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A longitudinal surgical systems strengthening research program for medical students:the exploration of a model for global health education

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Global Health Research and Policy 2021年第1期6卷 149-157页

作者： Gregory L.Peck Joseph S.Hanna Erin M.Scott Dhaval Mehta Zina Model Deesha Sarma Elizabeth E.Ginalis Zachary Berlant Fernando Ferrera Javier Escobar Carlos A.Ordoñez Carlos Morales Vicente H.Gracias Department of Surgery Rutgers Robert Wood Johnson Medical School125 Paterson Street-Suite 6300New BrunswickNJ 08901USA Rutgers School of Public Health PiscatawayNJUSA Department of Surgery University of Massachusetts Medical SchoolWorcesterMAUSA Department of Emer-gency Medicine New York Presbyterian-Brooklyn Methodist HospitalNew YorkNYUSA Department of Orthopaedic Surgery Harvard Medical SchoolBostonMAUSA Department of Emergency Medicine Beth Israel Deaconess Medical CenterBostonMAUSA Department of Neurological Surgery Rutgers Biomedical and Health SciencesNew BrunswickNJUSA Department of Pediatrics New York Presbyterian-Columbia University Medical CenterNew YorkNYUSA Department of Orthopaedic Surgery UPMC Hamot Medical CenterPittsburghPAUSA Rutgers Biomedical and Health Sci-ences Rutgers UniversityNew BrunswickNJUSA Department of Surgery Universidad del ValleCaliColombia Department of Surgery Universidad de AntioquiaMedellínColombia

Background:In response to the staggering global burden of conditions requiring emergency and essential surgery,the development of international surgical system strengthening(SSS)is fundamental to achieving universal,timely,quality,and affordable surgical *** exists in identifying optimal collaborative processes that both promote global surgery research and SSS,and include medical *** study explores an education model to engage students in academic global surgery and SSS via institutional support for longitudinal ***:We set out to design a program to align global health education and longitudinal health systems research by creating an education model to engage medical students in academic global surgery and *** design and implementation:In 2015,medical schools in the United States and Colombia initiated a collaborative partnership for academic global surgery research and *** included development of two longitudinal academic tracks in global health medical education and academic global surgery,which we differentiated by level of institutional *** is a retrospective evaluation of the first two years of this program by using commonly recognized academic output *** achievements:In the first two years of the program,there were 76 total applicants to the two longitudinal *** of the 16(37.5%)accepted students selected global surgery faculty as mentors(Acute Care Surgery faculty participating in SSS with Colombia).These global surgery students subsequently spent 24 total working weeks abroad over the two-year period participating in culminating research experiences in *** a quantitative measure of the program’s success,the students collectively produced a total of twenty scholarly pieces in the form of accepted posters,abstracts,podium presentations,and manuscripts in partnership with Colombian research *** implications:The establishment of scholarly global health education and re

关键词： Global health Health systems Systems strengthening surgical education Medical student education Global surgery

Augmented reality assisted surgery： a urologic training tool

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Asian Journal of Andrology 2016年第5期18卷 732-734页

作者： Ryan M Dickey Neel Srikishen Larry I Lipshultz Philippe E Spiess Rafael E Carrion Tariq S Hakky Scott Department of Urology Baylor College of Medicine Houston 77030 USA University of South Florida Department of Urology Tampa 33606 USA.

Augmented reality is widely used in aeronautics and is a developing concept within surgery. In this pilot study, we developed an application for use on Google Glass optical head-mounted display to train urology residents in how to place an inflatable penile prosthesis. We use the phrase Augmented Reality Assisted Surgery to describe this novel application of augmented reality in the setting of surgery. The application demonstrates the steps of the surgical procedure of inflatable penile prosthesis placement. It also contains software that allows for detection of interest points using a camera feed from the optical head-mounted display to enable faculty to interact with residents during placement of the penile prosthesis. Urology trainees and faculty who volunteered to take part in the study were given time to experience the technology in the operative or perioperative setting and asked to complete a feedback survey. From 30 total participants using a lO-point scale, educational usefulness was rated 8.6, ease of navigation was rated 7.6, likelihood to use was rated 7.4, and distraction in operating room was rated 4.9. When stratified between trainees and faculty, trainees found the technology more educationally useful, and less distracting. Overall, 81% of the participants want this technology in their residency program, and 93% see this technology in the operating room in the future. Further development of this technology is warranted before full release, and further studies are necessary to better characterize the effectiveness of Augmented Reality Assisted Surgery in urologic surgical training.

