Surgical simulators and hip fractures: a role in residency training?
Identifieur interne : 000E42 ( PubMed/Curation ); précédent : 000E41; suivant : 000E43Surgical simulators and hip fractures: a role in residency training?
Auteurs : John M. Froelich [États-Unis] ; Joseph C. Milbrandt ; Wendy M. Novicoff ; Khaled J. Saleh ; D Gordon AllanSource :
- Journal of surgical education [ 1878-7452 ]
English descriptors
- KwdEn :
- Adult, Bone Nails, Clinical Competence, Computer Simulation, Education, Medical, Graduate (methods), Female, Femur Head (surgery), Fluoroscopy, Fracture Fixation (instrumentation), Fracture Fixation (methods), Hip Fractures (surgery), Humans, Internship and Residency, Learning Curve, Male, Orthopedic Procedures (education), Sampling Studies.
- MESH :
- education : Orthopedic Procedures.
- instrumentation : Fracture Fixation.
- methods : Education, Medical, Graduate, Fracture Fixation.
- surgery : Femur Head, Hip Fractures.
- Adult, Bone Nails, Clinical Competence, Computer Simulation, Female, Fluoroscopy, Humans, Internship and Residency, Learning Curve, Male, Sampling Studies.
Abstract
Orthopedic surgery residency training requires intellectual and motor skill development. In this study, we utilized a computer-based haptic simulator to examine a potential model for evaluation of resident proficiency and efficiency in the placement of a center guide wire during fixation of an intertrochanteric proximal femur fracture. We hypothesize the junior residents will utilize more fluoroscopy and require more time to complete the task.
DOI: 10.1016/j.jsurg.2011.02.011
PubMed: 21708367
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Milbrandt</name></author><author><name sortKey="Novicoff, Wendy M" sort="Novicoff, Wendy M" uniqKey="Novicoff W" first="Wendy M" last="Novicoff">Wendy M. Novicoff</name></author><author><name sortKey="Saleh, Khaled J" sort="Saleh, Khaled J" uniqKey="Saleh K" first="Khaled J" last="Saleh">Khaled J. Saleh</name></author><author><name sortKey="Allan, D Gordon" sort="Allan, D Gordon" uniqKey="Allan D" first="D Gordon" last="Allan">D Gordon Allan</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2011 Jul-Aug</MedlineDate></PubDate></date><idno type="doi">10.1016/j.jsurg.2011.02.011</idno><idno type="RBID">pubmed:21708367</idno><idno type="pmid">21708367</idno><idno type="wicri:Area/PubMed/Corpus">000E42</idno><idno type="wicri:Area/PubMed/Curation">000E42</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Surgical simulators and hip fractures: a role in residency training?</title><author><name sortKey="Froelich, John M" sort="Froelich, John M" uniqKey="Froelich J" first="John M" last="Froelich">John M. Froelich</name><affiliation wicri:level="1"><nlm:affiliation>Division of Orthopaedic Surgery and Rehabilitation, Southern Illinois University School of Medicine, Springfield, Illinois 62794-9679, USA. jmilbrandt@siumed.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Orthopaedic Surgery and Rehabilitation, Southern Illinois University School of Medicine, Springfield, Illinois 62794-9679</wicri:regionArea></affiliation></author><author><name sortKey="Milbrandt, Joseph C" sort="Milbrandt, Joseph C" uniqKey="Milbrandt J" first="Joseph C" last="Milbrandt">Joseph C. Milbrandt</name></author><author><name sortKey="Novicoff, Wendy M" sort="Novicoff, Wendy M" uniqKey="Novicoff W" first="Wendy M" last="Novicoff">Wendy M. Novicoff</name></author><author><name sortKey="Saleh, Khaled J" sort="Saleh, Khaled J" uniqKey="Saleh K" first="Khaled J" last="Saleh">Khaled J. Saleh</name></author><author><name sortKey="Allan, D Gordon" sort="Allan, D Gordon" uniqKey="Allan D" first="D Gordon" last="Allan">D Gordon Allan</name></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</term><term>Bone Nails</term><term>Clinical Competence</term><term>Computer Simulation</term><term>Education, Medical, Graduate (methods)</term><term>Female</term><term>Femur Head (surgery)</term><term>Fluoroscopy</term><term>Fracture Fixation (instrumentation)</term><term>Fracture Fixation (methods)</term><term>Hip Fractures (surgery)</term><term>Humans</term><term>Internship and Residency</term><term>Learning Curve</term><term>Male</term><term>Orthopedic Procedures (education)</term><term>Sampling Studies</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Orthopedic Procedures</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Fracture Fixation</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Education, Medical, Graduate</term><term>Fracture Fixation</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Femur Head</term><term>Hip Fractures</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Bone Nails</term><term>Clinical Competence</term><term>Computer Simulation</term><term>Female</term><term>Fluoroscopy</term><term>Humans</term><term>Internship and Residency</term><term>Learning Curve</term><term>Male</term><term>Sampling Studies</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Orthopedic surgery residency training requires intellectual and motor skill development. In this study, we utilized a computer-based haptic simulator to examine a potential model for evaluation of resident proficiency and efficiency in the placement of a center guide wire during fixation of an intertrochanteric proximal femur fracture. We hypothesize the junior residents will utilize more fluoroscopy and require more time to complete the task.