Telesimulation: an effective method for teaching the fundamentals of laparoscopic surgery in resource-restricted countries
Background Several challenges exist with laparoscopic skills training in resource-restricted countries, including long travel distances required by mentors for onsite teaching. Telesimulation (TS) is a novel concept that uses the internet to link simulators between an instructor and a trainee in dif...
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| Veröffentlicht in: | Surgical endoscopy 2010-02, Vol.24 (2), p.417-422 |
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| creator | Okrainec, Allan Henao, Oscar Azzie, Georges |
| description | Background
Several challenges exist with laparoscopic skills training in resource-restricted countries, including long travel distances required by mentors for onsite teaching. Telesimulation (TS) is a novel concept that uses the internet to link simulators between an instructor and a trainee in different locations. The purpose of this study was to determine the effectiveness of telesimulation for teaching the Fundamentals of Laparoscopic Surgery (FLS) to surgeons in Botswana, Africa.
Methods
A total of 16 surgeons from two centers in Botswana participated in this 8-week study. FLS TS was set up using two simulators, computers, webcams, and Skype™ software for eight surgeons in the TS group. A standard FLS simulator was available for the eight surgeons in the self-practice (SP) group. Participants in the TS group had one remote training session per week with an FLS proctor at the University of Toronto who provided feedback and demonstrated proper technique. Participants in the SP group had access to the FLS DVD and were instructed to train on FLS at least once per week. FLS post-test scores were obtained in Botswana by a trained FLS proctor at the conclusion of the study.
Results
Participants in the TS group had significantly higher post-test FLS scores than those in the SP group (440 ± 56 vs. 272 ± 95,
p
= 0.001). All trainees in the TS group achieved an FLS simulator certification passing score, whereas only 38% in the SP group did so (
p
= 0.03).
Conclusion
Remote telesimulation is an effective method for teaching the Fundamentals of Laparoscopic Surgery in Africa, achieving a 100% FLS skills pass rate. This training platform provides a cost-effective method of teaching in resource-restricted countries and could be used to teach laparoscopic skills anywhere in the world with internet access. |
| doi_str_mv | 10.1007/s00464-009-0572-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733904639</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733904639</sourcerecordid><originalsourceid>FETCH-LOGICAL-c466t-85063d8aa664286641902157260d435bacfba2e41bddda200ebd146ffe19ef763</originalsourceid><addsrcrecordid>eNp1kU2LFDEQhoMo7rj6A7xIEMRTa7463fEmi1-w4GU9h3RS2cnSnYxJt7D-emuYwQXBS1KQpypvvS8hLzl7xxkb3jfGlFYdY6Zj_SA6_YjsuJKiE4KPj8mOGck6MRh1QZ61dscQN7x_Si646XUvjNmR3zcwQ0vLNrs1lfyBukwhRvBr-gV0gXVfAo2l0hWc36d8S9c90Ljl4BbIq5sbLZHO7uBqab4ckqdtq7dQ72nKtEIrW_XQYbHW5FcI1JctYw3tOXkSsR9enO9L8uPzp5urr9319y_frj5ed15pvXZjz7QMo3NaKzHiwQ0THNfVLCjZT87HyQlQfAohOMEYTIErjTtwA3HQ8pK8Pc091PJzQyF2Sc3DPLsMZWt2kNKgj9Ig-fof8g7lZxRnBVrGRql6hPgJ8rhxqxDtoabF1XvLmT3GYk-xWIzFHmOxRwmvzoO3aYHw0HHOAYE3Z8A17-ZYXfap_eWE6DXruUROnLiGTxltflD4_9__AOPapuw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>219508345</pqid></control><display><type>article</type><title>Telesimulation: an effective method for teaching the fundamentals of laparoscopic surgery in resource-restricted countries</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Okrainec, Allan ; Henao, Oscar ; Azzie, Georges</creator><creatorcontrib>Okrainec, Allan ; Henao, Oscar ; Azzie, Georges</creatorcontrib><description>Background
Several challenges exist with laparoscopic skills training in resource-restricted countries, including long travel distances required by mentors for onsite teaching. Telesimulation (TS) is a novel concept that uses the internet to link simulators between an instructor and a trainee in different locations. The purpose of this study was to determine the effectiveness of telesimulation for teaching the Fundamentals of Laparoscopic Surgery (FLS) to surgeons in Botswana, Africa.
Methods
A total of 16 surgeons from two centers in Botswana participated in this 8-week study. FLS TS was set up using two simulators, computers, webcams, and Skype™ software for eight surgeons in the TS group. A standard FLS simulator was available for the eight surgeons in the self-practice (SP) group. Participants in the TS group had one remote training session per week with an FLS proctor at the University of Toronto who provided feedback and demonstrated proper technique. Participants in the SP group had access to the FLS DVD and were instructed to train on FLS at least once per week. FLS post-test scores were obtained in Botswana by a trained FLS proctor at the conclusion of the study.
