Bimanual Psychomotor Performance in Neurosurgical Resident Applicants Assessed Using NeuroTouch, a Virtual Reality Simulator.
Identifieur interne : 000B07 ( Main/Exploration ); précédent : 000B06; suivant : 000B08Bimanual Psychomotor Performance in Neurosurgical Resident Applicants Assessed Using NeuroTouch, a Virtual Reality Simulator.
Auteurs : Alexander Winkler-Schwartz [Canada] ; Khalid Bajunaid [Arabie saoudite] ; Muhammad A S. Mullah [Canada] ; Ibrahim Marwa [Canada] ; Fahad E. Alotaibi [Arabie saoudite] ; Jawad Fares [Canada] ; Marta Baggiani [Canada] ; Hamed Azarnoush [Iran] ; Gmaan Al Zharni [Arabie saoudite] ; Sommer Christie [Canada] ; Abdulrahman J. Sabbagh [Arabie saoudite] ; Penny Werthner [Canada] ; Rolando F. Del Maestro [Canada]Source :
- Journal of surgical education [ 1878-7452 ]
Descripteurs français
- KwdFr :
- Adulte (MeSH), Compétence clinique (MeSH), Enseignement médical premier cycle (méthodes), Femelle (MeSH), Formation par simulation (méthodes), Humains (MeSH), Interface utilisateur (MeSH), Internat et résidence (organisation et administration), Mâle (MeSH), Neurochirurgie (enseignement et éducation), Performance psychomotrice (MeSH), Québec (MeSH), Sélection du personnel (méthodes), Tumeurs du cerveau (chirurgie), Écoles de médecine (MeSH), Étudiant médecine (statistiques et données numériques).
- MESH :
- chirurgie : Tumeurs du cerveau.
- enseignement et éducation : Neurochirurgie.
- méthodes : Enseignement médical premier cycle, Formation par simulation, Sélection du personnel.
- organisation et administration : Internat et résidence.
- statistiques et données numériques : Étudiant médecine.
- Adulte, Compétence clinique, Femelle, Humains, Interface utilisateur, Mâle, Performance psychomotrice, Québec, Écoles de médecine.
English descriptors
- KwdEn :
- Adult (MeSH), Brain Neoplasms (surgery), Clinical Competence (MeSH), Education, Medical, Undergraduate (methods), Female (MeSH), Humans (MeSH), Internship and Residency (organization & administration), Male (MeSH), Neurosurgery (education), Personnel Selection (methods), Psychomotor Performance (MeSH), Quebec (MeSH), Schools, Medical (MeSH), Simulation Training (methods), Students, Medical (statistics & numerical data), User-Computer Interface (MeSH).
- MESH :
- education : Neurosurgery.
- methods : Education, Medical, Undergraduate, Personnel Selection, Simulation Training.
- organization & administration : Internship and Residency.
- statistics & numerical data : Students, Medical.
- surgery : Brain Neoplasms.
- Adult, Clinical Competence, Female, Humans, Male, Psychomotor Performance, Quebec, Schools, Medical, User-Computer Interface.
Abstract
OBJECTIVE
Current selection methods for neurosurgical residents fail to include objective measurements of bimanual psychomotor performance. Advancements in computer-based simulation provide opportunities to assess cognitive and psychomotor skills in surgically naive populations during complex simulated neurosurgical tasks in risk-free environments. This pilot study was designed to answer 3 questions: (1) What are the differences in bimanual psychomotor performance among neurosurgical residency applicants using NeuroTouch? (2) Are there exceptionally skilled medical students in the applicant cohort? and (3) Is there an influence of previous surgical exposure on surgical performance?
DESIGN
Participants were instructed to remove 3 simulated brain tumors with identical visual appearance, stiffness, and random bleeding points. Validated tier 1, tier 2, and advanced tier 2 metrics were used to assess bimanual psychomotor performance. Demographic data included weeks of neurosurgical elective and prior operative exposure.
SETTING
This pilot study was carried out at the McGill Neurosurgical Simulation Research and Training Center immediately following neurosurgical residency interviews at McGill University, Montreal, Canada.
