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surgical_education [2020/03/24 02:34]
127.0.0.1 external edit
surgical_education [2021/06/12 08:35] (current)
admin added link to systematic review for non-biological
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 Laparascopic surgery has the best developed simulation models and programmes for this. We should ride on the knowledge gained from their experience to also develop more effective, efficient, and evidence supported microvascular training programmes. Laparascopic surgery has the best developed simulation models and programmes for this. We should ride on the knowledge gained from their experience to also develop more effective, efficient, and evidence supported microvascular training programmes.
 +
 +====Microsurgery Education====
 +
 +[[Microsurgery Assessment]]
 +
 +Does teaching/ learning of microsurgery help develop skills in other areas of surgery? and vice versa?
 +
 +  * [[jnl:almeland2019]] suggests teaching microsurgery does not improve their macrosurgical skills, but does increase their interest in plastic surgery. I have some concerns about the study methodology.
 +
 +How much time do you need to develop microsurgical skills?
 +
 +  * [[jnl:onoda2015]] suggests 7-8 hours a day for 15 days is sufficient.
 +
 +====Training====
  
 [[Training]] [[Training]]
  
 +====Selection for Training====
 +
 +There is some evidence that surgical aptitude and attitude can predict performance in surgical training see [[jnl:Moore2015]]
 +
 +For medical students: the effect of a curriculum entering surgical rotation: [[jnl:shipper2017|Evaluation of Technical and Non-Technical Skills Curriculum for Students Entering Surgery]]
 ====Clinical Training==== ====Clinical Training====
  
 +  * Predictors of Surgical Performance: see [[jnl:Maan2012]]
   * Entrustable Professional Activities   * Entrustable Professional Activities
       * [[jnl:vanloon2014|Potential benefits and pitfalls]]       * [[jnl:vanloon2014|Potential benefits and pitfalls]]
 +  * [[Educational Needs in Hand Surgery]]
  
 ====Technical Skills==== ====Technical Skills====
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 === Low Fidelity Training === === Low Fidelity Training ===
 +There is good evidence that low fidelity/cheaper simulation works as well as more expensive high tech ones, particularly for novices. See this [[jnl:abi-rafeh2019|Systematic Review]]
 +
   - [[jnl:wais2012|Low-Fi training can improve cadaveric endoscopic sinus surgery in cadaver]]   - [[jnl:wais2012|Low-Fi training can improve cadaveric endoscopic sinus surgery in cadaver]]
   - [[jnl:smink2017|May need at least moderate fidelity for non-technical skill acquisition]]   - [[jnl:smink2017|May need at least moderate fidelity for non-technical skill acquisition]]
 +  - [[jnl:diesen2011|Box trainer as good as hi tech laparascopic trainer in novices]]
  
  
  
 ===Other aspects of Learning=== ===Other aspects of Learning===
 +  - [[Retention and Decay]]
   - [[Motivation]]   - [[Motivation]]
   - [[Metacognition]]. See [[jnl:burman2014]]; also mentioned in [[jnl:peyre2011]]   - [[Metacognition]]. See [[jnl:burman2014]]; also mentioned in [[jnl:peyre2011]]
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 === Non-Technical Skills === === Non-Technical Skills ===
   - [[jnl:smink2017|Technical and Non-technical skills are interdependent]]   - [[jnl:smink2017|Technical and Non-technical skills are interdependent]]
 +
 +=== Assessment of Technical Skills ===
 +  - [[jnl:Moorthy2003|Objective assessment of technical skills in surgery]]
 +
 +
 +== Product Assessment ==
 +  * [[jnl:kim2019]]
  
  
 ====Surgical Simulation==== ====Surgical Simulation====
 +
 +How much simulation?
 +  * [[jnl:rabinovich2021|Does more simulation help in fracture reduction?]]
  
 While becoming more common, there are concerns about: While becoming more common, there are concerns about:
   * transferability   * transferability
 +    * [[jnl:anton2019|Predictors of transfer]]
   * retention   * retention
     * A [[jnl:atesok2016|recent review]]     * A [[jnl:atesok2016|recent review]]
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 [[Glossary]] [[Glossary]]
 +
 +==== Sleep and Sleep deprivation ====
 +
 +[[jnl:taffinder1992|Sleep Deprivation on Surgeon's Dexterity]]
 +
 +==== See also ====
 +  * [[bk:schon1983|The reflective practitioner. How professionals think in action]]
 +
surgical_education.1585017260.txt.gz · Last modified: 2020/03/24 02:34 by 127.0.0.1