Report: Florida Failing To Address Childrens Dental Health Crisis
8. Pew Report: Iowa Is a National Leader in Addressing Childrens Dental Health
9. Pew Report: New Jersey Failing to Address Childrens Dental Health Crisis
10. Pew Report: Pennsylvania Failing to Address Childrens Dental Health Crisis
11. Pew Report: New Mexico is a National Leader in Addressing Childrens Dental Health
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/13/2016)... Canada (PRWEB) , ... February 13, 2016 , ... In ... foot forward. They’ll groom themselves to perfection, go out of their way to be ... date – just take a look at any online dating profile. , A ...
(Date:2/12/2016)... DC (PRWEB) , ... February ... ... Siemens Foundation today announced a new initiative—the Siemens Foundation-PATH Ingenuity Fellowships—to develop ... The partnership will recruit top students from U.S. universities who will draw ...
(Date:2/12/2016)... ... , ... As a former television executive, owner Tal Rabinowitz knows how stressful ... decompress, Rabinowitz found herself drawn to a casual meditation class while working at NBC ... implementing a 20-minute-per-day meditation practice with her team. After her tenure at NBC, she ...
(Date:2/12/2016)... , ... February 12, 2016 , ... Every winter, someone ... This winter the West Penn Burn Center, part of the Allegheny Health ... to bring you the “Space Heaters Need Space” campaign. , “Space ...
(Date:2/12/2016)... ... , ... Erlanger Agency has announced a new partnership in its ongoing community ... on the fight against breast cancer, fundraising for a local woman named Carmen, who ... Carmen is a loving single mother of two boys who also serves as caregiver ...
Breaking Medicine News(10 mins):
(Date:2/12/2016)... , Ungarn, February 12, 2016 ... das sich auf den ungedeckten medizinischen Bedarf ... positive Ergebnisse seines klinischen Forschungsprogramms bekannt. Das ... beschäftigt, ergab Verbesserungen ihrer respiratorischen Funktionen und ... ltd , ein Medizintechnikunternehmen, das sich auf ...
(Date:2/11/2016)... , Feb. 11, 2016 ... Diagnostics in Personalized Medicine and Cancer Therapy. - ... High-Growth Diagnostic Testing Markets. - Key Diagnostic Testing ... - Molecular Diagnostics in Genetic Testing. - Molecular ... Markets. - Over-the-Counter Diagnostic Products World Markets. ...
(Date:2/11/2016)... Stem cells are primitive cells found in ... the capacity to differentiate into mature cell types Stem ... first mouse embryonic stem cells were derived from embryos ... the first culturing of embryonic stem cells from non-human ... until 2006 As a result of these discoveries, stem ...
Breaking Medicine Technology: