Neurosurgery simulation in residency training: feasibility, cost, and educational benefit.
Identifieur interne : 000854 ( PubMed/Corpus ); précédent : 000853; suivant : 000855Neurosurgery simulation in residency training: feasibility, cost, and educational benefit.
Auteurs : Jaime Gasco ; Thomas J. Holbrook ; Achal Patel ; Adrian Smith ; David Paulson ; Alan Muns ; Sohum Desai ; Marc Moisi ; Yong-Fan Kuo ; Bart Macdonald ; Juan Ortega-Barnett ; Joel T. PattersonSource :
- Neurosurgery [ 1524-4040 ] ; 2013.
English descriptors
- KwdEn :
- Cadaver, Clinical Competence, Computer Simulation, Cost-Benefit Analysis, Costs and Cost Analysis, Curriculum, Education, Medical, Graduate, Educational Measurement, History, 20th Century, History, 21st Century, Humans, Internship and Residency (economics), Internship and Residency (history), Models, Anatomic, Neurosurgery (economics), Neurosurgery (education), Neurosurgery (history).
- MESH :
- economics : Internship and Residency, Neurosurgery.
- education : Neurosurgery.
- history : Internship and Residency, Neurosurgery.
- Cadaver, Clinical Competence, Computer Simulation, Cost-Benefit Analysis, Costs and Cost Analysis, Curriculum, Education, Medical, Graduate, Educational Measurement, History, 20th Century, History, 21st Century, Humans, Models, Anatomic.
Abstract
The effort required to introduce simulation in neurosurgery academic programs and the benefits perceived by residents have not been systematically assessed.
DOI: 10.1227/NEU.0000000000000102
PubMed: 24051881
Links to Exploration step
pubmed:24051881Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Neurosurgery simulation in residency training: feasibility, cost, and educational benefit.</title><author><name sortKey="Gasco, Jaime" sort="Gasco, Jaime" uniqKey="Gasco J" first="Jaime" last="Gasco">Jaime Gasco</name><affiliation><nlm:affiliation>*Division of Neurosurgery; and ‡Division of Epidemiology & Biostatistics, Preventive Medicine Department, University of Texas Medical Branch, Galveston, Texas.</nlm:affiliation></affiliation></author><author><name sortKey="Holbrook, Thomas J" sort="Holbrook, Thomas J" uniqKey="Holbrook T" first="Thomas J" last="Holbrook">Thomas J. Holbrook</name></author><author><name sortKey="Patel, Achal" sort="Patel, Achal" uniqKey="Patel A" first="Achal" last="Patel">Achal Patel</name></author><author><name sortKey="Smith, Adrian" sort="Smith, Adrian" uniqKey="Smith A" first="Adrian" last="Smith">Adrian Smith</name></author><author><name sortKey="Paulson, David" sort="Paulson, David" uniqKey="Paulson D" first="David" last="Paulson">David Paulson</name></author><author><name sortKey="Muns, Alan" sort="Muns, Alan" uniqKey="Muns A" first="Alan" last="Muns">Alan Muns</name></author><author><name sortKey="Desai, Sohum" sort="Desai, Sohum" uniqKey="Desai S" first="Sohum" last="Desai">Sohum Desai</name></author><author><name sortKey="Moisi, Marc" sort="Moisi, Marc" uniqKey="Moisi M" first="Marc" last="Moisi">Marc Moisi</name></author><author><name sortKey="Kuo, Yong Fan" sort="Kuo, Yong Fan" uniqKey="Kuo Y" first="Yong-Fan" last="Kuo">Yong-Fan Kuo</name></author><author><name sortKey="Macdonald, Bart" sort="Macdonald, Bart" uniqKey="Macdonald B" first="Bart" last="Macdonald">Bart Macdonald</name></author><author><name sortKey="Ortega Barnett, Juan" sort="Ortega Barnett, Juan" uniqKey="Ortega Barnett J" first="Juan" last="Ortega-Barnett">Juan Ortega-Barnett</name></author><author><name sortKey="Patterson, Joel T" sort="Patterson, Joel T" uniqKey="Patterson J" first="Joel T" last="Patterson">Joel T. Patterson</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="doi">10.1227/NEU.0000000000000102</idno><idno type="RBID">pubmed:24051881</idno><idno type="pmid">24051881</idno><idno type="wicri:Area/PubMed/Corpus">000854</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Neurosurgery simulation in residency training: feasibility, cost, and educational benefit.</title><author><name sortKey="Gasco, Jaime" sort="Gasco, Jaime" uniqKey="Gasco J" first="Jaime" last="Gasco">Jaime Gasco</name><affiliation><nlm:affiliation>*Division of Neurosurgery; and ‡Division of Epidemiology & Biostatistics, Preventive Medicine Department, University of Texas Medical Branch, Galveston, Texas.