Comparing surgical experience with performance on a sinus surgery simulator.
Identifieur interne : 000411 ( PubMed/Checkpoint ); précédent : 000410; suivant : 000412Comparing surgical experience with performance on a sinus surgery simulator.
Auteurs : Laura E. Diment [Australie] ; Greg S. Ruthenbeck [Australie] ; Nuwan Dharmawardana [Australie] ; A Simon Carney [Australie] ; Charmaine M. Woods [Australie] ; Eng H. Ooi [Australie] ; Karen J. Reynolds [Australie]Source :
- ANZ journal of surgery [ 1445-2197 ] ; 2015.
Abstract
This study evaluates whether surgical experience influences technical competence using the Flinders sinus surgery simulator, a virtual environment designed to teach nasal endoscopic surgical skills.
DOI: 10.1111/ans.13418
PubMed: 26687286
Affiliations:
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Ruthenbeck</name><affiliation wicri:level="1"><nlm:affiliation>Medical Device Research Institute, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Medical Device Research Institute, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Dharmawardana, Nuwan" sort="Dharmawardana, Nuwan" uniqKey="Dharmawardana N" first="Nuwan" last="Dharmawardana">Nuwan Dharmawardana</name><affiliation wicri:level="1"><nlm:affiliation>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Carney, A Simon" sort="Carney, A Simon" uniqKey="Carney A" first="A Simon" last="Carney">A Simon Carney</name><affiliation wicri:level="1"><nlm:affiliation>Medical Device Research Institute, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Medical Device Research Institute, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Woods, Charmaine M" sort="Woods, Charmaine M" uniqKey="Woods C" first="Charmaine M" last="Woods">Charmaine M. Woods</name><affiliation wicri:level="1"><nlm:affiliation>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Ooi, Eng H" sort="Ooi, Eng H" uniqKey="Ooi E" first="Eng H" last="Ooi">Eng H. 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Reynolds</name><affiliation wicri:level="1"><nlm:affiliation>Medical Device Research Institute, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Medical Device Research Institute, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="doi">10.1111/ans.13418</idno><idno type="RBID">pubmed:26687286</idno><idno type="pmid">26687286</idno><idno type="wicri:Area/PubMed/Corpus">000162</idno><idno type="wicri:Area/PubMed/Curation">000162</idno><idno type="wicri:Area/PubMed/Checkpoint">000411</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Comparing surgical experience with performance on a sinus surgery simulator.</title><author><name sortKey="Diment, Laura E" sort="Diment, Laura E" uniqKey="Diment L" first="Laura E" last="Diment">Laura E. Diment</name><affiliation wicri:level="1"><nlm:affiliation>Medical Device Research Institute, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Medical Device Research Institute, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Ruthenbeck, Greg S" sort="Ruthenbeck, Greg S" uniqKey="Ruthenbeck G" first="Greg S" last="Ruthenbeck">Greg S. Ruthenbeck</name><affiliation wicri:level="1"><nlm:affiliation>Medical Device Research Institute, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Medical Device Research Institute, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Dharmawardana, Nuwan" sort="Dharmawardana, Nuwan" uniqKey="Dharmawardana N" first="Nuwan" last="Dharmawardana">Nuwan Dharmawardana</name><affiliation wicri:level="1"><nlm:affiliation>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Carney, A Simon" sort="Carney, A Simon" uniqKey="Carney A" first="A Simon" last="Carney">A Simon Carney</name><affiliation wicri:level="1"><nlm:affiliation>Medical Device Research Institute, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Medical Device Research Institute, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Woods, Charmaine M" sort="Woods, Charmaine M" uniqKey="Woods C" first="Charmaine M" last="Woods">Charmaine M. Woods</name><affiliation wicri:level="1"><nlm:affiliation>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Ooi, Eng H" sort="Ooi, Eng H" uniqKey="Ooi E" first="Eng H" last="Ooi">Eng H. Ooi</name><affiliation wicri:level="1"><nlm:affiliation>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Reynolds, Karen J" sort="Reynolds, Karen J" uniqKey="Reynolds K" first="Karen J" last="Reynolds">Karen J. Reynolds</name><affiliation wicri:level="1"><nlm:affiliation>Medical Device Research Institute, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Medical Device Research Institute, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author></analytic><series><title level="j">ANZ journal of surgery</title><idno type="eISSN">1445-2197</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study evaluates whether surgical experience influences technical competence using the Flinders sinus surgery simulator, a virtual environment designed to teach nasal endoscopic surgical skills.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">26687286</PMID><DateCreated><Year>2015</Year><Month>12</Month><Day>21</Day></DateCreated><DateRevised><Year>2015</Year><Month>12</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1445-2197</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2015</Year><Month>Dec</Month><Day>21</Day></PubDate></JournalIssue><Title>ANZ journal of surgery</Title><ISOAbbreviation>ANZ J Surg</ISOAbbreviation></Journal><ArticleTitle>Comparing surgical experience with performance on a sinus surgery simulator.