PARTICIPANTS
All 17 medical students interviewed were asked to participate, of which 16 agreed.
RESULTS
Performances were clustered in definable top, middle, and bottom groups with significant differences for all metrics. Increased time spent playing music, increased applicant self-evaluated technical skills, high self-ratings of confidence, and increased skin closures statistically influenced performance on univariate analysis. A trend for both self-rated increased operating room confidence and increased weeks of neurosurgical exposure to increased blood loss was seen in multivariate analysis.
CONCLUSIONS
Simulation technology identifies neurosurgical residency applicants with differing levels of technical ability. These results provide information for studies being developed for longitudinal studies on the acquisition, development, and maintenance of psychomotor skills. Technical abilities customized training programs that maximize individual resident bimanual psychomotor training dependant on continuously updated and validated metrics from virtual reality simulation studies should be explored.
DOI: 10.1016/j.jsurg.2016.04.013
PubMed: 27395397
Affiliations:
- Arabie saoudite, Canada, Iran
- Alberta, Québec
- Calgary, Montréal
- Université McGill, Université de Calgary
Links toward previous steps (curation, corpus...)
Le document en format XML
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Alotaibi</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Department of Neurosurgery, National Neuroscience Institute (NNI), King Fahad Medical City (KFMC), Riyadh, Saudi Arabia.</nlm:affiliation><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Department of Neurosurgery, National Neuroscience Institute (NNI), King Fahad Medical City (KFMC), Riyadh</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Fares, Jawad" sort="Fares, Jawad" uniqKey="Fares J" first="Jawad" last="Fares">Jawad Fares</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Baggiani, Marta" sort="Baggiani, Marta" uniqKey="Baggiani M" first="Marta" last="Baggiani">Marta Baggiani</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Azarnoush, Hamed" sort="Azarnoush, Hamed" uniqKey="Azarnoush H" first="Hamed" last="Azarnoush">Hamed Azarnoush</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Amirkabir University of Technology (Tehran Polytechnic), Tehran</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Zharni, Gmaan Al" sort="Zharni, Gmaan Al" uniqKey="Zharni G" first="Gmaan Al" last="Zharni">Gmaan Al Zharni</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Department of Neurosurgery, National Neuroscience Institute (NNI), King Fahad Medical City (KFMC), Riyadh, Saudi Arabia.</nlm:affiliation><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Department of Neurosurgery, National Neuroscience Institute (NNI), King Fahad Medical City (KFMC), Riyadh</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Christie, Sommer" sort="Christie, Sommer" uniqKey="Christie S" first="Sommer" last="Christie">Sommer Christie</name><affiliation wicri:level="4"><nlm:affiliation>Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Kinesiology, University of Calgary, Calgary, Alberta</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Sabbagh, Abdulrahman J" sort="Sabbagh, Abdulrahman J" uniqKey="Sabbagh A" first="Abdulrahman J" last="Sabbagh">Abdulrahman J. Sabbagh</name><affiliation wicri:level="1"><nlm:affiliation>Section of Neurosurgery, Department of Neurosciences, King Faisal Specialist Hospital & Research Center (Gen. Org) - Jeddah Branch, Jeddah, Saudi Arabia.</nlm:affiliation><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Section of Neurosurgery, Department of Neurosciences, King Faisal Specialist Hospital & Research Center (Gen. 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Del Maestro</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016 Nov - Dec</date><idno type="RBID">pubmed:27395397</idno><idno type="pmid">27395397</idno><idno type="doi">10.1016/j.jsurg.2016.04.013</idno><idno type="wicri:Area/Main/Corpus">000B53</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000B53</idno><idno type="wicri:Area/Main/Curation">000B53</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000B53</idno><idno type="wicri:Area/Main/Exploration">000B53</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Bimanual Psychomotor Performance in Neurosurgical Resident Applicants Assessed Using NeuroTouch, a Virtual Reality Simulator.</title><author><name sortKey="Winkler Schwartz, Alexander" sort="Winkler Schwartz, Alexander" uniqKey="Winkler Schwartz A" first="Alexander" last="Winkler-Schwartz">Alexander Winkler-Schwartz</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada. Electronic address: alexander.winkler-schwartz@mail.mcgill.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Bajunaid, Khalid" sort="Bajunaid, Khalid" uniqKey="Bajunaid K" first="Khalid" last="Bajunaid">Khalid Bajunaid</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Division of Neurosurgery, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.