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Simulation and Training in Minimal Access Surgery

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Training in Minimal Access Surgery

Abstract

This chapter summarises the increasingly important role that simulation has to play in the training of surgeons in minimal access surgery.

This chapter defines commonly encountered terms from the simulation literature, describes the relevance of simulation to modern surgical practice, examines the evidence for and against the different types of simulators currently used in surgical simulation training, and considers the practicalities of adopting such an approach. The chapter concludes with an exploration of potential future directions in a rapidly evolving field.

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References

  1. Gaba D. The future vision of simulation in health care. Qual Safe Health Care. 2004;13:i2–10.

    Article  Google Scholar 

  2. Kneebone R. Simulation in surgical training: educational issues and practical implications. Med Educ. 2003;37:267–77.

    Article  PubMed  Google Scholar 

  3. Brydges R, Carnahan H, Rose D, Rose L, Dubrowski A. Coordinating progressive levels of simulation fidelity to maximise educational benefit. Acad Med. 2010;85:806–12.

    Article  PubMed  Google Scholar 

  4. Moorthy K, Munz Y, Sarker S, Darzi A. Objective assessment of technical skills in surgery. Br Med J. 2003;327:1032–7.

    Article  Google Scholar 

  5. Ratanawongsa N, Thomas P, Marinopoulos S, Dorman T, Wilson L, Ashar B, et al. The reported validity and reliability of methods for evaluating continuing medical education: a systematic review. Acad Med. 2008;83:274–83.

    Article  PubMed  Google Scholar 

  6. Directive 2003/88/EC of the European Parliament and of the Council of 4 November 2003 concerning certain aspects of the organisation of working time. Official Journal L 299, 18/11/2003 P. 0009–0019.

    Google Scholar 

  7. Tooke J. Final report of the independent inquiry into Modernising Medical Careers. MMC Inquiry. London: Aldridge Press. 2007. See http://www.mmcinquiry.org.uk/draft.htm.

  8. Chikwe J, de Souza A, Pepper J. No time to train the surgeons. Br Med J. 2004;328:418–9.

    Article  Google Scholar 

  9. Grantcharov T, Reznick R. Training tomorrow’s surgeons: what are we looking for and how can we achieve it? ANZ J Surg. 2009;79:104–7.

    Article  PubMed  Google Scholar 

  10. Donaldson L. 150 years of the Annual Report of the Chief Medical Officer. 2008 [10 Aug 2013]; Available from: webarchive.nationalarchives.gov.uk/+/http://www.dh.gov.uk/en/publicationsandstatistics/publications/annualreports/dh_096206.

  11. Temple J. Time for Training. A review of the impact of the European Working Time Directive on the quality of training. 2010 [10 Aug 2013]; Available from: http://www.mee.nhs.uk/PDF/14274 Bookmark Web Version.pdf.

  12. Aggarwal R, Darzi A. From scalpel to simulator: a surgical journey. Surgery. 2009;145:1–4.

    Article  PubMed  Google Scholar 

  13. Choy I, Okrainec A. Simulation in surgery: perfecting the practice. Surg Clin North Am. 2010;90:457–73.

    Article  PubMed  Google Scholar 

  14. Jakimowicz J, Cuschieri A. Time for evidence-based minimal access surgery training: simulate or sink. Surg Endosc. 2005;19:1521–2.

    Article  CAS  PubMed  Google Scholar 

  15. Satava R. Surgical education and surgical simulation. World J Surg. 2001;25:1484–9.

    Article  CAS  PubMed  Google Scholar 

  16. Sturm L, Windsor J, Cosman P, Cregan P, Hewett P, Maddern G. A systematic review of skills transfer after surgical simulation training. Ann Surg. 2008;248:166–79.

    Article  PubMed  Google Scholar 

  17. Windsor J. Role of simulation in surgical education and training. ANZ J Surg. 2009;79:127–32.

    Article  PubMed  Google Scholar 

  18. McGaghie W, Issenberg S, Petrusa E, Scalese R. A critical review of simulation-based medical education research: 2003–2009. Med Educ. 2010;44:50–63.