Results
Participants in the TS group had significantly higher post-test FLS scores than those in the SP group (440 ± 56 vs. 272 ± 95,
p
= 0.001). All trainees in the TS group achieved an FLS simulator certification passing score, whereas only 38% in the SP group did so (
p
= 0.03).
Conclusion
Remote telesimulation is an effective method for teaching the Fundamentals of Laparoscopic Surgery in Africa, achieving a 100% FLS skills pass rate. This training platform provides a cost-effective method of teaching in resource-restricted countries and could be used to teach laparoscopic skills anywhere in the world with internet access.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-009-0572-6</identifier><identifier>PMID: 19565299</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Biological and medical sciences ; Botswana ; Canada ; Computer Simulation ; Developing Countries ; Digestive system. Abdomen ; Education, Medical, Continuing - methods ; Educational Measurement ; Endoscopy ; Feedback ; Feedback, Psychological ; Female ; Gastroenterology ; General Surgery - education ; Gynecology ; Hepatology ; Hospitals ; Humans ; International Cooperation ; Internet ; Internet access ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopy ; LDCs ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Miscellaneous ; Proctology ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Simulation ; Skill development ; Software ; Surgeons ; Surgery ; Suture Techniques - education ; Teaching ; Telecommunications ; Telemedicine - methods ; Training ; Webcams ; Webcasts as Topic</subject><ispartof>Surgical endoscopy, 2010-02, Vol.24 (2), p.417-422</ispartof><rights>Springer Science+Business Media, LLC 2009</rights><rights>2015 INIST-CNRS</rights><rights>Springer Science+Business Media, LLC 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-85063d8aa664286641902157260d435bacfba2e41bddda200ebd146ffe19ef763</citedby><cites>FETCH-LOGICAL-c466t-85063d8aa664286641902157260d435bacfba2e41bddda200ebd146ffe19ef763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-009-0572-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-009-0572-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22560513$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19565299$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okrainec, Allan</creatorcontrib><creatorcontrib>Henao, Oscar</creatorcontrib><creatorcontrib>Azzie, Georges</creatorcontrib><title>Telesimulation: an effective method for teaching the fundamentals of laparoscopic surgery in resource-restricted countries</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Several challenges exist with laparoscopic skills training in resource-restricted countries, including long travel distances required by mentors for onsite teaching. Telesimulation (TS) is a novel concept that uses the internet to link simulators between an instructor and a trainee in different locations. The purpose of this study was to determine the effectiveness of telesimulation for teaching the Fundamentals of Laparoscopic Surgery (FLS) to surgeons in Botswana, Africa.
Methods
A total of 16 surgeons from two centers in Botswana participated in this 8-week study. FLS TS was set up using two simulators, computers, webcams, and Skype™ software for eight surgeons in the TS group. A standard FLS simulator was available for the eight surgeons in the self-practice (SP) group. Participants in the TS group had one remote training session per week with an FLS proctor at the University of Toronto who provided feedback and demonstrated proper technique. Participants in the SP group had access to the FLS DVD and were instructed to train on FLS at least once per week. FLS post-test scores were obtained in Botswana by a trained FLS proctor at the conclusion of the study.
Results
Participants in the TS group had significantly higher post-test FLS scores than those in the SP group (440 ± 56 vs. 272 ± 95,
p
= 0.001). All trainees in the TS group achieved an FLS simulator certification passing score, whereas only 38% in the SP group did so (
p
= 0.03).
Conclusion
Remote telesimulation is an effective method for teaching the Fundamentals of Laparoscopic Surgery in Africa, achieving a 100% FLS skills pass rate. This training platform provides a cost-effective method of teaching in resource-restricted countries and could be used to teach laparoscopic skills anywhere in the world with internet access.</description><subject>Abdominal Surgery</subject><subject>Biological and medical sciences</subject><subject>Botswana</subject><subject>Canada</subject><subject>Computer Simulation</subject><subject>Developing Countries</subject><subject>Digestive system. Abdomen</subject><subject>Education, Medical, Continuing - methods</subject><subject>Educational Measurement</subject><subject>Endoscopy</subject><subject>Feedback</subject><subject>Feedback, Psychological</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>General Surgery - education</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>International Cooperation</subject><subject>Internet</subject><subject>Internet access</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopy</subject><subject>LDCs</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Miscellaneous</subject><subject>Proctology</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Simulation</subject><subject>Skill development</subject><subject>Software</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Suture Techniques - education</subject><subject>Teaching</subject><subject>Telecommunications</subject><subject>Telemedicine - methods</subject><subject>Training</subject><subject>Webcams</subject><subject>Webcasts as