</nlm:affiliation><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Division of Neurosurgery, Faculty of Medicine, University of Jeddah, Jeddah</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Mullah, Muhammad A S" sort="Mullah, Muhammad A S" uniqKey="Mullah M" first="Muhammad A S" last="Mullah">Muhammad A S. Mullah</name><affiliation wicri:level="4"><nlm:affiliation>Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Québec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Québec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Marwa, Ibrahim" sort="Marwa, Ibrahim" uniqKey="Marwa I" first="Ibrahim" last="Marwa">Ibrahim Marwa</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Alotaibi, Fahad E" sort="Alotaibi, Fahad E" uniqKey="Alotaibi F" first="Fahad E" last="Alotaibi">Fahad E. Alotaibi</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Department of Neurosurgery, National Neuroscience Institute (NNI), King Fahad Medical City (KFMC), Riyadh, Saudi Arabia.</nlm:affiliation><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Department of Neurosurgery, National Neuroscience Institute (NNI), King Fahad Medical City (KFMC), Riyadh</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Fares, Jawad" sort="Fares, Jawad" uniqKey="Fares J" first="Jawad" last="Fares">Jawad Fares</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Baggiani, Marta" sort="Baggiani, Marta" uniqKey="Baggiani M" first="Marta" last="Baggiani">Marta Baggiani</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Azarnoush, Hamed" sort="Azarnoush, Hamed" uniqKey="Azarnoush H" first="Hamed" last="Azarnoush">Hamed Azarnoush</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Amirkabir University of Technology (Tehran Polytechnic), Tehran</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Zharni, Gmaan Al" sort="Zharni, Gmaan Al" uniqKey="Zharni G" first="Gmaan Al" last="Zharni">Gmaan Al Zharni</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Department of Neurosurgery, National Neuroscience Institute (NNI), King Fahad Medical City (KFMC), Riyadh, Saudi Arabia.</nlm:affiliation><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Department of Neurosurgery, National Neuroscience Institute (NNI), King Fahad Medical City (KFMC), Riyadh</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Christie, Sommer" sort="Christie, Sommer" uniqKey="Christie S" first="Sommer" last="Christie">Sommer Christie</name><affiliation wicri:level="4"><nlm:affiliation>Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Kinesiology, University of Calgary, Calgary, Alberta</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Sabbagh, Abdulrahman J" sort="Sabbagh, Abdulrahman J" uniqKey="Sabbagh A" first="Abdulrahman J" last="Sabbagh">Abdulrahman J. Sabbagh</name><affiliation wicri:level="1"><nlm:affiliation>Section of Neurosurgery, Department of Neurosciences, King Faisal Specialist Hospital & Research Center (Gen. Org) - Jeddah Branch, Jeddah, Saudi Arabia.</nlm:affiliation><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Section of Neurosurgery, Department of Neurosciences, King Faisal Specialist Hospital & Research Center (Gen. Org) - Jeddah Branch, Jeddah</wicri:regionArea><wicri:noRegion>Jeddah</wicri:noRegion></affiliation></author><author><name sortKey="Werthner, Penny" sort="Werthner, Penny" uniqKey="Werthner P" first="Penny" last="Werthner">Penny Werthner</name><affiliation wicri:level="4"><nlm:affiliation>Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Kinesiology, University of Calgary, Calgary, Alberta</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Del Maestro, Rolando F" sort="Del Maestro, Rolando F" uniqKey="Del Maestro R" first="Rolando F" last="Del Maestro">Rolando F. Del Maestro</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author></analytic><series><title level="j">Journal of surgical education</title><idno type="eISSN">1878-7452</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Brain Neoplasms (surgery)</term><term>Clinical Competence (MeSH)</term><term>Education, Medical, Undergraduate (methods)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Internship and Residency (organization & administration)</term><term>Male (MeSH)</term><term>Neurosurgery (education)</term><term>Personnel Selection (methods)</term><term>Psychomotor Performance (MeSH)</term><term>Quebec (MeSH)</term><term>Schools, Medical (MeSH)</term><term>Simulation Training (methods)</term><term>Students, Medical (statistics & numerical data)</term><term>User-Computer Interface (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Compétence clinique (MeSH)</term><term>Enseignement médical premier cycle (méthodes)</term><term>Femelle (MeSH)</term><term>Formation par simulation (méthodes)</term><term>Humains (MeSH)</term><term>Interface utilisateur (MeSH)</term><term>Internat et résidence (organisation et administration)</term><term>Mâle (MeSH)</term><term>Neurochirurgie (enseignement et éducation)</term><term>Performance psychomotrice (MeSH)</term><term>Québec (MeSH)</term><term>Sélection du personnel (méthodes)</term><term>Tumeurs du cerveau (chirurgie)</term><term>Écoles de médecine (MeSH)</term><term>Étudiant médecine (statistiques et données numériques)</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Tumeurs du cerveau</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Neurosurgery</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Neurochirurgie</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Education, Medical, Undergraduate</term><term>Personnel Selection</term><term>Simulation Training</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Enseignement médical premier cycle</term><term>Formation par simulation</term><term>Sélection du personnel</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Internat et résidence</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Internship and Residency</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Students, Medical</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Étudiant médecine</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Brain Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Clinical Competence</term><term>Female</term><term>Humans</term><term>Male</term><term>Psychomotor Performance</term><term>Quebec</term><term>Schools, Medical</term><term>User-Computer Interface</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Compétence clinique</term><term>Femelle</term><term>Humains</term><term>Interface utilisateur</term><term>Mâle</term><term>Performance psychomotrice</term><term>Québec</term><term>Écoles de médecine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Current selection methods for neurosurgical residents fail to include objective measurements of bimanual psychomotor performance. Advancements in computer-based simulation provide opportunities to assess cognitive and psychomotor skills in surgically naive populations during complex simulated neurosurgical tasks in risk-free environments. This pilot study was designed to answer 3 questions: (1) What are the differences in bimanual psychomotor performance among neurosurgical residency applicants using NeuroTouch? (2) Are there exceptionally skilled medical students in the applicant cohort? and (3) Is there an influence of previous surgical exposure on surgical performance?</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Participants were instructed to remove 3 simulated brain tumors with identical visual appearance, stiffness, and random bleeding points. Validated tier 1, tier 2, and advanced tier 2 metrics were used to assess bimanual psychomotor performance. Demographic data included weeks of neurosurgical elective and prior operative exposure.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>This pilot study was carried out at the McGill Neurosurgical Simulation Research and Training Center immediately following neurosurgical residency interviews at McGill University, Montreal, Canada.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>All 17 medical students interviewed were asked to participate, of which 16 agreed.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Performances were clustered in definable top, middle, and bottom groups with significant differences for all metrics. Increased time spent playing music, increased applicant self-evaluated technical skills, high self-ratings of confidence, and increased skin closures statistically influenced performance on univariate analysis. A trend for both self-rated increased operating room confidence and increased weeks of neurosurgical exposure to increased blood loss was seen in multivariate analysis.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Simulation technology identifies neurosurgical residency applicants with differing levels of technical ability. These results provide information for studies being developed for longitudinal studies on the acquisition, development, and maintenance of psychomotor skills. Technical abilities customized training programs that maximize individual resident bimanual psychomotor training dependant on continuously updated and validated metrics from virtual reality simulation studies should be explored.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27395397</PMID><DateCompleted><Year>2017</Year><Month>11</Month><Day>27</Day></DateCompleted><DateRevised><Year>2017</Year><Month>12</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-7452</ISSN><JournalIssue CitedMedium="Internet"><Volume>73</Volume><Issue>6</Issue><PubDate><MedlineDate>2016 Nov - Dec</MedlineDate></PubDate></JournalIssue><Title>Journal of surgical education</Title><ISOAbbreviation>J Surg Educ</ISOAbbreviation></Journal><ArticleTitle>Bimanual Psychomotor Performance in Neurosurgical Resident Applicants Assessed Using NeuroTouch, a Virtual Reality Simulator.