    Article  PubMed  Google Scholar 

  19. Sutherland L, Middleton P, Anthony A, Hamdorf J, Cregan P, Scott D, et al. Surgical simulation: a systematic review. Ann Surg. 2006;243:291–300.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Regehr G. Trends in medical education research. Acad Med. 2004;79:939–47.

    Article  PubMed  Google Scholar 

  21. Coleman J, Nduka C, Darzi A. Virtual reality and laparoscopic surgery. Br J Surg. 1994;81:1709–11.

    Article  CAS  PubMed  Google Scholar 

  22. Undre S, Darzi A. Laparoscopy simulators. J Endourol. 2007;21:274–9.

    Article  PubMed  Google Scholar 

  23. Gurusamy K, Aggarwal R, Palanivelu L, Davidson B. Virtual reality training for surgical trainees in laparoscopic surgery. Cochrane Database Syst Rev. 2009;(1):CD006575.

    Google Scholar 

  24. Wilson M, Middlebrook A, Sutton C, Stone R, McCloy RMISTVR. A virtual reality trainer for laparoscopic surgery assesses performance. Ann R Coll Surg Engl. 1997;79:403–4.

    PubMed Central  CAS  PubMed  Google Scholar 

  25. Seymour N, Gallagher A, Roman S, O’Brien M, Bansal V, Andersen D, et al. Virtual reality training improves operating room performance. Ann Surg. 2002;236:458–64.

    Article  PubMed Central  PubMed  Google Scholar 

  26. Larsen C, Soerensen J, Grantcharov T, Dalsgaard T, Schouenborg L, Ottosen C, et al. Effect of virtual reality training on laparoscopic surgery: randomised controlled trial. Br Med J. 2009;338:b1802.

    Article  Google Scholar 

  27. Catalyud D, Arora S, Aggarwal R, Kruglikova I, Schulze S, Funch-Jensen P, et al. Warm-up in a virtual reality environment improves performance in the operating room. Ann Surg. 2010;251:1181–5.

    Article  Google Scholar 

  28. Andreatta P, Woodrum D, Birkmeyer J, Yellamanchilli R, Doherty G, Gauger P, et al. Laparoscopic skills are improved with LapMentor Training: results of a randomized, double-blinded study. Ann Surg. 2006;243:854–60.

    Article  PubMed Central  PubMed  Google Scholar 

  29. Thompson J, Leonard A, Doarn C, Roesch M, Broderick T. Limited value of haptics in virtual reality laparoscopic cholecystectomy training. Surg Endosc. 2011;25:1107–14.

    Article  PubMed  Google Scholar 

  30. Panait L, Akkary E, Bell R, Roberts K, Dudrick S, Duffy A. The role of haptic feedback in laparoscopic simulation training. J Surg Res. 2009;156:312–6.

    Article  PubMed  Google Scholar 

  31. Bashir G. Technology and medicine: the evolution of virtual reality simulation in laparoscopic training. Med Teach. 2010;32:558–61.

    Article  PubMed  Google Scholar 

  32. Aucar J, Groch N, Troxel S, Eubanks S. A review of surgical simulation with attention to validation methodology. Surg Laparosc Endosc Percutan Tech. 2005;15:82–9.

    Article  PubMed  Google Scholar 

  33. Wyles S, Miskovic D, Ni Z, Acheson A, Maxwell-Armstrong C, Longman R, et al. Analysis of laboratory-based laparoscopic colorectal surgery workshops within the English National Training Programme. Surg Endosc. 2011;25:1559–66.

    Article  PubMed  Google Scholar 

  34. Harris A. Distributed simulation and soft preserve cadavers in surgical simulation. Granada: SESAM; 2011.

    Google Scholar 

  35. Ericsson K, Charness N, Feltovich P, Hoffman R, editors. The Cambridge handbook of expertise and expert performance. New York: Cambridge University Press; 2006.

    Google Scholar 

  36. Mylopoulos M, Regehr G. Putting the expert together again. Med Educ. 2011;45:920–6.

    Article  PubMed  Google Scholar 

  37. Rosen M, Hunt E, Pronovost P, Federowicz M, Weaver S. In situ simulation in continuing education for health care professions: a systematic review. J Contin Educ Health Prof. 2012;32:243–54.

