Skip to main content

Advertisement

Log in

Telementoring: an application whose time has come

  • New Technology
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Background

Telementoring offers the possibility of making extended education oversight available on a cost-effective, large-scale basis. It expands the mentor/proctor pool and makes these educational assets more widely available to assist in protecting the public. However, it is an application that if haphazardly implemented rapidly losses its effectiveness and is more dangerous to the patient. Like all programs that can cite demonstrable outcome consistency, telementoring should be established on a foundation of sound training methodology. This article discusses the history of telementoring and where this modality stands today and outlines a validated methodology for successful telementoring missions.

Methods

This algorithm includes preprocedural assessment and enhancement of laparoscopic surgical skills, establishment of a standardized approach to the procedure, tactical information deployment, telementoring simulation laboratories, and establishment of the doctor/patient relationship.

Results

Telementoring can make cost-effective extended education oversight available on a large-scale basis.

Discussion

Because of an overwhelming need for mentors/proctors and supporting evidence in the literature, telementoring is an application whose time has come.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.
Fig. 5.

Similar content being viewed by others

References

  1. American Society of Bariatric Surgeons (ASBS) (2003) ASBS Guidelines for Granting Privileges in Bariatric Surgery, ASBS Annual Conference. Available at http://www.asbs.org/html/guidelines.html

  2. Bruschi M, Micali S, Porpiglia F, Celia A, De Stefani S, Grande M, Scarpa RM, Bianchi G (2005) Laparoscopic telementored adrenalectomy: The Italian experience. Surg Endosc 19: 836–840

    Article  PubMed  CAS  Google Scholar 

  3. Byrne JP, Mughal MM (2000) Telementoring in laparoscopic cholecystectomy: a useful adjunct in training and assessment of higher surgical trainees. Br J Surg 87: 362–373

    Article  Google Scholar 

  4. Camara JG, Rodriguez RE (1998) Real-time telementoring in ophthalmology. Telemedicine J 4: 375–377

    CAS  Google Scholar 

  5. Challacombe B, Kandaswamy R, Dasgupta P, Mamode N (2005) Telementoring facilitates independent hand-assisted laparoscopic living donor nephrectomy. Transplant Proc 37: 613–616

    Article  PubMed  CAS  Google Scholar 

  6. Cubano M, Poulose BK, Talamini MA, Stewart R, Antosek LE, Lentz R, Nibe R, Kutka MF, Mendoza-Sagaon M (1999) Long distance telementoring. A novel tool for laparoscopy aboard the USS Abraham Lincoln. Surg Endosc 13: 673–678

    Article  PubMed  CAS  Google Scholar 

  7. Di Valentino M, Alerci M, Bogen M, Tutta P, Sartori F, Marty B, von Segesser L, Gallino A (2005) Telementoring during endovascular treatment of abdominal aortic aneurysms: a prospective study. J Endovasc Ther 12: 200–205

    Article  PubMed  Google Scholar 

  8. Jutras A (1959) Teleroentgen diagnosis by means of video-tape recording. Am J Roentgenol Radium Ther Nucl Med 82: 1099–1102

    PubMed  CAS  Google Scholar 

  9. Lee BR, Moore R (2000) International telementoring: a feasible method of instruction. World J Surg 4: 296–298

    Google Scholar 

  10. Lee BR, Bishoff JT, Janetschek G, Bunyaratevej P, Kamolpronwijit W, Cadeddu JA, Ratchanon S, O’Kelley S, Kavoussi LR (1998) A novel method of surgical instruction: international telementoring. World J Urol 16: 367–370

    Article  PubMed  CAS  Google Scholar 

  11. Mendez I, Hill R, Clarke D, Kolyvas G (2005) Robotic long-distance telementoring in neurosurgery. Neurosurgery 56: 434–440

    Article  PubMed  Google Scholar 

  12. Merriam-Webster Online: http://www.m-w.com [accessed June 21, 2005]

  13. Moore RG, Adams JB, Partin AW, Docimo SG, Kavoussi LR (1996) Telementoring of laparoscopic procedures: initial clinical experience. Surg Endosc 10: 107–110

    Article  PubMed  CAS  Google Scholar 

  14. Ranshaw B, Tucker J, Duncan T, Mason E, Lucas G (1996) Laparoscopic herniorrhaphy: a review of 900 cases. Surg Endosc 10: 255

    Google Scholar 

  15. Robles AE (1994) Laparoscopy in general surgery: Training, credentialing, and safety. Int Surg 79: 266–267

    PubMed  CAS  Google Scholar 

  16. Rodrigues Netto N Jr, Mitre AI, Lima SV, Fugita OE, Lima ML, Stoianovici D, Patriciu A, Kavoussi LR (2003) Telementoring between Brazil and the United States: initial experience. J Endourol 17: 217–220