关键词： andrology augmented reality assisted surgery Google glass inflatable penile prosthesis optical head mounted display surgical education

Current and future role of three-dimensional modelling technology in rectal cancer surgery:A systematic review

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World Journal of Gastrointestinal Surgery 2021年第12期13卷 1754-1769页

作者： Anna Przedlacka Gianluca Pellino Jordan Fletcher Fernando Bello Paris P Tekkis Christos Kontovounisios Department of Surgery and Cancer Imperial College LondonLondon SW109NHUnited Kingdom Department of Advanced Medical and surgical Sciences Universitàdegli Studi della Campania“Luigi Vanvitelli”Naples 80138CampaniaItaly Colorectal Surgery Vall d'Hebron University HospitalBarcelona 08029Spain Colorectal Surgery Royal Marsden NHS Foundation TrustLondon SW36JJUnited Kingdom Department of Surgery and Cancer St Mark’s Hospital Academic InstituteImperial College LondonLondon HA13UJUnited Kingdom Centre for Engagement and Simulation Science Imperial College LondonLondon SW109NHUnited Kingdom Colorectal Surgery Chelsea and Westminster Hospital NHS Foundation TrustLondon SW109NHUnited Kingdom

BACKGROUND Three-dimensional(3D)modelling technology translates the patient-specific anatomical information derived from two-dimensional radiological images into virtual or physical 3D models,which more closely resemble the complex environment encountered during *** has been successfully applied to surgical planning and navigation,as well as surgical training and patient education in several surgical specialties,but its uptake lags behind in colorectal *** cancer surgery poses specific challenges due to the complex anatomy of the pelvis,which is difficult to comprehend and *** To review the current and emerging applications of the 3D models,both virtual and physical,in rectal cancer surgery。METHODS Medline/PubMed,Embase and Scopus databases were searched using the keywords“rectal surgery”,“colorectal surgery”,“three-dimensional”,“3D”,“modelling”,“3D printing”,“surgical planning”,“surgical navigation”,“surgical education”,“patient education”to identify the eligible full-text studies published in English between 2001 and *** list from each article was manually reviewed to identify additional relevant *** conference abstracts,animal and cadaveric studies and studies describing 3D pelvimetry or radiotherapy planning were *** were extracted from the retrieved manuscripts and summarised in a descriptive *** manuscript was prepared and revised in accordance with PRISMA 2009 *** Sixteen studies,including 9 feasibility studies,were included in the systematic *** studies were classified into four categories:feasibility of the use of 3D modelling technology in rectal cancer surgery,preoperative planning and intraoperative navigation,surgical education and surgical device *** studies used virtual models,one 3D printed model and 2 both types of *** construction of virtual and physical models depicting the normal pelvic anatomy and rectal cancer,was shown to be *** the

关键词： Rectal cancer Three-dimensional modelling Three-dimensional printing Image-guided surgery surgical navigation surgical education

Performance in the Fundamentals of Laparoscopic Surgery: Does it reflect global rating scales in the Objective Structured Assessment of Technical Skills in porcine laparoscopic surgery?

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Asian Journal of Urology 2024年第3期11卷 443-449页

作者： Ho Yee Tiong Wei Zheng So Jeremy Yuen-Chun Teoh Shuji Isotani Gang Zhu Teng Aik Ong Eddie Shu-Yin Chan Peggy Sau-Kwan Chu Kittinut Kijvikai Ming Liu Bannakji Lojanapiwat Michael Wong Anthony Chi-Fai Ng Yong Loo Lin School of Medicine Department of SurgeryNational University of SingaporeSingapore S.H.Ho Urology Centre Department of SurgeryThe Chinese University of Hong KongHong KongChina Department of Urology Juntendo University Graduate School of MedicineTokyoJapan Department of Urology National University HospitalSingapore Department of Urology Beijing United Family HospitalBeijingChina Department of Surgery University of Malaya Specialist CentreKuala LumpurMalaysia Division of Urology Department of SurgeryTuen Mun HospitalHong Kong Department of Urology Ramathibodi HospitalMahidol UniversitySalayaThailand Department of Urology Beijing HospitalBeijingChina Department of Urology Chiangmai Ram HospitalChiang MaiThailand International Urology Fertility&Gynaecology CentreSingapore

