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Simulation and Training in Minimally Invasive Surgery

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Simulation Training in Laparoscopy and Robotic Surgery

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Abstract

Changes to the delivery of surgical services, shortened training times, and an increasing awareness of patient safety have had a profound effect on surgical training. Urology is a technology-driven specialty, in which the impact of such changes is potentially critical. Surgical training has traditionally relied upon direct patient care, but the tide is now turning. As laparoscopy and other minimally invasive urological techniques are introduced, there is an opportunity to explore alternative teaching and training strategies. Simulation is becoming increasingly embraced in urology training programs. This chapter provides an overview of the background of simulation for minimally invasive surgery and explores its potential to provide technical and nontechnical skills training for urologists.

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References

  1. Kohn LT, Corrigan J, Donaldson MS, editors. To err is human: Building a safer health system. Washington, D.C.: National Academy Press; 2000.

    Google Scholar 

  2. Department of Health. High quality care for all: NHS Next Stage Review final report 2008.

    Google Scholar 

  3. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ. 2001;322(7285):517–9.

    Article  PubMed  CAS  Google Scholar 

  4. Gawande AA, Thomas EJ, Zinner MJ, Brennan TA. The incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery. 1999;126(1):66–75.

    Article  PubMed  CAS  Google Scholar 

  5. Tooke J. Aspiring to excellence: final report of the independent inquiry into modernising medical careers. London: MMC Inquiry; 2008.

    Google Scholar 

  6. Belcher E, Arora S, Samancilar O, Goldstraw P. Reducing cardiac injury during minimally invasive repair of pectus excavatum. Eur J Cardiothorac Surg. 2008;33(5):931–3.

    Article  PubMed  Google Scholar 

  7. Aggarwal R, Grantcharov TP, Darzi A. Framework for systematic training and assessment of technical skills. J Am Coll Surg. 2007;204(4):697–705.

    Article  PubMed  Google Scholar 

  8. Aggarwal R, Grantcharov TP, Eriksen JR, et al. An evidence-based virtual reality training program for novice laparoscopic surgeons. Ann Surg. 2006;244(2):310–4.

    Article  PubMed  Google Scholar 

  9. Grantcharov TP, Bardram L, Funch-Jensen P, Rosenberg J. Learning curves and impact of previous operative experience on performance on a virtual reality simulator to test laparoscopic surgical skills. Am J Surg. 2003;185(2):146–9.

    Article  PubMed  Google Scholar 

  10. Arora S, Aggarwal R, Sevdalis N, et al. Development and validation of mental practice as a training strategy for laparoscopic surgery. Surg Endosc. 2010;24(1):179–87.

    Article  PubMed  Google Scholar 

  11. Arora S, Sevdalis N, Nestel D, Tierney T, Woloshynowych M, Kneebone R. Managing intraoperative stress: what do surgeons want from a crisis training program? Am J Surg. 2009;197(4):537–43.

    Article  PubMed  Google Scholar 

  12. Kneebone RL, Nestel D, Vincent C, Darzi A. Complexity, risk and simulation in learning procedural skills. Med Educ. 2007;41(8):808–14.

    Article  PubMed  CAS  Google Scholar 

  13. Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach. 2005;27(1):10–28.

    Article  PubMed  Google Scholar 

  14. Kneebone R, Aggarwal R. Surgical training using simulation. BMJ. 2009;338:b1001.

    Article  PubMed  Google Scholar 

  15. Helmreich RL. On error management: lessons from aviation [see comment]. BMJ. 2000;320(7237):781–5.

    Article  PubMed  CAS  Google Scholar 

  16. Flin R, O’Connor P, Crichton M. Safety at the sharp end: a guide to non-technical skills. Aldershot: Ashgate; 2008.

    Google Scholar 

  17. Arora S, Sevdalis N. HOSPEX and concepts of simulation. J R Army Med Corps. 2008;154(3):202–5.

    PubMed  CAS  Google Scholar 

  18. Holzman RS, Cooper JB, Gaba DM, Philip JH, Small SD, Feinstein D. Anesthesia crisis resource management: real-life simulation training in operating room crises. J Clin Anesth. 1995;7(8):675–87.