    Article  PubMed  Google Scholar 

  17. Rosser JC, Rosser LE, Savalgi RS (1997) Skill acquisition and assessment for laparoscopic surgery. Arch Surg 132: 200–204

    PubMed  CAS  Google Scholar 

  18. Rosser JC, Wood M, Payne JH, Fullum TM, Lisehora GB, Rosser LE, Barcia PJ, Salvagi RS (1997) Telementoring: A practical option in surgical training. Surg Endosc 11: 852–855

    Article  PubMed  CAS  Google Scholar 

  19. Rosser JC Jr, Rosser LE, Savalgi RS (1998) Objective evaluation of a laparoscopic surgical skill program for residents and senior surgeons. Arch Surg 133: 657–661

    Article  PubMed  Google Scholar 

  20. Rosser JC, Bell RL, Harnett B, Rodas E, Murayama M, Merrell R (1999) Use of mobile low-bandwidth telemedical techniques for extreme telemedicine applications. J Am Coll Surg 189: 397–404

    Article  PubMed  Google Scholar 

  21. Rosser JC, Herman B, Risucci DA, Murayama M, Rosser LE, Merrell RC (2000) Effectiveness of a CD-ROM multimedia tutorial in transferring cognitive knowledge essential for laparoscopic skill training. Am J Surg 179: 320–324

    Article  PubMed  CAS  Google Scholar 

  22. Rosser JC Jr, Murayama M, Gabriel NH (2000) Minimally invasive training solutions for the twenty-first century. Surg Clin North Am 80: 1607–1624

    Article  PubMed  Google Scholar 

  23. Rosser JC, Gabriel NH, Herman B, Murayama M (2001) Telementoring and teleproctoring. World J Surg 11: 1438–1448

    Article  Google Scholar 

  24. Rosser JC, Herman B, Ehrenwerth C (2001) An overview of videostreaming on the Internet and its application to surgical education. Surg Endosc 15: 624–629

    Article  PubMed  CAS  Google Scholar 

  25. Rosser JC, Herman B, Giammaria L (2003) Telementoring. Semin Laparosc Surg 10: 209–217

    PubMed  Google Scholar 

  26. Satava RM, Reed WP (1993) Proctors, preceptors, and laparoscopic surgery: the role of “proctor” in the surgical credentialing process. Surg Endosc 7: 283–284

    Article  PubMed  CAS  Google Scholar 

  27. Sawyer MA, Lim RB, Wong SY, Cirangle PT, Birkmire-Peters D (2000) Telementored laparoscopic cholecystectomy: a pilot study. Stud Health Technol Inform 70: 302–308

    PubMed  CAS  Google Scholar 

  28. Schauer P, Ikramuddin S, Hamad G, Gourash W (2003) The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc 17: 212–215

    Article  PubMed  CAS  Google Scholar 

  29. Schulam PG, Docimo SG, Saleh W, Breitenbach C, Moore RG, Kavoussi L (1997) Telesurgical mentoring. Initial clinical experience. Surg Endosc 11: 1001–1005

    Article  CAS  Google Scholar 

  30. Taniguchi E, Ohashi S (2000) Construction of a regional telementoring network for endoscopic surgery in Japan. IEEE Trans Inf Technol Biomed 4: 195–199

    Article  PubMed  CAS  Google Scholar 

  31. The Institute of Medicine (1999) To err is human: building a safer health system. : National Academy Press, Washington, DC. Available at http://www.nap.edu/books/0309068371/html

  32. Voitk AJ (1998) The learning curve in laparoscopic inguinal hernia repair for the community general surgeon. Can J Surg 41: 446–450

    PubMed  CAS  Google Scholar 

  33. Watson DI, Baigrie RJ, Jamieson GG (1998) A learning curve for laparoscopic fundoplication: definable, avoidable, or a waste of time? Ann Surg 224: 198–203

    Article  Google Scholar 

  34. Whitehead R (1995) The evolution of telemedicine: then, now, and what will be. Teleconference 14: 9–11

    Google Scholar 

  35. Wishner JD, Baker JW Jr, Hoffman GC, Hubbard GW 2nd, Gould RJ, Wohlgemuth SD, Ruffin WK, Melick CF (1995) Laparoscopic-assisted colectomy. The learning curve. Surg Endosc 9: 1179–1183

    CAS  Google Scholar 

  36. Wittson CL, Affleck DC, Johnson V (1961) Two-way television group therapy. Ment Hosp 12: 22–23

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to James C. Rosser Jr..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rosser, J.C., Young, S.M. & Klonsky, J. Telementoring: an application whose time has come. Surg Endosc 21, 1458–1463 (2007). https://doi.org/10.1007/s00464-007-9263-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-007-9263-3

Keywords

Navigation