Objective:To correlate the utility of the Fundamentals of Laparoscopic Surgery(FLS)manual skills program with the Objective Structured Assessment of Technical Skills(OSATS)global rating scale in evaluating operative ***:The Asian Urological Surgery Training and educational Group(AUSTEG)Laparoscopic Upper Tract Surgery Course implemented and validated the FLS program for its usage in laparoscopic surgical ***’basic laparoscopic skills were assessed using three different training models(peg transfer,precision cutting,and intra-corporeal suturing).They also performed live porcine laparoscopic surgery at the same *** surgery skills were assessed by blinded faculty using the OSATS rating ***:From March 2016 to March 2019,a total of 81 certified urologists participated in the course,with a median of 5 years of post-residency *** differences in task time did not reach statistical significance,those with more surgical experience were visibly faster at completing the peg transfer and intra-corporeal suturing FLS ***,they took longer to complete the precision cutting task than participants with less *** OSATS scores correlated weakly with all three FLS tasks(peg transfer time:r=0.331,r^(2)=0.110;precision cutting time:r=0.240,r^(2)=0.058;suturing with intracorporeal knot time:r=0.451,r^(2)=0.203).Conclusion:FLS task parameters did not correlate strongly with OSATS globing rating scale *** FLS task models demonstrated strong validity,it is important to assimilate the inconsistencies when benchmarking technical proficiency against real-life operative competence,as evaluated by FLS and OSATS,respectively.

关键词： The Fundamentals of Laparoscopic Surgery Assessment of Technical Skills Laparoscopic training surgical education surgical training Urological laparoscopic surgery

The virtual peripheral nerve academy:education for the identification and treatment of peripheral nerve disorders

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Plastic and Aesthetic Research 2022年第1期9卷 707-715页

作者： Erica B.Lee Allison Podsednik Kimberly Khoo Amal Cheema Raysa Cabrejo Chen Shen Joseph Rosen A.Lee Dellon Department of Plastic and Reconstructive Surgery Johns Hopkins School of MedicineMD 89011USA Department of Plastic and Reconstructive Surgery The University of Texas Rio Grande ValleyEdinburgTX 78539USA Department of Plastic and Reconstructive Surgery Geisel School of Medicine at DartmouthHanoverNH 03755USA

Millions of people around the globe suffer peripheral nerve injuries caused by trauma and medical ***,medical school curricula are profoundly deficient in peripheral nerve *** lack of knowledge within the healthcare profession may cause inadequate patient *** developed the Virtual Peripheral Nerve Academy(VPNA)as a reusable virtual learning environment to provide medical students with detailed education on the peripheral nervous system(PNS).Students are introduced to the PNS through virtual 3D rendering of the human body,wherein they visualize individual nerves through dissection and observe normal motor and sensory function associated with each *** structures that are absent from traditional texts are included in this visualization,ranging from the innervation of joints to the normal anatomic variation required for differential diagnosis of pain after an *** modules on peripheral nerve disorders allow students to observe pathophysiological mechanisms,associated symptomatology,and appropriate *** are briefed on a patient clinical case,then interact with a patient avatar to learn the appropriate diagnostics,including physical exam maneuvers and electrodiagnostic *** modules on peripheral nerve surgeries detail surgical *** VPNA data and analytics dashboards allow medical students and course instructors to assess skill improvement and identify specific learning *** built-in learner management system and availability on both computer-based and virtual reality platforms facilitate integration into any existing medical school ***,this immersive technology enables every medical student to learn about the peripheral nervous system and gain competency in treating real-life nerve pathologies.