    Article  PubMed  Google Scholar 

  38. Kneebone R, Arora S, King D, Bello F, Sevdalis N, Kassab E, et al. Distributed simulation – accessible immersive training. Med Teach. 2010;32:65–70.

    Article  PubMed  Google Scholar 

  39. Kassab E, Tun J, Arora S, King D, Ahmed K, Miskovic D, et al. “Blowing up the barriers” in surgical training: exploring and validating the concept of distributed simulation. Ann Surg. 2011;254:1059–65.

    Article  PubMed  Google Scholar 

  40. Kassab E, Kyaw Tun J, Kneebone R. A novel approach to contextualized surgical simulation training. Simul Healthc. 2012;7:155–61.

    Article  PubMed  Google Scholar 

  41. Harris A, Kassab E, Tun JK, Kneebone R. Distributed Simulation in surgical training: an off-site feasibility study. Med Teach. 2013;35(4):e1078–81.

    Google Scholar 

  42. Kneebone R. Simulation, safety and surgery. Qual Safe Health Care. 2010;19:i47–52.

    Article  Google Scholar 

  43. Sachdeva A, Pellegrini C, Johnson K. Support for simulation-based surgical education through American College of Surgeons – Accredited Education Institutes. World J Surg. 2008;32:196–207.

    Article  PubMed  Google Scholar 

  44. Chang L, Petros J, Hess D, Rotondi C, Babineau T. Integrating simulation into a surgical residency program: is voluntary participation effective? Surg Endosc. 2007;21:418–21.

    Article  CAS  PubMed  Google Scholar 

  45. Snyder C, Vandromme M, Tyra S, Hawn M. Proficiency-based laparoscopic and endoscopic training with virtual reality simulators: a comparison of proctored and independent approaches. J Surg Educ. 2009;66:201–7.

    Article  PubMed  Google Scholar 

  46. Swanstrom L, Fried G, Hoffman K, Soper N. Beta test results of a new system assessing competence in laparoscopic surgery. J Am Coll Surg. 2006;202:62–9.

    Article  PubMed  Google Scholar 

  47. Palter V, Orzech N, Reznick R, Grantcharov T. Validation of a structured training and assessment curriculum for technical skill acquisition in minimally invasive surgery: a randomized controlled trial. Ann Surg. 2013;257:224–30.

    Article  PubMed  Google Scholar 

  48. Sweet R, Hananel D, Lawrenz F. A unified approach to validation, reliability, and education study design for surgical technical skills training. Arch Surg. 2010;145:197–201.

    Article  PubMed  Google Scholar 

  49. Hanna G, Mavroveli S, Marchington S, Allen-Mersh T, Paice E, Standfield N. The feasibility and acceptability of integrating regular centralised laboratory-based skills training into a surgical training programme. Med Teach. 2012;34:e827–32.

    Article  PubMed  Google Scholar 

  50. Willaert W, Aggarwal R, Van Herzeele I, Cheshire N, Vermassen F. Recent advancements in medical simulation: patient-specific virtual reality simulation. World J Surg. 2012;36:1703–12.

    Article  PubMed  Google Scholar 

  51. Explore surgery. [10 Aug 2013]; Available from: http://www.exploresurgery.com.

  52. Kneebone R, Woods A. Recapturing the history of surgical practice through simulation-based re-enactment. Med Hist. 2014;58:106–21.

    Article  PubMed Central  PubMed  Google Scholar 

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Correspondence to Alexander Harris MBBS, MRCS (Eng) .

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© 2015 Springer-Verlag London

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Harris, A., Bello, F., Kneebone, R. (2015). Simulation and Training in Minimal Access Surgery. In: Francis, N., Fingerhut, A., Bergamaschi, R., Motson, R. (eds) Training in Minimal Access Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-6494-4_3

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  • DOI: https://doi.org/10.1007/978-1-4471-6494-4_3

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6493-7

  • Online ISBN: 978-1-4471-6494-4

  • eBook Packages: MedicineMedicine (R0)

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