Tags

Type your tag names separated by a space and hit enter

Simulated spinal cerebrospinal fluid leak repair: an educational model with didactic and technical components.
Neurosurgery 2013; 73 Suppl 1:111-5N

Abstract

BACKGROUND

In the era of surgical resident work hour restrictions, the traditional apprenticeship model may provide fewer hours for neurosurgical residents to hone technical skills. Spinal dura mater closure or repair is 1 skill that is infrequently encountered, and persistent cerebrospinal fluid leaks are a potential morbidity.

OBJECTIVE

To establish an educational curriculum to train residents in spinal dura mater closure with a novel durotomy repair model.

METHODS

The Congress of Neurological Surgeons has developed a simulation-based model for durotomy closure with the ongoing efforts of their simulation educational committee. The core curriculum consists of didactic training materials and a technical simulation model of dural repair for the lumbar spine.

RESULTS

Didactic pretest scores ranged from 4/11 (36%) to 10/11 (91%). Posttest scores ranged from 8/11 (73%) to 11/11 (100%). Overall, didactic improvements were demonstrated by all participants, with a mean improvement between pre- and posttest scores of 1.17 (18.5%; P = .02). The technical component consisted of 11 durotomy closures by 6 participants, where 4 participants performed multiple durotomies. Mean time to closure of the durotomy ranged from 490 to 546 seconds in the first and second closures, respectively (P = .66), whereby the median leak rate improved from 14 to 7 (P = .34). There were also demonstrative technical improvements by all.

CONCLUSION

Simulated spinal dura mater repair appears to be a potentially valuable tool in the education of neurosurgery residents. The combination of a didactic and technical assessment appears to be synergistic in terms of educational development.

Authors+Show Affiliations

*Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania; ‡Department of Orthopedics, University of Wisconsin, Madison, Wisconsin; §Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24051873

Citation

Ghobrial, George M., et al. "Simulated Spinal Cerebrospinal Fluid Leak Repair: an Educational Model With Didactic and Technical Components." Neurosurgery, vol. 73 Suppl 1, 2013, pp. 111-5.
Ghobrial GM, Anderson PA, Chitale R, et al. Simulated spinal cerebrospinal fluid leak repair: an educational model with didactic and technical components. Neurosurgery. 2013;73 Suppl 1:111-5.
Ghobrial, G. M., Anderson, P. A., Chitale, R., Campbell, P. G., Lobel, D. A., & Harrop, J. (2013). Simulated spinal cerebrospinal fluid leak repair: an educational model with didactic and technical components. Neurosurgery, 73 Suppl 1, pp. 111-5. doi:10.1227/NEU.0000000000000100.
Ghobrial GM, et al. Simulated Spinal Cerebrospinal Fluid Leak Repair: an Educational Model With Didactic and Technical Components. Neurosurgery. 2013;73 Suppl 1:111-5. PubMed PMID: 24051873.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Simulated spinal cerebrospinal fluid leak repair: an educational model with didactic and technical components. AU - Ghobrial,George M, AU - Anderson,Paul A, AU - Chitale,Rohan, AU - Campbell,Peter G, AU - Lobel,Darlene A, AU - Harrop,James, PY - 2013/9/21/entrez PY - 2013/9/27/pubmed PY - 2014/4/23/medline SP - 111 EP - 5 JF - Neurosurgery JO - Neurosurgery VL - 73 Suppl 1 N2 - BACKGROUND: In the era of surgical resident work hour restrictions, the traditional apprenticeship model may provide fewer hours for neurosurgical residents to hone technical skills. Spinal dura mater closure or repair is 1 skill that is infrequently encountered, and persistent cerebrospinal fluid leaks are a potential morbidity. OBJECTIVE: To establish an educational curriculum to train residents in spinal dura mater closure with a novel durotomy repair model. METHODS: The Congress of Neurological Surgeons has developed a simulation-based model for durotomy closure with the ongoing efforts of their simulation educational committee. The core curriculum consists of didactic training materials and a technical simulation model of dural repair for the lumbar spine. RESULTS: Didactic pretest scores ranged from 4/11 (36%) to 10/11 (91%). Posttest scores ranged from 8/11 (73%) to 11/11 (100%). Overall, didactic improvements were demonstrated by all participants, with a mean improvement between pre- and posttest scores of 1.17 (18.5%; P = .02). The technical component consisted of 11 durotomy closures by 6 participants, where 4 participants performed multiple durotomies. Mean time to closure of the durotomy ranged from 490 to 546 seconds in the first and second closures, respectively (P = .66), whereby the median leak rate improved from 14 to 7 (P = .34). There were also demonstrative technical improvements by all. CONCLUSION: Simulated spinal dura mater repair appears to be a potentially valuable tool in the education of neurosurgery residents. The combination of a didactic and technical assessment appears to be synergistic in terms of educational development. SN - 1524-4040 UR - https://www.unboundmedicine.com/medline/citation/24051873/Simulated_spinal_cerebrospinal_fluid_leak_repair:_an_educational_model_with_didactic_and_technical_components_ L2 - https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0000000000000100 DB - PRIME DP - Unbound Medicine ER -