</ArticleTitle><Pagination><MedlinePgn>942-953</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1931-7204(16)30026-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jsurg.2016.04.013</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Current selection methods for neurosurgical residents fail to include objective measurements of bimanual psychomotor performance. Advancements in computer-based simulation provide opportunities to assess cognitive and psychomotor skills in surgically naive populations during complex simulated neurosurgical tasks in risk-free environments. This pilot study was designed to answer 3 questions: (1) What are the differences in bimanual psychomotor performance among neurosurgical residency applicants using NeuroTouch? (2) Are there exceptionally skilled medical students in the applicant cohort? and (3) Is there an influence of previous surgical exposure on surgical performance?</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Participants were instructed to remove 3 simulated brain tumors with identical visual appearance, stiffness, and random bleeding points. Validated tier 1, tier 2, and advanced tier 2 metrics were used to assess bimanual psychomotor performance. Demographic data included weeks of neurosurgical elective and prior operative exposure.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">This pilot study was carried out at the McGill Neurosurgical Simulation Research and Training Center immediately following neurosurgical residency interviews at McGill University, Montreal, Canada.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">All 17 medical students interviewed were asked to participate, of which 16 agreed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Performances were clustered in definable top, middle, and bottom groups with significant differences for all metrics. Increased time spent playing music, increased applicant self-evaluated technical skills, high self-ratings of confidence, and increased skin closures statistically influenced performance on univariate analysis. A trend for both self-rated increased operating room confidence and increased weeks of neurosurgical exposure to increased blood loss was seen in multivariate analysis.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Simulation technology identifies neurosurgical residency applicants with differing levels of technical ability. These results provide information for studies being developed for longitudinal studies on the acquisition, development, and maintenance of psychomotor skills. Technical abilities customized training programs that maximize individual resident bimanual psychomotor training dependant on continuously updated and validated metrics from virtual reality simulation studies should be explored.</AbstractText><CopyrightInformation>Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Winkler-Schwartz</LastName><ForeName>Alexander</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada. Electronic address: alexander.winkler-schwartz@mail.mcgill.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bajunaid</LastName><ForeName>Khalid</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Division of Neurosurgery, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mullah</LastName><ForeName>Muhammad A S</ForeName><Initials>MAS</Initials><AffiliationInfo><Affiliation>Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Québec, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marwa</LastName><ForeName>Ibrahim</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alotaibi</LastName><ForeName>Fahad E</ForeName><Initials>FE</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Department of Neurosurgery, National Neuroscience Institute (NNI), King Fahad Medical City (KFMC), Riyadh, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fares</LastName><ForeName>Jawad</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baggiani</LastName><ForeName>Marta</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Azarnoush</LastName><ForeName>Hamed</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zharni</LastName><ForeName>Gmaan Al</ForeName><Initials>GA</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada; Department of Neurosurgery, National Neuroscience Institute (NNI), King Fahad Medical City (KFMC), Riyadh, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Christie</LastName><ForeName>Sommer</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sabbagh</LastName><ForeName>Abdulrahman J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Section of Neurosurgery, Department of Neurosciences, King Faisal Specialist Hospital & Research Center (Gen. Org) - Jeddah Branch, Jeddah, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Werthner</LastName><ForeName>Penny</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Del