</nlm:affiliation></affiliation></author><author><name sortKey="Holbrook, Thomas J" sort="Holbrook, Thomas J" uniqKey="Holbrook T" first="Thomas J" last="Holbrook">Thomas J. Holbrook</name></author><author><name sortKey="Patel, Achal" sort="Patel, Achal" uniqKey="Patel A" first="Achal" last="Patel">Achal Patel</name></author><author><name sortKey="Smith, Adrian" sort="Smith, Adrian" uniqKey="Smith A" first="Adrian" last="Smith">Adrian Smith</name></author><author><name sortKey="Paulson, David" sort="Paulson, David" uniqKey="Paulson D" first="David" last="Paulson">David Paulson</name></author><author><name sortKey="Muns, Alan" sort="Muns, Alan" uniqKey="Muns A" first="Alan" last="Muns">Alan Muns</name></author><author><name sortKey="Desai, Sohum" sort="Desai, Sohum" uniqKey="Desai S" first="Sohum" last="Desai">Sohum Desai</name></author><author><name sortKey="Moisi, Marc" sort="Moisi, Marc" uniqKey="Moisi M" first="Marc" last="Moisi">Marc Moisi</name></author><author><name sortKey="Kuo, Yong Fan" sort="Kuo, Yong Fan" uniqKey="Kuo Y" first="Yong-Fan" last="Kuo">Yong-Fan Kuo</name></author><author><name sortKey="Macdonald, Bart" sort="Macdonald, Bart" uniqKey="Macdonald B" first="Bart" last="Macdonald">Bart Macdonald</name></author><author><name sortKey="Ortega Barnett, Juan" sort="Ortega Barnett, Juan" uniqKey="Ortega Barnett J" first="Juan" last="Ortega-Barnett">Juan Ortega-Barnett</name></author><author><name sortKey="Patterson, Joel T" sort="Patterson, Joel T" uniqKey="Patterson J" first="Joel T" last="Patterson">Joel T. Patterson</name></author></analytic><series><title level="j">Neurosurgery</title><idno type="eISSN">1524-4040</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cadaver</term><term>Clinical Competence</term><term>Computer Simulation</term><term>Cost-Benefit Analysis</term><term>Costs and Cost Analysis</term><term>Curriculum</term><term>Education, Medical, Graduate</term><term>Educational Measurement</term><term>History, 20th Century</term><term>History, 21st Century</term><term>Humans</term><term>Internship and Residency (economics)</term><term>Internship and Residency (history)</term><term>Models, Anatomic</term><term>Neurosurgery (economics)</term><term>Neurosurgery (education)</term><term>Neurosurgery (history)</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Internship and Residency</term><term>Neurosurgery</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Neurosurgery</term></keywords><keywords scheme="MESH" qualifier="history" xml:lang="en"><term>Internship and Residency</term><term>Neurosurgery</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cadaver</term><term>Clinical Competence</term><term>Computer Simulation</term><term>Cost-Benefit Analysis</term><term>Costs and Cost Analysis</term><term>Curriculum</term><term>Education, Medical, Graduate</term><term>Educational Measurement</term><term>History, 20th Century</term><term>History, 21st Century</term><term>Humans</term><term>Models, Anatomic</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The effort required to introduce simulation in neurosurgery academic programs and the benefits perceived by residents have not been systematically assessed.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">24051881</PMID><DateCreated><Year>2013</Year><Month>09</Month><Day>20</Day></DateCreated><DateCompleted><Year>2014</Year><Month>04</Month><Day>22</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1524-4040</ISSN><JournalIssue CitedMedium="Internet"><Volume>73 Suppl 1</Volume><PubDate><Year>2013</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Neurosurgery</Title><ISOAbbreviation>Neurosurgery</ISOAbbreviation></Journal><ArticleTitle>Neurosurgery simulation in residency training: feasibility, cost, and educational benefit.</ArticleTitle><Pagination><MedlinePgn>39-45</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1227/NEU.0000000000000102</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The effort required to introduce simulation in neurosurgery academic programs and the benefits perceived by residents have not been systematically assessed.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To create a neurosurgery simulation curriculum encompassing basic and advanced skills, cadaveric dissection, cranial and spine surgery simulation, and endovascular and computerized haptic training.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A curriculum with 68 core exercises per academic year was distributed in individualized sets of 30 simulations to 6 neurosurgery residents. The total number of procedures completed during the academic year was set to 180. The curriculum includes 79 simulations with physical models, 57 cadaver dissections, and 44 haptic/computerized sessions. Likert-type evaluations regarding self-perceived performance were completed after each exercise. Subject identification was blinded to junior (postgraduate years 1-3) or senior resident (postgraduate years 4-6). Wilcoxon rank testing was used to detect differences within and between groups.