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2024 | OriginalPaper | Hoofdstuk

1. Training adaptive endoscopic surgeons: the didactical paradox

Auteurs : Dr. Heleen A. T. Miedema, Dr. Marleen Groenier

Gepubliceerd in: The Technical Principles of Endoscopic Surgery

Uitgeverij: Bohn Stafleu van Loghum

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Abstract

Surgical training has a longstanding tradition based on the master-apprentice method. Patient safety and quality of care are intrinsically safeguarded through this approach. However, the surgical environment has changed drastically in recent decades, meaning this concept is no longer a valid method of training. It is time for a change. Technological developments, breaking with the long-hours culture, and increasingly limited opportunities for on-the-job training have resulted in a focus on simulation-based training to complement or even replace learning in the workplace. However, many training programs in skills labs adopt the traditional “see one, do one, teach one” approach, potentially limiting the transfer of what is learned to clinical practice. A paradigm shift in the didactical method is needed; a shift in responsibility is required. This chapter describes a different approach to learning in a simulated surgical environment for both trainees and experts.
Literatuur
1.
go back to reference Kneebone R. Surgical education: a historical perspective. In: Nestel D, Dalrymple K, Paige JT, Aggarwal R, editors. Advancing surgical education. Theory, evidence and practice. Volume 17. Singapore: Springer; 2019. pp. 9–16. Kneebone R. Surgical education: a historical perspective. In: Nestel D, Dalrymple K, Paige JT, Aggarwal R, editors. Advancing surgical education. Theory, evidence and practice. Volume 17. Singapore: Springer; 2019. pp. 9–16.
2.
go back to reference Papa FJ, Harasym PH. Medical curriculum reform in North America, 1765 to the present: a cognitive science perspective. Acad Med. 1999;74(2):154–64. CrossRefPubMed Papa FJ, Harasym PH. Medical curriculum reform in North America, 1765 to the present: a cognitive science perspective. Acad Med. 1999;74(2):154–64. CrossRefPubMed
3.
4.
go back to reference Reznick RK, MacRae H. Teaching surgical skills – changes in the wind. NEJM. 2006;355(25):2664–9. CrossRefPubMed Reznick RK, MacRae H. Teaching surgical skills – changes in the wind. NEJM. 2006;355(25):2664–9. CrossRefPubMed
6.
go back to reference Gallagher AG, Smith CD. From the operating room of the present to the operating room of the future. Human-factors lessons learned from the minimally invasive surgery revolution. Semin Laparoscop Surg. 2003;10(3):127–39. Gallagher AG, Smith CD. From the operating room of the present to the operating room of the future. Human-factors lessons learned from the minimally invasive surgery revolution. Semin Laparoscop Surg. 2003;10(3):127–39.
7.
go back to reference Ten Cate O, Hart D, Ankel F, Busari J, Englander R, Glasgow N, Holmboe E, Iobst W, Lovell E, Snell LS, Touchie C. Entrustment decision making in clinical training. Acad Med. 2016;91(2):191–8. CrossRefPubMed Ten Cate O, Hart D, Ankel F, Busari J, Englander R, Glasgow N, Holmboe E, Iobst W, Lovell E, Snell LS, Touchie C. Entrustment decision making in clinical training. Acad Med. 2016;91(2):191–8. CrossRefPubMed
8.
go back to reference Wanzel KR, Ward M, Reznick RK. Teaching the surgical craft: from selection to certification. Curr Probl Surg. 2002;39(6):583–659. CrossRef Wanzel KR, Ward M, Reznick RK. Teaching the surgical craft: from selection to certification. Curr Probl Surg. 2002;39(6):583–659. CrossRef
9.
go back to reference Manzey D, Röttger S, Bahner-Heyne JE, Schulze-Kissing D, Dietz A, Meixensberger J, Strauss G. Image-guided navigation: the surgeon’s perspective on performance consequences and human factors issues. Int J Med Robot. 2009;5(3):297–308. CrossRefPubMed Manzey D, Röttger S, Bahner-Heyne JE, Schulze-Kissing D, Dietz A, Meixensberger J, Strauss G. Image-guided navigation: the surgeon’s perspective on performance consequences and human factors issues. Int J Med Robot. 2009;5(3):297–308. CrossRefPubMed
10.
go back to reference Groenier M, Schraagen JM, Miedema HA, Broeders IA. The role of cognitive abilities in laparoscopic simulator training. Adv Health Sci Educ. 2014;19(2):203–17. CrossRef Groenier M, Schraagen JM, Miedema HA, Broeders IA. The role of cognitive abilities in laparoscopic simulator training. Adv Health Sci Educ. 2014;19(2):203–17. CrossRef