Maestro</LastName><ForeName>Rolando F</ForeName><Initials>RF</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Neurosurgical Simulation Research and Training Center, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>07</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Surg Educ</MedlineTA><NlmUniqueID>101303204</NlmUniqueID><ISSNLinking>1878-7452</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001932" MajorTopicYN="N">Brain Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="Y">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004504" MajorTopicYN="N">Education, Medical, Undergraduate</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007396" MajorTopicYN="N">Internship and Residency</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009493" MajorTopicYN="N">Neurosurgery</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010560" MajorTopicYN="N">Personnel Selection</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011597" MajorTopicYN="Y">Psychomotor Performance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011792" MajorTopicYN="N">Quebec</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012577" MajorTopicYN="N">Schools, Medical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000066908" MajorTopicYN="N">Simulation Training</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013337" MajorTopicYN="N">Students, Medical</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014584" MajorTopicYN="Y">User-Computer Interface</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Medical Knowledge</Keyword><Keyword MajorTopicYN="N">NeuroTouch/NeuroVR</Keyword><Keyword MajorTopicYN="N">Patient Care</Keyword><Keyword MajorTopicYN="N">Practice-Based Learning and Improvement</Keyword><Keyword MajorTopicYN="N">bimanual psychomotor performance</Keyword><Keyword MajorTopicYN="N">interview</Keyword><Keyword MajorTopicYN="N">medical student neurosurgical applicants</Keyword><Keyword MajorTopicYN="N">technical abilities customized training (TACT)</Keyword><Keyword MajorTopicYN="N">virtual reality simulator</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>10</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>03</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>04</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>7</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>11</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>7</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27395397</ArticleId><ArticleId IdType="pii">S1931-7204(16)30026-5</ArticleId><ArticleId IdType="doi">10.1016/j.jsurg.2016.04.013</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Arabie saoudite</li><li>Canada</li><li>Iran</li></country><region><li>Alberta</li><li>Québec</li></region><settlement><li>Calgary</li><li>Montréal</li></settlement><orgName><li>Université McGill</li><li>Université de Calgary</li></orgName></list><tree><country name="Canada"><region name="Québec"><name sortKey="Winkler Schwartz, Alexander" sort="Winkler Schwartz, Alexander" uniqKey="Winkler Schwartz A" first="Alexander" last="Winkler-Schwartz">Alexander Winkler-Schwartz</name></region><name sortKey="Baggiani, Marta" sort="Baggiani, Marta" uniqKey="Baggiani M" first="Marta" last="Baggiani">Marta Baggiani</name><name sortKey="Christie, Sommer" sort="Christie, Sommer" uniqKey="Christie S" first="Sommer" last="Christie">Sommer Christie</name><name sortKey="Del Maestro, Rolando F" sort="Del Maestro, Rolando F" uniqKey="Del Maestro R" first="Rolando F" last="Del Maestro">Rolando F. Del Maestro</name><name sortKey="Fares, Jawad" sort="Fares, Jawad" uniqKey="Fares J" first="Jawad" last="Fares">Jawad Fares</name><name sortKey="Marwa, Ibrahim" sort="Marwa, Ibrahim" uniqKey="Marwa I" first="Ibrahim" last="Marwa">Ibrahim Marwa</name><name sortKey="Mullah, Muhammad A S" sort="Mullah, Muhammad A S" uniqKey="Mullah M" first="Muhammad A S" last="Mullah">Muhammad A S. Mullah</name><name sortKey="Werthner, Penny" sort="Werthner, Penny" uniqKey="Werthner P" first="Penny" last="Werthner">Penny Werthner</name></country><country name="Arabie saoudite"><region name="Québec"><name sortKey="Bajunaid, Khalid" sort="Bajunaid, Khalid" uniqKey="Bajunaid K" first="Khalid" last="Bajunaid">Khalid Bajunaid</name></region><name sortKey="Alotaibi, Fahad E" sort="Alotaibi, Fahad E" uniqKey="Alotaibi F" first="Fahad E" last="Alotaibi">Fahad E. Alotaibi</name><name sortKey="Sabbagh, Abdulrahman J" sort="Sabbagh, Abdulrahman J" uniqKey="Sabbagh A" first="Abdulrahman J" last="Sabbagh">Abdulrahman J. Sabbagh</name><name sortKey="Zharni, Gmaan Al" sort="Zharni, Gmaan Al" uniqKey="Zharni G" first="Gmaan Al" last="Zharni">Gmaan Al Zharni</name></country><country name="Iran"><region name="Québec"><name sortKey="Azarnoush, Hamed" sort="Azarnoush, Hamed" uniqKey="Azarnoush H" first="Hamed" last="Azarnoush">Hamed Azarnoush</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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