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">21708367</PMID><DateCreated><Year>2011</Year><Month>06</Month><Day>28</Day></DateCreated><DateCompleted><Year>2011</Year><Month>11</Month><Day>21</Day></DateCompleted><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-7452</ISSN><JournalIssue CitedMedium="Internet"><Volume>68</Volume><Issue>4</Issue><PubDate><MedlineDate>2011 Jul-Aug</MedlineDate></PubDate></JournalIssue><Title>Journal of surgical education</Title><ISOAbbreviation>J Surg Educ</ISOAbbreviation></Journal><ArticleTitle>Surgical simulators and hip fractures: a role in residency training?</ArticleTitle><Pagination><MedlinePgn>298-302</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jsurg.2011.02.011</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Orthopedic surgery residency training requires intellectual and motor skill development. In this study, we utilized a computer-based haptic simulator to examine a potential model for evaluation of resident proficiency and efficiency in the placement of a center guide wire during fixation of an intertrochanteric proximal femur fracture. We hypothesize the junior residents will utilize more fluoroscopy and require more time to complete the task.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Postgraduate year (PGY) 1-5 residents completed the same task of placing a single central guide pin into a femoral head for a dynamic hip screw construct utilizing a haptic surgical simulator. Residents were divided into 2 groups (PGY 1-2 and PGY 3-5) and then evaluated based on final tip-apex distance (TAD), fluoroscopy time, time to complete the task, total number of distinct attempts at pin placement for each femur construct, as well as final 3-dimensional location of the pin from the isometric center of the femoral head.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">No statistically significant differences were noted between the 2 groups in total time or for tip-apex distance, anterior/posterior medial/lateral position, anterior/posterior superior/inferior, and lateral x-ray medial/lateral positioning measurements. Significant differences between Groups I and II were observed in anterior/posterior final position on the lateral view (p = 0.01), unique attempts (0.77 and 1.5, p = 0.03), and total fluoroscopic time (18.4 seconds and 12.9 seconds, p = 0.05).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this study, we displayed that based on our simulator model there was no statistical difference between Group I and II in time to completion, final placement on anterior/posterior (A/P) view, and tip-apex distance. There was a statistically significant difference in the anterior/posterior placement of the wire in lateral view between the 2 groups, fluoroscopy time, and number of attempts per trial. Our findings suggest a computer-based surgical simulator can identify measurable differences in surgical proficiency between junior and senior orthopedic surgery residents and may play an expanding role in resident education.</AbstractText><CopyrightInformation>Copyright © 2011 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Froelich</LastName><ForeName>John M</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Division of Orthopaedic Surgery and Rehabilitation, Southern Illinois University School of Medicine, Springfield, Illinois 62794-9679, USA. jmilbrandt@siumed.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Milbrandt</LastName><ForeName>Joseph C</ForeName><Initials>JC</Initials></Author><Author ValidYN="Y"><LastName>Novicoff</LastName><ForeName>Wendy M</ForeName><Initials>WM</Initials></Author><Author ValidYN="Y"><LastName>Saleh</LastName><ForeName>Khaled J</ForeName><Initials>KJ</Initials></Author><Author ValidYN="Y"><LastName>Allan</LastName><ForeName>D Gordon</ForeName><Initials>DG</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D023362">Evaluation Studies</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>04</Month><Day>16</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 MajorTopicYN="N" UI="D000328">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D001858">Bone Nails</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D002983">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D003198">Computer Simulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004503">Education, Medical, Graduate</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005270">Femur Head</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005471">Fluoroscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005592">Fracture Fixation</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006620">Hip Fractures</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007396">Internship and Residency</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D059032">Learning Curve</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019637">Orthopedic Procedures</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000193">education</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012494">Sampling Studies</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2010</Year><Month>9</Month><Day>2</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2011</Year><Month>2</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>2</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2011</Year><Month>4</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>6</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>6</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>12</Month><Day>13</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">S1931-7204(11)00063-8</ArticleId><ArticleId IdType="doi">10.1016/j.jsurg.2011.02.011</ArticleId><ArticleId IdType="pubmed">21708367</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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