11.
go back to reference Arthur W Jr, Bennett W Jr, Stanush PL, McNelly TL. Factors that influence skill decay and retention: a quantitative review and analysis. Hum Perform. 1998;11(1):57–101. CrossRef Arthur W Jr, Bennett W Jr, Stanush PL, McNelly TL. Factors that influence skill decay and retention: a quantitative review and analysis. Hum Perform. 1998;11(1):57–101. CrossRef
12.
go back to reference Gallagher AG, Ritter EM, Champion H, Higgins G, Fried MP, Moses G, Smith CD, Satava RM. Virtual reality simulation for the operating room: proficiency-based training as a paradigm shift in surgical skills training. Ann Surg. 2005;241(2):364–72. CrossRefPubMedPubMedCentral Gallagher AG, Ritter EM, Champion H, Higgins G, Fried MP, Moses G, Smith CD, Satava RM. Virtual reality simulation for the operating room: proficiency-based training as a paradigm shift in surgical skills training. Ann Surg. 2005;241(2):364–72. CrossRefPubMedPubMedCentral
13.
go back to reference Hamstra SJ, Brydges R, Hatala R, Zendejas B, Cook DA. Reconsidering fidelity in simulation-based training. Acad Med. 2014;89(3):387–92. CrossRefPubMed Hamstra SJ, Brydges R, Hatala R, Zendejas B, Cook DA. Reconsidering fidelity in simulation-based training. Acad Med. 2014;89(3):387–92. CrossRefPubMed
14.
go back to reference Kneebone R, Nestel D, Bello F. Learning in a simulated environment. In: Dent JA, Harden RM, Hunt D, Hodges BD, editors. Philadelphia: Elsevier; 2017. pp. 92–100. Kneebone R, Nestel D, Bello F. Learning in a simulated environment. In: Dent JA, Harden RM, Hunt D, Hodges BD, editors. Philadelphia: Elsevier; 2017. pp. 92–100.
15.
go back to reference Seymour NE. VR to OR: a review of the evidence that virtual reality simulation improves operating room performance. World J Surg. 2008;32(2):182–8. CrossRefPubMed Seymour NE. VR to OR: a review of the evidence that virtual reality simulation improves operating room performance. World J Surg. 2008;32(2):182–8. CrossRefPubMed
16.
go back to reference Cutrer WB, Miller B, Pusic MV, Mejicano G, Mangrulkar RS, Gruppen LD, Hawkins RE, Skochelak SE, Moore DE Jr. Fostering the development of master adaptive learners: a conceptual model to guide skill acquisition in medical education. Acad Med. 2017;92(1):70–5. CrossRefPubMed Cutrer WB, Miller B, Pusic MV, Mejicano G, Mangrulkar RS, Gruppen LD, Hawkins RE, Skochelak SE, Moore DE Jr. Fostering the development of master adaptive learners: a conceptual model to guide skill acquisition in medical education. Acad Med. 2017;92(1):70–5. CrossRefPubMed
17.
go back to reference Nieuwenhuis AF, Fluit L, Kuijer W. Adaptivity between professional learning and education: the development of flexible expertise in work-based-settings. In: Malloch M, Cairns L, Evans K, O’Connor BN, editors. The SAGE handbook of learning and work. Londen: Sage; 2021. p. 115–25. Nieuwenhuis AF, Fluit L, Kuijer W. Adaptivity between professional learning and education: the development of flexible expertise in work-based-settings. In: Malloch M, Cairns L, Evans K, O’Connor BN, editors. The SAGE handbook of learning and work. Londen: Sage; 2021. p. 115–25.
18.
go back to reference Klein G, Baxter HC. Cognitive transformation theory: contrasting cognitive and behavioral learning. In: Schmorrow D, Cohn J, Nicholson D, editors. The PSI handbook of virtual environments for training and education: developments for the military and beyond: learning, requirements and metrics. Volume 1. Westport, CT: Praeger Security International. pp. 50–65. Klein G, Baxter HC. Cognitive transformation theory: contrasting cognitive and behavioral learning. In: Schmorrow D, Cohn J, Nicholson D, editors. The PSI handbook of virtual environments for training and education: developments for the military and beyond: learning, requirements and metrics. Volume 1. Westport, CT: Praeger Security International. pp. 50–65.
19.
go back to reference Broeders IAMJ, Kalisingh SS. Handboek endoscopische chirurgie. Houten: Bohn Stafleu van Loghum; 2009. Broeders IAMJ, Kalisingh SS. Handboek endoscopische chirurgie. Houten: Bohn Stafleu van Loghum; 2009.
Metagegevens
Titel
Training adaptive endoscopic surgeons: the didactical paradox
Auteurs
Dr. Heleen A. T. Miedema
Dr. Marleen Groenier
Copyright
2024
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2905-2_1