Topic</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU2LFDEQhoMo7rj6A7xIEMRTa7463fEmi1-w4GU9h3RS2cnSnYxJt7D-emuYwQXBS1KQpypvvS8hLzl7xxkb3jfGlFYdY6Zj_SA6_YjsuJKiE4KPj8mOGck6MRh1QZ61dscQN7x_Si646XUvjNmR3zcwQ0vLNrs1lfyBukwhRvBr-gV0gXVfAo2l0hWc36d8S9c90Ljl4BbIq5sbLZHO7uBqab4ckqdtq7dQ72nKtEIrW_XQYbHW5FcI1JctYw3tOXkSsR9enO9L8uPzp5urr9319y_frj5ed15pvXZjz7QMo3NaKzHiwQ0THNfVLCjZT87HyQlQfAohOMEYTIErjTtwA3HQ8pK8Pc091PJzQyF2Sc3DPLsMZWt2kNKgj9Ig-fof8g7lZxRnBVrGRql6hPgJ8rhxqxDtoabF1XvLmT3GYk-xWIzFHmOxRwmvzoO3aYHw0HHOAYE3Z8A17-ZYXfap_eWE6DXruUROnLiGTxltflD4_9__AOPapuw</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>Okrainec, Allan</creator><creator>Henao, Oscar</creator><creator>Azzie, Georges</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20100201</creationdate><title>Telesimulation: an effective method for teaching the fundamentals of laparoscopic surgery in resource-restricted countries</title><author>Okrainec, Allan ; Henao, Oscar ; Azzie, Georges</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-85063d8aa664286641902157260d435bacfba2e41bddda200ebd146ffe19ef763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Abdominal Surgery</topic><topic>Biological and medical sciences</topic><topic>Botswana</topic><topic>Canada</topic><topic>Computer Simulation</topic><topic>Developing Countries</topic><topic>Digestive system. Abdomen</topic><topic>Education, Medical, Continuing - methods</topic><topic>Educational Measurement</topic><topic>Endoscopy</topic><topic>Feedback</topic><topic>Feedback, Psychological</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>General Surgery - education</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>International Cooperation</topic><topic>Internet</topic><topic>Internet access</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopy</topic><topic>LDCs</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Miscellaneous</topic><topic>Proctology</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Simulation</topic><topic>Skill development</topic><topic>Software</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Suture Techniques - education</topic><topic>Teaching</topic><topic>Telecommunications</topic><topic>Telemedicine - methods</topic><topic>Training</topic><topic>Webcams</topic><topic>Webcasts as Topic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okrainec, Allan</creatorcontrib><creatorcontrib>Henao, Oscar</creatorcontrib><creatorcontrib>Azzie, Georges</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okrainec, Allan</au><au>Henao, Oscar</au><au>Azzie, Georges</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Telesimulation: an effective method for teaching the fundamentals of laparoscopic surgery in resource-restricted countries</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>24</volume><issue>2</issue><spage>417</spage><epage>422</epage><pages>417-422</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Background
Several challenges exist with laparoscopic skills training in resource-restricted countries, including long travel distances required by mentors for onsite teaching. Telesimulation (TS) is a novel concept that uses the internet to link simulators between an instructor and a trainee in different locations. The purpose of this study was to determine the effectiveness of telesimulation for teaching the Fundamentals of Laparoscopic Surgery (FLS) to surgeons in Botswana, Africa.
Methods
A total of 16 surgeons from two centers in Botswana participated in this 8-week study. FLS TS was set up using two simulators, computers, webcams, and Skype™ software for eight surgeons in the TS group. A standard FLS simulator was available for the eight surgeons in the self-practice (SP) group. Participants in the TS group had one remote training session per week with an FLS proctor at the University of Toronto who provided feedback and demonstrated proper technique. Participants in the SP group had access to the FLS DVD and were instructed to train on FLS at least once per week. FLS post-test scores were obtained in Botswana by a trained FLS proctor at the conclusion of the study.
Results
Participants in the TS group had significantly higher post-test FLS scores than those in the SP group (440 ± 56 vs. 272 ± 95,
p
= 0.001). All trainees in the TS group achieved an FLS simulator certification passing score, whereas only 38% in the SP group did so (
p
= 0.03).
Conclusion
Remote telesimulation is an effective method for teaching the Fundamentals of Laparoscopic Surgery in Africa, achieving a 100% FLS skills pass rate. This training platform provides a cost-effective method of teaching in resource-restricted countries and could be used to teach laparoscopic skills anywhere in the world with internet access.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>19565299</pmid><doi>10.1007/s00464-009-0572-6</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Surgical endoscopy, 2010-02, Vol.24 (2), p.417-422 |
| issn | 0930-2794 1432-2218 |
| language | eng |
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| subjects | Abdominal Surgery Biological and medical sciences Botswana Canada Computer Simulation Developing Countries Digestive system. Abdomen Education, Medical, Continuing - methods Educational Measurement Endoscopy Feedback Feedback, Psychological Female Gastroenterology General Surgery - education Gynecology Hepatology Hospitals Humans International Cooperation Internet Internet access Investigative techniques, diagnostic techniques (general aspects) Laparoscopy LDCs Male Medical sciences Medicine Medicine & Public Health Miscellaneous Proctology Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Simulation Skill development Software Surgeons Surgery Suture Techniques - education Teaching Telecommunications Telemedicine - methods Training Webcams Webcasts as Topic |
| title | Telesimulation: an effective method for teaching the fundamentals of laparoscopic surgery in resource-restricted countries |
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