    Article  PubMed  CAS  Google Scholar 

  19. Carter FJ, Schijven MP, Aggarwal R, et al. Consensus guidelines for validation of virtual reality surgical simulators. Simul Healthc. 2006;1(3):171–9.

    Article  PubMed  CAS  Google Scholar 

  20. Kneebone R, Arora S, King D, et al. Distributed Simulation – widening access to immersive training for clinical skills. Med Teacher. 2010;32(1):65–70.

    Article  Google Scholar 

  21. Paige JT, Kozmenko V, Yang T, et al. High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. Surgery. 2009;145(2):138–46.

    Article  PubMed  Google Scholar 

  22. Dankelman J, Chmarra MK, Verdaasdonk EG, Stassen LP, Grimbergen CA. Fundamental aspects of learning minimally invasive surgical skills. Minim Invasive Ther Allied Technol. 2005;14(4):247–56.

    Article  PubMed  CAS  Google Scholar 

  23. Kneebone R, Kidd J, Nestel D, Asvall S, Paraskeva P, Darzi A. An innovative model for teaching and learning clinical procedures. Med Educ. 2002;36(7):628–34.

    Article  PubMed  Google Scholar 

  24. Arora S, Sevdalis N, Suliman I, Athanasiou T, Kneebone R, Darzi A. What makes a competent surgeon? Experts and trainees perceptions of the role of a surgeon. Am J Surg. 2009;198(5):726–32.

    Article  PubMed  Google Scholar 

  25. Swing SR. Assessing the ACGME general competencies: general considerations and assessment methods. Acad Emerg Med. 2002;9(11):1278–88.

    Article  PubMed  Google Scholar 

  26. Frank JR, Danoff D. The CanMEDS initiative: implementing an outcomes-based framework of physician competencies. Med Teach. 2007;29(7):642–7.

    Article  PubMed  Google Scholar 

  27. ISCP. Intercollegiate Surgical Curriculum Project. Accessed 6 July 2008.

    Google Scholar 

  28. Watterson JD, Beiko DT, Kuan JK, Denstedt JD. Randomized prospective blinded study validating acquistion of ureteroscopy skills using computer based virtual reality endourological simulator. J Urol. 2002;168(5):1928–32.

    Article  PubMed  Google Scholar 

  29. Shah J, Darzi A. Surgical skills assessment: an ongoing debate. BJU Int. 2001;88(7):655–60.

    Article  PubMed  CAS  Google Scholar 

  30. Aggarwal R, Moorthy K, Darzi A. Laparoscopic skills training and assessment. Br J Surg. 2004;91(12):1549–58.

    Article  PubMed  CAS  Google Scholar 

  31. Sethi AS, Peine WJ, Mohammadi Y, Sundaram CP. Validation of a novel virtual reality robotic simulator. J Endourol. 2009;23(3):503–8.

    Article  PubMed  Google Scholar 

  32. Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843–53.

    Article  PubMed  Google Scholar 

  33. Kishore TA, Pedro RN, Monga M, Sweet RM. Assessment of validity of an OSATS for cystoscopic and ureteroscopic cognitive and psychomotor skills. J Endourol. 2008;22(12):2707–11.

    Article  PubMed  Google Scholar 

  34. Martin JA, Regehr G, Reznick R, et al. Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg. 1997;84(2):273–8.

    Article  PubMed  CAS  Google Scholar 

  35. Datta V, Chang A, Mackay S, Darzi A. The relationship between motion analysis and surgical technical assessments. Am J Surg. 2002;184(1):70–3.

    Article  PubMed  Google Scholar 

  36. Sutherland LM, Middleton PF, Anthony A, et al. Surgical simulation: a systematic review [see comment]. Ann Surg. 2006;243(3):291–300.

