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The cognitive and technical skills impact of the Congress of Neurological Surgeons simulation curriculum on neurosurgical trainees at the 2013 Neurological Society of India meeting.
World Neurosurg 2015; 83(4):419-23WN

Abstract

OBJECTIVE

To assess the impact of a simulation-based educational curriculum of 4 modules on neurosurgical trainees at the Neurological Societies of India annual meeting, which was held in Mumbai, India, in December 2013.

METHODS

We developed a microanastomosis, anterior cervical discectomy and fusion (ACDF), posterior cervical fusion (PCF), and durotomy repair and their corresponding objective assessment scales. Each module was divided into 3 components: 1) a before didactic cognitive knowledge and technical skills testing, 2) a didactic lecture, and 3) an after didactic cognitive knowledge and technical skills testing. We compared the trainees' cognitive and technical scores from the before and after testing phases. Wilcoxon sum rank test was used to test statistical significance. The incorporation of a simulation-based educational program into neurosurgical education curriculum has faced a number of barriers. It is essential to develop and assess the success and feasibility of simulation-based modules on neurosurgical residents.

RESULTS

The knowledge test median scores increased from 60%, 69% to 72%, and 60% to 80%, 85%, 90%, and 75% on the microanastomosis, ACDF, PCF, and durotomy modules, respectively (P < 0.05). The practical hands-on scores increased from 45%, 45% to 60%, and 65% to 62%, 68%, 81%, and 70% on the microanastomosis, ACDF, PCF, and durotomy modules, respectively (P < 0.05).

CONCLUSIONS

Our course suggests that a simulation-based neurosurgery curriculum has the potential to enhance resident knowledge and technical proficiency.

Authors+Show Affiliations

Department of Neurological Surgery, Northwestern Memorial Hospital, Chicago, IL.Department of Neurological surgery, Mayo Clinic Hospital, Phoenix, AZ.Department of Neurological surgery, Mayo Clinic Hospital, Phoenix, AZ.Department of Neurological Surgery, Northwestern Memorial Hospital, Chicago, IL.Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, TX.Barrow Neurological Institute of Phoenix Children's Hospital, Phoenix, AZ.Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI.Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA.Congress of Neurological Surgeons, Schaumburg, IL.Department of Neurosurgery, Neurosurgical Clinics, Kamayani Hospital, Agra, India.Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.Department of Neurosurgery, The Ohio State University, Columbus, OH.Department of Neurosurgery, Dr. Balabhai Nanavati Hospital and Saifee Hospital, Mumbai, Maharashtra, India.Department of Neurosurgery, National Institute of Mental Health and Neuro Sciences (NIMHANS), Hosur Road, Bangalore, 560029, India.Department of Neurological Surgery, Oregon Health & Science University, Portland, OR.Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA.Department of Neurosurgery, University of Wisconsin, Madison, WI.Department of Neurological surgery, Mayo Clinic Hospital, Phoenix, AZ. Electronic address: bendok.bernard@mayo.edu.

Pub Type(s)

Congress

Language

eng

PubMed ID

25524066

Citation

Zammar, Samer G., et al. "The Cognitive and Technical Skills Impact of the Congress of Neurological Surgeons Simulation Curriculum On Neurosurgical Trainees at the 2013 Neurological Society of India Meeting." World Neurosurgery, vol. 83, no. 4, 2015, pp. 419-23.
Zammar SG, Hamade YJ, Aoun RJ, et al. The cognitive and technical skills impact of the Congress of Neurological Surgeons simulation curriculum on neurosurgical trainees at the 2013 Neurological Society of India meeting. World Neurosurg. 2015;83(4):419-23.
Zammar, S. G., Hamade, Y. J., Aoun, R. J., El Tecle, N. E., El Ahmadieh, T. Y., Adelson, P. D., ... Bendok, B. R. (2015). The cognitive and technical skills impact of the Congress of Neurological Surgeons simulation curriculum on neurosurgical trainees at the 2013 Neurological Society of India meeting. World Neurosurgery, 83(4), pp. 419-23. doi:10.1016/j.wneu.2014.12.006.
Zammar SG, et al. The Cognitive and Technical Skills Impact of the Congress of Neurological Surgeons Simulation Curriculum On Neurosurgical Trainees at the 2013 Neurological Society of India Meeting. World Neurosurg. 2015;83(4):419-23. PubMed PMID: 25524066.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The cognitive and technical skills impact of the Congress of Neurological Surgeons simulation curriculum on neurosurgical trainees at the 2013 Neurological Society of India meeting. AU - Zammar,Samer G, AU - Hamade,Youssef J, AU - Aoun,Rami James N, AU - El Tecle,Najib E, AU - El Ahmadieh,Tarek Y, AU - Adelson,P David, AU - Kurpad,Shekar N, AU - Harrop,James S, AU - Hodge,Heather, AU - Mishra,Ramesh C, AU - Rajshekhar,Vedantam, AU - Rezai,Ali R, AU - Sahkla,Suresh K, AU - Sattur,Mithun G, AU - Selden,Nathan R, AU - Sharan,Ashwini D, AU - Resnick,Daniel K, AU - Bendok,Bernard R, Y1 - 2014/12/16/ PY - 2014/11/05/received PY - 2014/12/08/accepted PY - 2014/12/20/entrez PY - 2014/12/20/pubmed PY - 2015/6/20/medline KW - ACDF KW - Durotomy KW - Education KW - Microanastomosis KW - PCF KW - Resident KW - Simulation KW - Spine KW - Vascular SP - 419 EP - 23 JF - World neurosurgery JO - World Neurosurg VL - 83 IS - 4 N2 - OBJECTIVE: To assess the impact of a simulation-based educational curriculum of 4 modules on neurosurgical trainees at the Neurological Societies of India annual meeting, which was held in Mumbai, India, in December 2013. METHODS: We developed a microanastomosis, anterior cervical discectomy and fusion (ACDF), posterior cervical fusion (PCF), and durotomy repair and their corresponding objective assessment scales. Each module was divided into 3 components: 1) a before didactic cognitive knowledge and technical skills testing, 2) a didactic lecture, and 3) an after didactic cognitive knowledge and technical skills testing. We compared the trainees' cognitive and technical scores from the before and after testing phases. Wilcoxon sum rank test was used to test statistical significance. The incorporation of a simulation-based educational program into neurosurgical education curriculum has faced a number of barriers. It is essential to develop and assess the success and feasibility of simulation-based modules on neurosurgical residents. RESULTS: The knowledge test median scores increased from 60%, 69% to 72%, and 60% to 80%, 85%, 90%, and 75% on the microanastomosis, ACDF, PCF, and durotomy modules, respectively (P < 0.05). The practical hands-on scores increased from 45%, 45% to 60%, and 65% to 62%, 68%, 81%, and 70% on the microanastomosis, ACDF, PCF, and durotomy modules, respectively (P < 0.05). CONCLUSIONS: Our course suggests that a simulation-based neurosurgery curriculum has the potential to enhance resident knowledge and technical proficiency. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/25524066/The_cognitive_and_technical_skills_impact_of_the_Congress_of_Neurological_Surgeons_simulation_curriculum_on_neurosurgical_trainees_at_the_2013_Neurological_Society_of_India_meeting_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(14)01377-1 DB - PRIME DP - Unbound Medicine ER -