Tags

Type your tag names separated by a space and hit enter

Developing an anterior cervical diskectomy and fusion simulator for neurosurgical resident training.
Neurosurgery. 2013 Oct; 73 Suppl 1:100-6.N

Abstract

BACKGROUND

Surgical simulators are useful in many surgical disciplines to augment residency training. Duty hour restrictions and increasing emphasis on patient safety and attending oversight have changed neurosurgical education from the traditional apprenticeship model. The Congress of Neurological Surgeons Simulation Committee has been developing neurosurgical simulators for the purpose of enhancing resident education and assessing proficiency.

OBJECTIVE

To review the initial experience with an anterior cervical diskectomy and fusion (ACDF) simulator.

METHODS

The first ACDF training module was implemented at the 2012 Congress of Neurological Surgeons Annual Meeting. The 90-minute curriculum included a written pretest, didactics, a practical pretest on the simulator, hands-on training, a written posttest, a practical posttest, and postcourse feedback. Didactic material covered clinical indications for ACDF, comparison with other cervical procedures, surgical anatomy and approach, principles of arthrodesis and spinal fixation, and complication management. Written pretests and posttests were administered to assess baseline knowledge and evidence of improvement after the module. Qualitative evaluation of individual performance on the practical (simulator) portion was included.

RESULTS

Three neurosurgery residents, 2 senior medical students, and 1 attending neurosurgeon participated in the course. The pretest scores were an average 9.2 (range, 6-13). Posttest scores improved to 11.0 (range, 9-13; P = .03).

CONCLUSION

Initial experience with the ACDF simulator suggests that it may represent a meaningful training module for residents. Simulation will be an important training modality for residents to practice surgical technique and for teachers to assess competency. Further development of an ACDF simulator and didactic curriculum will require additional verification of simulator validity and reliability.

Authors+Show Affiliations

*Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri; ‡Department of Neurological Surgery, Northwestern, Chicago, Illinois; §Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania; ¶Department of Neurological Surgery, University Florida, Gainesville.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24051871

Citation

Ray, Wilson Z., et al. "Developing an Anterior Cervical Diskectomy and Fusion Simulator for Neurosurgical Resident Training." Neurosurgery, vol. 73 Suppl 1, 2013, pp. 100-6.
Ray WZ, Ganju A, Harrop JS, et al. Developing an anterior cervical diskectomy and fusion simulator for neurosurgical resident training. Neurosurgery. 2013;73 Suppl 1:100-6.
Ray, W. Z., Ganju, A., Harrop, J. S., & Hoh, D. J. (2013). Developing an anterior cervical diskectomy and fusion simulator for neurosurgical resident training. Neurosurgery, 73 Suppl 1, 100-6. https://doi.org/10.1227/NEU.0000000000000088
Ray WZ, et al. Developing an Anterior Cervical Diskectomy and Fusion Simulator for Neurosurgical Resident Training. Neurosurgery. 2013;73 Suppl 1:100-6. PubMed PMID: 24051871.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Developing an anterior cervical diskectomy and fusion simulator for neurosurgical resident training. AU - Ray,Wilson Z, AU - Ganju,Aruna, AU - Harrop,James S, AU - Hoh,Daniel J, PY - 2013/9/21/entrez PY - 2013/9/27/pubmed PY - 2014/4/23/medline SP - 100 EP - 6 JF - Neurosurgery JO - Neurosurgery VL - 73 Suppl 1 N2 - BACKGROUND: Surgical simulators are useful in many surgical disciplines to augment residency training. Duty hour restrictions and increasing emphasis on patient safety and attending oversight have changed neurosurgical education from the traditional apprenticeship model. The Congress of Neurological Surgeons Simulation Committee has been developing neurosurgical simulators for the purpose of enhancing resident education and assessing proficiency. OBJECTIVE: To review the initial experience with an anterior cervical diskectomy and fusion (ACDF) simulator. METHODS: The first ACDF training module was implemented at the 2012 Congress of Neurological Surgeons Annual Meeting. The 90-minute curriculum included a written pretest, didactics, a practical pretest on the simulator, hands-on training, a written posttest, a practical posttest, and postcourse feedback. Didactic material covered clinical indications for ACDF, comparison with other cervical procedures, surgical anatomy and approach, principles of arthrodesis and spinal fixation, and complication management. Written pretests and posttests were administered to assess baseline knowledge and evidence of improvement after the module. Qualitative evaluation of individual performance on the practical (simulator) portion was included. RESULTS: Three neurosurgery residents, 2 senior medical students, and 1 attending neurosurgeon participated in the course. The pretest scores were an average 9.2 (range, 6-13). Posttest scores improved to 11.0 (range, 9-13; P = .03). CONCLUSION: Initial experience with the ACDF simulator suggests that it may represent a meaningful training module for residents. Simulation will be an important training modality for residents to practice surgical technique and for teachers to assess competency. Further development of an ACDF simulator and didactic curriculum will require additional verification of simulator validity and reliability. SN - 1524-4040 UR - https://www.unboundmedicine.com/medline/citation/24051871/Developing_an_anterior_cervical_diskectomy_and_fusion_simulator_for_neurosurgical_resident_training_ L2 - https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0000000000000088 DB - PRIME DP - Unbound Medicine ER -