    Article  PubMed  Google Scholar 

  37. Yule S, Flin R, Paterson-Brown S, Maran N. Non-technical skills for surgeons in the operating room: a review of the literature. Surgery. 2006;139(2):140–9.

    Article  PubMed  CAS  Google Scholar 

  38. Clarke MG, Wilson JR, Kennedy KP, MacDonagh RP. Clinical judgment analysis of the parameters used by consultant urologists in the management of prostate cancer. J Urol. 2007;178(1):98–102.

    Article  PubMed  Google Scholar 

  39. Undre S, Healey AN, Darzi A, Vincent CA. Observational assessment of surgical teamwork: a feasibility study. World J Surg. 2006;30(10):1774–83.

    Article  PubMed  Google Scholar 

  40. Undre S, Sevdalis N, Healey AN, Darzi A, Vincent CA. Observational teamwork assessment for surgery (OTAS): refinement and application in urological surgery. World J Surg. 2007;31(7):1373–81.

    Article  PubMed  Google Scholar 

  41. Healey AN, Primus CP, Koutantji M. Quantifying distraction and interruption in urological surgery. Qual Saf Health Care. 2007;16(2):135–9.

    Article  PubMed  CAS  Google Scholar 

  42. Primus CP, Healey AN, Undre S. Distraction in the urology operating theatre. BJU Int. 2007;99(3):493–4.

    Article  PubMed  Google Scholar 

  43. Helmreich RL, Merritt AC, Wilhelm JA. The evolution of Crew Resource Management training in commercial aviation. Int J Aviat Psychol. 1999;9(1):19–32.

    Article  PubMed  CAS  Google Scholar 

  44. Coxon JP, Pattison SH, Parks JW, Stevenson PK, Kirby RS. Reducing human error in urology: lessons from aviation. BJU Int. 2003;91(1):1–3.

    Article  PubMed  CAS  Google Scholar 

  45. Moorthy K, Munz Y, Forrest D, et al. Surgical crisis management skills training and assessment: a simulation[corrected]-based approach to enhancing operating room performance. Ann Surg. 2006;244(1):139–47.

    Article  PubMed  Google Scholar 

  46. Gettman MT, Karnes RJ, Arnold JJ, et al. Urology resident training with an unexpected patient death scenario: experiential learning with high fidelity simulation. J Urol. 2008;180(1):283–8.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Departments of Surgery and Cancer, Imperial College, Praed Street, London, W2 1NY, UK

    Sonal Arora B.Sc.(hons), MBBS, MRCS, Shabnam Undre MBBS, FRCS, Ph.D. & Roger Kneebone Ph.D., FRCS, FrCGP

Authors
  1. Sonal Arora B.Sc.(hons), MBBS, MRCS
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  2. Shabnam Undre MBBS, FRCS, Ph.D.
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  3. Roger Kneebone Ph.D., FRCS, FrCGP
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Corresponding author

Correspondence to Roger Kneebone Ph.D., FRCS, FrCGP .

Editor information

Editors and Affiliations

  1. Department of Surgery, University Hospital of North Norway, Tromsø, 9019, Norway

    Hitendra R.H. Patel

  2. , Urology and Wilmot Cancer Center, University of Rochester Medical Center, Elmwood Avenue 601, Rochester, 14642, New York, USA

    Jean V. Joseph

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© 2012 Springer-Verlag London

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Arora, S., Undre, S., Kneebone, R. (2012). Simulation and Training in Minimally Invasive Surgery. In: Patel, H., Joseph, J. (eds) Simulation Training in Laparoscopy and Robotic Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-2930-1_4

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  • DOI: https://doi.org/10.1007/978-1-4471-2930-1_4

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2929-5

  • Online ISBN: 978-1-4471-2930-1

  • eBook Packages: MedicineMedicine (R0)

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