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Model-based simulation for early neurosurgical learners.
Neurosurgery 2013; 73 Suppl 1:15-24N

Abstract

BACKGROUND

Restrictions on duty hours and shift length by the Accreditation Council for Graduate Medical Education and public pressure to reduce complications and to improve outcomes in the clinical educational environment have enhanced interest in the use of procedural and surgical simulation to train neurosurgical residents.

OBJECTIVE

To introduce simple, available, and, when possible, inexpensive model-based simulation for early learners into the initial stages of neurosurgical residency training.

METHODS

Simulation for early-stage trainees in neurological surgery has taken advantage of model-based systems. The Society of Neurological Surgeons postgraduate year 1 courses have served as one paradigm for designing and using model-based simulators for procedural and surgical skill training as part of a purpose-designed overall curriculum. Ongoing surveys of resident and faculty course participants have supported iterative improvements in simulator models and curriculum from year to year.

RESULTS

Simulation for basic neurosurgical and intensive care procedures has been undertaken through the use of available materials, surgical technology, and modifications of related existing model simulators. Simulation of common, standard surgical procedures for early learners may be broken into individual surgical skills and maneuvers to prepare trainees for safe practice of these component skills during live procedures under direct supervision appropriate to their training stage.

CONCLUSION

Model-based simulation is particularly effective for early surgical learners as part of a coordinated curriculum. Almost 600 residents have used model-based simulation during the first 3 years of the Society of Neurological Surgeons boot camp courses, with ongoing modification and improvement of individual simulation models.

Authors+Show Affiliations

*Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon; ‡Neurological Surgery Division, Loyola University Medical Center, Maywood, Illinois; §Department of Neurological Surgery Emory University, Atlanta, Georgia; ¶Department of Neurosurgery, Rush University, Chicago, Illinois.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24051878

Citation

Selden, Nathan R., et al. "Model-based Simulation for Early Neurosurgical Learners." Neurosurgery, vol. 73 Suppl 1, 2013, pp. 15-24.
Selden NR, Origitano TC, Hadjipanayis C, et al. Model-based simulation for early neurosurgical learners. Neurosurgery. 2013;73 Suppl 1:15-24.
Selden, N. R., Origitano, T. C., Hadjipanayis, C., & Byrne, R. (2013). Model-based simulation for early neurosurgical learners. Neurosurgery, 73 Suppl 1, pp. 15-24. doi:10.1227/NEU.0000000000000058.
Selden NR, et al. Model-based Simulation for Early Neurosurgical Learners. Neurosurgery. 2013;73 Suppl 1:15-24. PubMed PMID: 24051878.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Model-based simulation for early neurosurgical learners. AU - Selden,Nathan R, AU - Origitano,Thomas C, AU - Hadjipanayis,Costas, AU - Byrne,Richard, PY - 2013/9/21/entrez PY - 2013/9/27/pubmed PY - 2014/4/23/medline SP - 15 EP - 24 JF - Neurosurgery JO - Neurosurgery VL - 73 Suppl 1 N2 - BACKGROUND: Restrictions on duty hours and shift length by the Accreditation Council for Graduate Medical Education and public pressure to reduce complications and to improve outcomes in the clinical educational environment have enhanced interest in the use of procedural and surgical simulation to train neurosurgical residents. OBJECTIVE: To introduce simple, available, and, when possible, inexpensive model-based simulation for early learners into the initial stages of neurosurgical residency training. METHODS: Simulation for early-stage trainees in neurological surgery has taken advantage of model-based systems. The Society of Neurological Surgeons postgraduate year 1 courses have served as one paradigm for designing and using model-based simulators for procedural and surgical skill training as part of a purpose-designed overall curriculum. Ongoing surveys of resident and faculty course participants have supported iterative improvements in simulator models and curriculum from year to year. RESULTS: Simulation for basic neurosurgical and intensive care procedures has been undertaken through the use of available materials, surgical technology, and modifications of related existing model simulators. Simulation of common, standard surgical procedures for early learners may be broken into individual surgical skills and maneuvers to prepare trainees for safe practice of these component skills during live procedures under direct supervision appropriate to their training stage. CONCLUSION: Model-based simulation is particularly effective for early surgical learners as part of a coordinated curriculum. Almost 600 residents have used model-based simulation during the first 3 years of the Society of Neurological Surgeons boot camp courses, with ongoing modification and improvement of individual simulation models. SN - 1524-4040 UR - https://www.unboundmedicine.com/medline/citation/24051878/Model_based_simulation_for_early_neurosurgical_learners_ L2 - https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0000000000000058 DB - PRIME DP - Unbound Medicine ER -