关键词： Virtual reality peripheral nervous system nerve surgical education medical education simulation plastic surgery

Performance of single versus two operators in laparoscopic surgery

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Laparoscopic, Endoscopic and Robotic Surgery 2018年第1期1卷 15-18页

作者： Bo Bao Wenjing He Bin Zheng surgical Simulation Research Lab Department of SurgeryUniversity of AlbertaEdmonton ABCanada

Aim:To examine the significance of team collaboration in the context of complex laparoscopic surgery,laparoscopic tasks performed by single operators are compared against that of dyad ***:The laparoscopic tasks require subjects to reach,grasp and transport a ring through a rollercoaster obstacle using a pair of laparoscopic *** task was performed either bimanually(using both hands)or unimanually(using their preferred hands)in a dyad ***:Twelve participants completed all the *** dyad teams recorded significantly greater number of anticipatory movements than individuals who performed the task bimanually(psurgical education and team training.

关键词： Laparoscopic surgery Simulation Team training Skill assessment surgical education

The status of surgical simulation

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Chinese Medical Journal 2012年第21期125卷 3763-3764页

作者： NA Yan-qun Department of Urology Peking University People's Hospital Beijing 100044 China

ultiple academic organizations, administrative _authorities, and some commercial bodies in medicine have accepted the fact that simulation has become crucial and brought tremendous changes in surgical education and training] When integrated into surgical education and training system, simulation not only improves the quality of surgical service by upgrading surgeons＇ skills and decreasing time to the mastery of various critical techniques, but also secures the safety of patients.

关键词： surgical education simulation training virtual reality

“PERISH”fl owchart for selection of the patients with resectable hepatocellular carcinoma

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Hepatoma Research 2015年第1期1卷 165-170页

作者： Cuneyt Kayaalp HKerem Tolan Mehmet Caglikulekci Liver Transplantation Institute Inonu University44315 MalatyaTurkey

A selection of patients with hepatocellular carcinoma(HCC)for surgical resection is crucial and algorithms/staging systems help surgeons to decide on a standard treatment for each patient and each HCC ***,there are always diffi culties in remembering and/or recalling the contents of the algorithms/staging ***,most algorithms/staging systems do not include data about the extent of hepatectomy,intra-hepatic distribution of tumor(s),and technical feasibility of resection,all of which are vital in the surgeons’decision-making ***,we aimed to present a simple and handy mnemonic acronym for selecting resectable HCCs in surgical *** was reproduced from the existing well-known staging *** designed mnemonic acronym is a phrase“PERISH”and it includes asking for Performance of patient,Extra-hepatic disease,Reserve of the liver,Intra-hepatic distribution,Stratifying risk factors,and Hepatectomy size in *** based on whether the patient is mostly bedridden or not should be the fi rst step of ***,asking for suspicious metastasis as bone pain and radiological evaluation of abdomen/thorax is *** calculation of Child-Pugh score is only the third *** candidates for surgical resection should be Child-Pugh“A”with normal bilirubin *** feasibility of resection,according to the intra-hepatic distribution of tumor(s)should be done later,and the candidates preferably should not have portal hypertension(no splenomegaly,no thrombocytopenia).If the patient fulfi lls all the previous steps,the surgeon may perform indo-cyanine green clearance ***,following the PERISH fl owchart may prevent“perish”of the surgeons while selecting the appropriate resectable HCCs.

关键词： Hepatectomy hepatocellular carcinoma surgery surgical education

Telementoring in education of laparoscopic surgeons: An emerging technology

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World Journal of Gastrointestinal Endoscopy 2014年第5期6卷 8-15页

作者： Etai M Bogen Knut M Augestad Hiten RH Patel Rolv-Ole Lindsetmo Department of Gastrointestinal Surgery University Hospital of Northern Norway Institute of Clinical Medicine University of Tromso Department of Colorectal Surgery University Hospitals Case Medical Center Department of Urology University Hospital of Northern Norway Norwegian Centre for Telemedicine and Inte-grated Care Virtual surgical Skills and Simulation Centre Institute of CancerQueen Mary University of London

Laparoscopy, minimally invasive and minimal access surgery with more surgeons performing these ad-vanced procedures. We highlight in the review several key emerging technologies such as the telementor-ing and virtual reality simulators, that provide a solid ground for delivering surgical education to rural area and allow young surgeons a safety net and confidence while operating on a newly learned technique.

关键词： Telemedicine Telementoring Videoconference surgical education Minimal invasive surgery