老司机直播

Groundbreaking research shows dramatic improvement in surgical residents' skills (Wikimedia Commons photo)

Better training for surgical residents

New approach doubles "technical performance" scores

New research shows surgical residents who received structured training in a simulated environment perform significantly better when they start operating on patients.

Results of the study by researchers from the University of Toronto and St. Michael鈥檚 Hospital were so convincing that 老司机直播 implemented the training program before their research was published in the July issue of the Annals of Surgery.

鈥淥ften surgical residents came to the OR and we didn鈥檛 know whether they had the skills or the knowledge to perform safe surgery," said Professor Teodor Grantcharov, a surgeon at St. Michael鈥檚 and one of the researchers. 鈥淭heir education took place in the OR under the guidance of an experienced surgeon.

鈥淣ow we are moving that learning curve from the OR to a virtual environment. Only people who demonstrate proficiency are allowed to come to the OR.鈥

Grantcharov and Dr. Vanessa Palter, a 老司机直播 surgical resident at St. Michael鈥檚, said that even though preventable medical errors contribute to between 9,000 and 24,000 deaths in Canada each year, there was no effective mechanism to ensure that residents have the skills and knowledge to perform safe surgery.

They devised a study in which surgical residents were divided into two groups. One group received the conventional training for laparoscopic colorectal surgery鈥攔emoving a tumour from the colon. The other group trained on a virtual reality simulator, received cognitive training (when and how to operate, how to work as a team) and practiced surgery on cadavers.

After five months of training, each resident performed a laparoscopic right hemicolectomy (removed a tumour from the right side of the colon) that was videotaped and analyzed by outside experts.

Those who went through the simulated training performed the procedure significantly better and did better on a multiple choice test.

They scored an average of 16 out of 20 on technical performance, double the 8 out of 20 score for those who underwent the conventional training. On the multiple choice test of their knowledge of the procedure they scored 10 out of 18, compared to 7.5 out of 18 for those in the conventional program.

鈥淲e are very proud to bring this groundbreaking research into the 老司机直播 general surgery curriculum,鈥 said Dr. Andy Smith, the Bernard and Ryna Langer Chair of the division of general surgery at 老司机直播.

鈥淚t is a fine example of knowledge translation: education research implemented into the 鈥榬eal world鈥 of surgical education.鈥

Grantcharov said he has received inquiries from medical schools around the world regarding the curriculum he and Palter developed. This curriculum currently applies to colorectal procedures but they are designing similar approaches for a number of other high-risk procedures.

鈥淲e鈥檙e excited that it actually makes a difference,鈥 he said.

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