</ArticleTitle><Pagination><MedlinePgn></MedlinePgn></Pagination><ELocationID EIdType="doi">10.1111/ans.13418</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">This study evaluates whether surgical experience influences technical competence using the Flinders sinus surgery simulator, a virtual environment designed to teach nasal endoscopic surgical skills.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Ten experienced sinus surgeons (five consultants and five registrars) and 14 novices (seven resident medical officers and seven interns/medical students) completed three simulation tasks using haptic controllers. Task 1 required navigation of the sinuses and identification of six anatomical landmarks, Task 2 required removal of unhealthy tissue while preserving healthy tissue and Task 3 entailed backbiting within pre-set lines on the uncinate process and microdebriding tissue between the cuts.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Novices were compared with experts on a range of measures, using Mann-Whitney U-tests. Novices took longer on all tasks (Task 1: 278%, P < 0.005; Task 2: 112%, P < 0.005; Task 3: 72%, P < 0.005). In Task 1, novices' instruments travelled further than experts' (379%, P < 0.005), and provided greater maximum force (12%, P < 0.05). In Tasks 2 and 3 novices performed more cutting movements to remove the tissue (Task 2: 1500%, P < 0.005; Task 3: 72%, P < 0.005). Experts also completed more of Task 3 (66%, P < 0.05).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The study demonstrated the Flinders sinus simulator's construct validity, differentiating between experts and novices with respect to procedure time, instrument distance travelled and number of cutting motions to complete the task.</AbstractText><CopyrightInformation>© 2015 Royal Australasian College of Surgeons.</CopyrightInformation></Abstract><AuthorList><Author><LastName>Diment</LastName><ForeName>Laura E</ForeName><Initials>LE</Initials><AffiliationInfo><Affiliation>Medical Device Research Institute, Flinders University, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo></Author><Author><LastName>Ruthenbeck</LastName><ForeName>Greg S</ForeName><Initials>GS</Initials><AffiliationInfo><Affiliation>Medical Device Research Institute, Flinders University, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo></Author><Author><LastName>Dharmawardana</LastName><ForeName>Nuwan</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo></Author><Author><LastName>Carney</LastName><ForeName>A Simon</ForeName><Initials>AS</Initials><AffiliationInfo><Affiliation>Medical Device Research Institute, Flinders University, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Southern ENT Ear Nose and Throat Specialists, Flinders Private Hospital, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo></Author><Author><LastName>Woods</LastName><ForeName>Charmaine M</ForeName><Initials>CM</Initials><AffiliationInfo><Affiliation>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo></Author><Author><LastName>Ooi</LastName><ForeName>Eng H</ForeName><Initials>EH</Initials><AffiliationInfo><Affiliation>Flinders ENT, Department of Surgery, Flinders University, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo></Author><Author><LastName>Reynolds</LastName><ForeName>Karen J</ForeName><Initials>KJ</Initials><AffiliationInfo><Affiliation>Medical Device Research Institute, Flinders University, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Cooperative Research Centre for Alertness, Safety and Productivity, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>ENG</Language><PublicationTypeList><PublicationType UI="">JOURNAL ARTICLE</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>12</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><MedlineTA>ANZ J Surg</MedlineTA><NlmUniqueID>101086634</NlmUniqueID><ISSNLinking>1445-1433</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">competency-based education</Keyword><Keyword MajorTopicYN="N">computer simulation</Keyword><Keyword MajorTopicYN="N">endoscopy</Keyword><Keyword MajorTopicYN="N">nasal surgical procedure</Keyword><Keyword MajorTopicYN="N">user-computer interface</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>11</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>12</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>12</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>12</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1111/ans.13418</ArticleId><ArticleId IdType="pubmed">26687286</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Diment, Laura E" sort="Diment, Laura E" uniqKey="Diment L" first="Laura E" last="Diment">Laura E. Diment</name></noRegion><name sortKey="Carney, A Simon" sort="Carney, A Simon" uniqKey="Carney A" first="A Simon" last="Carney">A Simon Carney</name><name sortKey="Dharmawardana, Nuwan" sort="Dharmawardana, Nuwan" uniqKey="Dharmawardana N" first="Nuwan" last="Dharmawardana">Nuwan Dharmawardana</name><name sortKey="Ooi, Eng H" sort="Ooi, Eng H" uniqKey="Ooi E" first="Eng H" last="Ooi">Eng H. Ooi</name><name sortKey="Reynolds, Karen J" sort="Reynolds, Karen J" uniqKey="Reynolds K" first="Karen J" last="Reynolds">Karen J. Reynolds</name><name sortKey="Ruthenbeck, Greg S" sort="Ruthenbeck, Greg S" uniqKey="Ruthenbeck G" first="Greg S" last="Ruthenbeck">Greg S. Ruthenbeck</name><name sortKey="Woods, Charmaine M" sort="Woods, Charmaine M" uniqKey="Woods C" first="Charmaine M" last="Woods">Charmaine M. Woods</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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