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred eighty procedures and surveys were analyzed. Junior residents reported proficiency improvements in 82% of simulations performed (P < .001). Senior residents reported improvement in 42.5% of simulations (P < .001). Cadaver simulations accrued the highest reported benefit (71.5%; P < .001), followed by physical simulators (63.8%; P < .001) and haptic/computerized (59.1; P < .001). Initial cost is $341,978.00, with $27,876.36 for annual operational expenses.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The systematic implementation of a simulation curriculum in a neurosurgery training program is feasible, is favorably regarded, and has a positive impact on trainees of all levels, particularly in junior years. All simulation forms, cadaver, physical, and haptic/computerized, have a role in different stages of learning and should be considered in the development of an educational simulation program.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gasco</LastName><ForeName>Jaime</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>*Division of Neurosurgery; and ‡Division of Epidemiology & Biostatistics, Preventive Medicine Department, University of Texas Medical Branch, Galveston, Texas.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Holbrook</LastName><ForeName>Thomas J</ForeName><Initials>TJ</Initials></Author><Author ValidYN="Y"><LastName>Patel</LastName><ForeName>Achal</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Smith</LastName><ForeName>Adrian</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Paulson</LastName><ForeName>David</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Muns</LastName><ForeName>Alan</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Desai</LastName><ForeName>Sohum</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Moisi</LastName><ForeName>Marc</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Kuo</LastName><ForeName>Yong-Fan</ForeName><Initials>YF</Initials></Author><Author ValidYN="Y"><LastName>Macdonald</LastName><ForeName>Bart</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Ortega-Barnett</LastName><ForeName>Juan</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Patterson</LastName><ForeName>Joel T</ForeName><Initials>JT</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016456">Historical Article</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Neurosurgery</MedlineTA><NlmUniqueID>7802914</NlmUniqueID><ISSNLinking>0148-396X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Neurosurgery. 2014 Mar;74(3):E343</RefSource><PMID Version="1">24316965</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Neurosurgery. 2014 Mar;74(3):E343</RefSource><PMID Version="1">24316966</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002102">Cadaver</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002983">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003198">Computer Simulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003362">Cost-Benefit Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003365">Costs and Cost Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003479">Curriculum</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004503">Education, Medical, Graduate</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004521">Educational Measurement</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D049673">History, 20th Century</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D049674">History, 21st Century</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007396">Internship and Residency</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000191">economics</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000266">history</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008953">Models, Anatomic</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009493">Neurosurgery</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000191">economics</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000193">education</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000266">history</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>9</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>9</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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