Comprehensive Training Curricula for Minimally Invasive Surgery
Identifieur interne : 001C10 ( Pmc/Checkpoint ); précédent : 001C09; suivant : 001C11Comprehensive Training Curricula for Minimally Invasive Surgery
Auteurs : Vanessa N. PalterSource :
- Journal of Graduate Medical Education [ 1949-8349 ] ; 2011.
Abstract
The unique skill set required for minimally invasive surgery has in part contributed to a certain portion of surgical residency training transitioning from the operating room to the surgical skills laboratory. Simulation lends itself well as a method to shorten the learning curve for minimally invasive surgery by allowing trainees to practice the unique motor skills required for this type of surgery in a safe, structured environment. Although a significant amount of important work has been done to validate simulators as viable systems for teaching technical skills outside the operating room, the next step is to integrate simulation training into a comprehensive curriculum.
This narrative review aims to synthesize the evidence and educational theories underlining curricula development for technical skills both in a broad context and specifically as it pertains to minimally invasive surgery.
The review highlights the critical aspects of simulation training, such as the effective provision of feedback, deliberate practice, training to proficiency, the opportunity to practice at varying levels of difficulty, and the inclusion of both cognitive teaching and hands-on training. In addition, frameworks for integrating simulation training into a comprehensive curriculum are described. Finally, existing curricula on both laparoscopic box trainers and virtual reality simulators are critically evaluated.
Url:
DOI: 10.4300/JGME-D-11-00091.1
PubMed: 22942951
PubMed Central: 3179215
Affiliations:
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PMC:3179215Le document en format XML
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<series><title level="j">Journal of Graduate Medical Education</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>The unique skill set required for minimally invasive surgery has in part contributed to a certain portion of surgical residency training transitioning from the operating room to the surgical skills laboratory. Simulation lends itself well as a method to shorten the learning curve for minimally invasive surgery by allowing trainees to practice the unique motor skills required for this type of surgery in a safe, structured environment. Although a significant amount of important work has been done to validate simulators as viable systems for teaching technical skills outside the operating room, the next step is to integrate simulation training into a comprehensive curriculum.</p>
</sec>
<sec><title>Objectives</title>
<p>This narrative review aims to synthesize the evidence and educational theories underlining curricula development for technical skills both in a broad context and specifically as it pertains to minimally invasive surgery.</p>
</sec>
<sec><title>Findings</title>
<p>The review highlights the critical aspects of simulation training, such as the effective provision of feedback, deliberate practice, training to proficiency, the opportunity to practice at varying levels of difficulty, and the inclusion of both cognitive teaching and hands-on training. In addition, frameworks for integrating simulation training into a comprehensive curriculum are described. Finally, existing curricula on both laparoscopic box trainers and virtual reality simulators are critically evaluated.</p>
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<pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Grad Med Educ</journal-id>
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<journal-title-group><journal-title>Journal of Graduate Medical Education</journal-title>
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<issn pub-type="ppub">1949-8349</issn>
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<publisher><publisher-name>The Accreditation Council for Graduate Medical Education</publisher-name>
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<article-id pub-id-type="doi">10.4300/JGME-D-11-00091.1</article-id>
<article-id pub-id-type="publisher-id">JGME-D-11-00091</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review</subject>
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<title-group><article-title>Comprehensive Training Curricula for Minimally Invasive Surgery</article-title>
<alt-title alt-title-type="running-head">R<sc>eview</sc>
R<sc>eview</sc>
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<contrib-group><contrib contrib-type="author"><name><surname>Palter</surname>
<given-names>Vanessa N</given-names>
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<degrees>MD</degrees>
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<author-notes><corresp id="cor1">Corresponding author: Vanessa N. Palter, MD, University of Toronto, 600 University Avenue, Room 440, Toronto, ON M5G 1X5 Canada, 416.948.8790, <email>Vanessa.palter@utoronto.ca</email>
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<pub-date pub-type="ppub"><month>9</month>
<year>2011</year>
</pub-date>
<volume>3</volume>
<issue>3</issue>
<fpage>293</fpage>
<lpage>298</lpage>
<permissions><copyright-statement>Accreditation Council for Graduate Medical Education</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract><sec><title>Background</title>
<p>The unique skill set required for minimally invasive surgery has in part contributed to a certain portion of surgical residency training transitioning from the operating room to the surgical skills laboratory. Simulation lends itself well as a method to shorten the learning curve for minimally invasive surgery by allowing trainees to practice the unique motor skills required for this type of surgery in a safe, structured environment. Although a significant amount of important work has been done to validate simulators as viable systems for teaching technical skills outside the operating room, the next step is to integrate simulation training into a comprehensive curriculum.</p>
</sec>
<sec><title>Objectives</title>
<p>This narrative review aims to synthesize the evidence and educational theories underlining curricula development for technical skills both in a broad context and specifically as it pertains to minimally invasive surgery.</p>
</sec>
<sec><title>Findings</title>
<p>The review highlights the critical aspects of simulation training, such as the effective provision of feedback, deliberate practice, training to proficiency, the opportunity to practice at varying levels of difficulty, and the inclusion of both cognitive teaching and hands-on training. In addition, frameworks for integrating simulation training into a comprehensive curriculum are described. Finally, existing curricula on both laparoscopic box trainers and virtual reality simulators are critically evaluated.</p>
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