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:12/6/2016)... ... December 06, 2016 , ... ... authorized OSHA Training Institute Education Center headquartered in Northern California, has announced the ... providing occupational safety and health training to public sector employees. , “The primary ...
(Date:12/5/2016)... , ... December 05, 2016 , ... "FCPX Overlay Glare ... but natural lighting effect without heavy rendering or complicated compositing," said Christina Austin - ... media to create an organic spectrum of lights that simulates the look of a ...
(Date:12/5/2016)... (PRWEB) , ... December 05, 2016 , ... ... announced it has been featured in SuperbCrew magazine, a leading online tech news ... world. This interview, now featured on SuperbCrew.com, explores the state of enterprise mobility ...
(Date:12/5/2016)... ... December 05, 2016 , ... “Epilepsy Awareness,” ... tomorrow, December 6th, sparks a conversation about epilepsy, bearing down on the social ... people will be diagnosed with epilepsy within their lifetime. With such a large ...
(Date:12/5/2016)... ... December 05, 2016 , ... ... lines. The goal of Castlewood Treatment Centers has always been to promote the ... as many people as possible. In that spirit, Castlewood has announced two new ...
Breaking Medicine News(10 mins):
(Date:12/5/2016)... , Dec. 5, 2016  Breckenridge Pharmaceutical, Inc. ... multi-product marketing agreement with development and manufacturing partner ... Under the terms of this agreement, Breckenridge will ... in the United States . ... tentatively-approved ANDA. The products cover a wide range ...
(Date:12/5/2016)... and PUNE, India , December ... report by Allied Market Research, titled, "Global Cancer Biomarkers Market ... revenue of cancer biomarkers market is projected to reach $15,737 ... CAGR of 13.3% from 2016 to 2022. Omic technologies segment ... 2015 and is expected to maintain its dominance during the ...
(Date:12/5/2016)... FRANCISCO , Dec. 5, 2016  Recently ... a methylation age predictor, known as Horvath,s Clock. ... offering a sample analysis service to academic and ... of any human sample, other than sperm. The ... to accurately estimate biological age versus chronological age ...
Breaking Medicine Technology: