Review
Multidisciplinary Sciences
Haydee Del Calvo, Min P. Kim, Ray Chihara, Edward Y. Chan
Summary: According to recent surveys, only slightly more than half of resident programs have implemented formal robotic training curriculums, and even fewer have evaluated their own curriculum. We conducted a literature search and reviewed 11 studies on robotic surgery curriculums and their assessment. The review showed that there is a wide variation in curriculums, but simulation use is common. The study emphasizes the importance of establishing effective resident training and supporting adaptable and successful surgeons through an adaptable curriculum and structured assessment.
Article
Public, Environmental & Occupational Health
Sara Arsever, Barbara Broers, Bernard Cerutti, Joanne Wiesner, Melissa Dominice Dao
Summary: A study found that clinical vignettes used in undergraduate medical education at the Geneva Faculty of Medicine convey gender stereotypes and biases, which could have negative effects on patient care and gender equality. The study suggests the need for revision of the content to remove gender biases.
PATIENT EDUCATION AND COUNSELING
(2023)
Review
Education, Scientific Disciplines
Russell Seth Martins, Murtuza Hassan, Zainab Umar, Baila Maqbool
Summary: Ethics education for surgical trainees is often informal and nonstructured, with few programs including it in their core curriculum. This systematic review examined the delivery modes, curriculum, structure, and effectiveness of ethics educational interventions. The findings suggest the need for local needs assessment, tailored teaching modalities, and evaluation of trainee performance.
JOURNAL OF SURGICAL EDUCATION
(2023)
Article
Cardiac & Cardiovascular Systems
Nabil Hussein, Osami Honjo, David J. Barron, Christoph Haller, John G. Coles, Shi-Joon Yoo
Summary: This study found that incorporating the monthly Hands-On Surgical Training (HOST) program into congenital heart surgery (CHS) training improved trainees' technical skills and they were able to retain these skills even after a delay.
ANNALS OF THORACIC SURGERY
(2021)
Article
Surgery
Matthew P. Madion, Andrew Kastenmeier, Matthew I. Goldblatt, Rana M. Higgins
Summary: The prevalence of formal robotic surgery curricula in general surgery residency programs in the United States is over 70%, with most programs starting the curriculum in PGY1 or PGY2 and allowing residents to participate in bedside assisting and robotic console operation in the first 3 years of residency. The importance of robotic surgery training in general surgery is emphasized by programs offering formal curricula compared to those that do not.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Adam D. Shellito, Sonam Kapadia, Amy H. Kaji, Cynthia M. Tom, Christine Dauphine, Beverley A. Petrie
Summary: The study revealed that almost all colorectal surgery residency programs have integrated robotic surgery into their training, with trainees actively participating in robotic surgery. Most programs have a formal robotics curriculum, and the use of robotic surgery in colorectal surgery is expanding.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Peter Hertz, Kim Houlind, Jan Jepsen, Lars Bundgaard, Pernille Jensen, Mikkel Friis, Lars Konge, Flemming Bjerrum
Summary: The study identified 29 essential learning goals out of 40 potential ones through a Delphi study. In addition, patient-side assistants should also receive basic skills training in robotic surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Acoustics
Lauren F. Alexander, Barbara L. McComb, Andrew W. Bowman, Stephanie L. Bonnett, Samantha M. Ghazanfari, Melanie P. Caserta
Summary: Medical simulation training is beneficial for improving clinician performance, teaching communication and professionalism skills, and enhancing team training. This paper presents a weeklong ultrasound simulation training curriculum for radiology residents, which can be adapted to learners at different skill levels or specific procedural needs. The unique aspect of this curriculum is the integration of established teaching methods into a dedicated course early in radiology residency training with a multi-disciplinary approach.
JOURNAL OF ULTRASOUND IN MEDICINE
(2023)
Article
Surgery
Michael T. Scott, Shahyan U. Rehman, Rachel E. NeMoyer, Nell Maloney Patel
Summary: This study aims to enhance feedback effectiveness between surgical residents and faculty by creating a feedback training curriculum. The results showed that after the feedback training, the percentage of residents who believed their faculty provided effective feedback increased. Although limited by sample size, improvements were likely seen in constructive feedback overall and quality feedback from senior residents.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Agriculture, Dairy & Animal Science
Luis C. Hincapie-Gutierrez, Carlos A. Oviedo-Penata, Manuel A. Rojas-Galvis, Carlos H. Riano-Benavides, Juan G. Maldonado-Estrada
Summary: This study aimed to evaluate and validate a laparoscopic abdominal simulator for beginners to acquire basic laparoscopic skills. The results showed that the simulator provided the acquisition of basic laparoscopic skills and improved surgical performance scores, time metrics, number of movements, and angular displacement. It also proved effective for training advanced laparoscopic skills. The overall rating of the simulator's feasibility and effectiveness was 10 out of 10.
Review
Education & Educational Research
Sarah Grossi, Maria Cattoni, Nicola Rotolo, Andrea Imperatori
Summary: Background: VATS has become the standard for lung cancer diagnosis and treatment, but requires specific training. Simulator systems, including virtual reality, have been developed to promote VATS training. This review provides an overview of simulators for thoracoscopic surgery, especially lung lobectomy, and explores their role in surgical trainee curriculum.
BMC MEDICAL EDUCATION
(2023)
Article
Surgery
V. Prasad Poola, Boyung Suh, Trevor Parr, Margaret Boehler, Heeyoung Han, John Mellinger
Summary: Professional behavior in surgical settings has nuanced variations, with students observing and experiencing different professional behaviors and attributes in different contexts. These differences can be utilized for deliberate development of professionalism in the field of surgery.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Surgery
Iman Ghaderi, Tung Tran, Melissa Carton, Julia Samame, Carlos Galvani
Summary: This study aimed to assess the impact of an intensive laparoscopic training course with structured assessment and immediate feedback on residents' operative performance in an animal lab. The results showed significant improvements in general and procedure-specific laparoscopic skills, particularly in incisional hernia repair and Nissen fundoplication. Trainees' self-reported confidence also positively correlated with their operative performance.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Health Care Sciences & Services
Yen-Lin Chiu, Yu-Chen Lee, Chin-Chung Tsai
Summary: This study aimed to modify and validate the internet-specific epistemic beliefs in medicine (ISEBM) questionnaire and explore the associations between health care professionals' demographics, ISEBM, and intention to use evidence-based online medical databases for clinical practice. Results indicated that knowledge source and justification of internet-based medical information were correlated with intention to use evidence-based online medical databases, while factors such as gender and academic degree also played a role.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Review
Emergency Medicine
Nicola De'Angelis, Francesco Marchegiani, Carlo Alberto Schena, Jim Khan, Vanni Agnoletti, Luca Ansaloni, Ana Gabriela Barria Rodriguez, Paolo Pietro Bianchi, Walter Biffl, Francesca Bravi, Graziano Ceccarelli, Marco Ceresoli, Osvaldo Chiara, Mircea Chirica, Lorenzo Cobianchi, Federico Coccolini, Raul Coimbra, Christian Cotsoglou, Mathieu D'Hondt, Dimitris Damaskos, Belinda De Simone, Salomone Di Saverio, Michele Diana, Eloy Espin-Basany, Stefan Fichtner-Feigl, Paola Fugazzola, Paschalis Gavriilidis, Caroline Gronnier, Jeffry Kashuk, Andrew W. Kirkpatrick, Michele Ammendola, Ewout A. Kouwenhoven, Alexis Laurent, Ari Leppaniemi, Mickael Lesurtel, Riccardo Memeo, Marco Milone, Ernest Moore, Nikolaos Pararas, Andrew Peitzmann, Patrick Pessaux, Edoardo Picetti, Manos Pikoulis, Michele Pisano, Frederic Ris, Tyler Robison, Massimo Sartelli, Vishal G. Shelat, Giuseppe Spinoglio, Michael Sugrue, Edward Tan, Ellen Van Eetvelde, Yoram Kluger, Dieter Weber, Fausto Catena
Summary: This paper summarizes the learning curve in emergency minimally invasive surgery (MIS) and provides expert opinion statements for standardized curricula and training programs. Limited evidence exists on the learning process, suggesting a need for further research. The training should include simulation, supervised clinical practice, and surgical fellowships to ensure quality standards.
WORLD JOURNAL OF EMERGENCY SURGERY
(2023)
Article
Clinical Neurology
Stefania Galimberti, Francesca Graziano, Andrew I. R. Maas, Giulia Isernia, Fiona Lecky, Sonia Jain, Xiaoying Sun, Raquel C. Gardner, Sabrina R. Taylor, Amy J. Markowitz, Geoffrey Manley, Maria Grazia Valsecchi, Giuseppe Bellelli, Giuseppe Citerio
Summary: Frailty is associated with outcomes in patients with traumatic brain injury, and a frailty index has been developed to predict 6-month outcomes.
Article
Clinical Neurology
Isabel Rosalie Arianne Retel Helmrich, David van Klaveren, Nada Andelic, Hester Lingsma, Andrew Maas, David Menon, Suzanne Polinder, Cecilie Roe, Ewout W. Steyerberg, Ernest Van Veen, Lindsay Wilson
Summary: This study aimed to examine the relationship between disability and health-related quality of life (HRQoL) following traumatic brain injury (TBI), while considering variation in personal, injury-related, and environmental factors.
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY
(2022)
Article
Clinical Neurology
Thomas A. van Essen, Hester F. Lingsma, Dana Pisica, Ranjit D. Singh, Victor Volovici, Hugo F. den Boogert, Alexander Younsi, Lianne D. Peppel, Majanka H. Heijenbrok-Kal, Gerard M. Ribbers, Robert Walchenbach, David K. Menon, Peter Hutchinson, Bart Depreitere, Ewout W. Steyerberg, Andrew I. R. Maas, Godard C. W. de Ruiter, Wilco C. Peul
Summary: This study compared the effectiveness of a strategy preferring acute surgical evacuation with initial conservative treatment in acute subdural haematoma, finding that treatment approaches varied depending on the treating center and no superiority of acute surgical evacuation was observed over conservative treatment.
Article
Multidisciplinary Sciences
Ilias Thomas, Alex M. Dickens, Jussi P. Posti, Endre Czeiter, Daniel Duberg, Tim Sinioja, Matilda Krakstrom, Isabel R. A. Retel Helmrich, Kevin K. W. Wang, Andrew I. R. Maas, Ewout W. Steyerberg, David K. Menon, Olli Tenovuo, Tuulia Hyotylainen, Andras Buki, Matej Oresic
Summary: Acute traumatic brain injury is associated with distinctive serum metabolic patterns, particularly involving compounds related to lipid metabolism, which may indicate protective changes aiming to maintain lipid homeostasis in the brain.
NATURE COMMUNICATIONS
(2022)
Article
Critical Care Medicine
Emanuele Rezoagli, Matteo Petrosino, Paola Rebora, David K. Menon, Stefania Mondello, D. James Cooper, Andrew I. R. Maas, Eveline J. A. Wiegers, Stefania Galimberti, Giuseppe Citerio
Summary: This study investigated the impact of high arterial oxygen levels and supplemental oxygen on outcomes in TBI patients admitted to the ICU. It found that exposure to high blood oxygen levels was independently associated with higher mortality rates at 6 months. Additionally, the severity of brain injury did not change the relationship between high arterial oxygen levels and outcomes.
INTENSIVE CARE MEDICINE
(2022)
Review
Anesthesiology
Joseph Wheatley, Zhengyang Liu, Joel Loth, Mark P. Plummer, Jahan C. Penny-Dimri, Reny Segal, Julian Smith, Luke A. Perry
Summary: This systematic review and meta-analysis found a significant association between elevated preoperative neutrophil-lymphocyte ratio (NLR) and postoperative acute kidney injury (AKI) in patients undergoing cardiac surgery. However, postoperative NLR measurements were not predictive of AKI.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Article
Obstetrics & Gynecology
Archana Rao, Julian A. Smith, Debra Nestel
Summary: This article uses the theoretical framework of Threshold Concepts to understand the transition from trainee to trainer. It analyzes the experiences of early career Certified Gynaecological Oncologists in Australia and New Zealand and identifies the challenges and strategies in this transition. The findings suggest that supporting the development of skills in reflection, feedback, coaching, and mentorship can help normalize and support this transition.
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
(2023)
Article
Health Care Sciences & Services
Emilie Isager Howe, Marina Zeldovich, Nada Andelic, Nicole von Steinbuechel, Silje C. R. Fure, Ida M. H. Borgen, Marit Forslund, Torgeir Hellstrom, Helene L. Soberg, Unni Sveen, Mari Rasmussen, Ingerid Kleffelgaard, Cathrine Tverdal, Eirik Helseth, Marianne Lovstad, Juan Lu, Juan Carlos Arango-Lasprilla, Olli A. Tenovuo, Philippe Azouvi, Helen Dawes, Cecilie Roe
Summary: This study aimed to investigate the provision of rehabilitation services and factors associated with outcomes in patients with mild traumatic brain injury (mTBI). The study found that patients with complicated mTBI reported more unfavorable outcomes and received rehabilitation services more frequently. Receiving rehabilitation services and a higher number of care transitions were indicators of injury severity and associated with unfavorable outcomes.
BMC HEALTH SERVICES RESEARCH
(2022)
Review
Anesthesiology
Angela A. Frentiu, Kevin Mao, Carla Borg Caruana, Dev Raveendran, Luke A. Perry, Jahan C. Penny-Dimri, Dhruvesh M. Ramson, Reny Segal, Rinaldo Bellomo, Julian A. Smith, Zhengyang Liu
Summary: RED CELL DISTRIBUTION WIDTH (RDW) is a biomarker that can predict erythropoietic dysfunction and adverse outcomes after cardiac surgery. This systematic review and meta-analysis aimed to determine the prognostic value of RDW in cardiac surgery patients. The authors included 26 studies involving 48,092 patients and found that elevated preoperative RDW was associated with increased short- and long-term mortality, postoperative atrial fibrillation (POAF), and acute kidney injury (AKI). However, more research is needed to investigate the role of RDW in risk stratification of patients undergoing cardiac surgery.
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2023)
Editorial Material
Surgery
Julian A. Smith
ANZ JOURNAL OF SURGERY
(2023)
Editorial Material
Surgery
Julian A. Smith
ANZ JOURNAL OF SURGERY
(2023)
Article
Multidisciplinary Sciences
Jahan C. Penny-Dimri, Christoph Bergmeir, Christopher M. Reid, Jenni Williams-Spence, Andrew D. Cochrane, Julian A. Smith
Summary: In this study, a novel machine learning approach called UAN was developed to predict adverse postoperative outcomes in cardiac surgery by addressing the common limitations of model explainability, uncertainty quantification, and missing data. The UAN-GVI model performed the best on the external validation dataset, with high AUC, while the ensemble of XGBoost models showed the best calibration for epistemic uncertainty. UAN provides estimates of model uncertainty alongside state-of-the-art predictions and has been made freely available as a user-friendly web application.
Article
Medicine, General & Internal
Thomas A. van Essen, Inge A. M. van Erp, Hester F. Lingsma, Dana Pisica, John K. Yue, Ranjit D. Singh, Jeroen T. J. M. van Dijck, Victor Volovici, Alexander Younsi, Angelos Kolias, Lianne D. Peppel, Majanka Heijenbrok-Kal, Gerard M. Ribbers, David K. Menon, Peter J. A. Hutchinson, Geoffrey T. Manley, Bart Depreitere, Ewout W. Steyerberg, Andrew I. R. Maas, Godard C. W. de Ruiter, Wilco C. Peul
Summary: This study aimed to analyze current clinical practice patterns and compare outcomes of patients with traumatic acute subdural hematoma who underwent decompressive craniectomy or craniotomy. The findings showed substantial variation in the use of decompressive craniectomy, but this variation did not result in different functional outcomes.
Article
Health Care Sciences & Services
Marina Zeldovich, Fabian Bockhop, Amra Covic, Isabelle Mueller, Suzanne Polinder, Ana Mikolic, Marjolein van der Vlegel, Nicole von Steinbuechel
Summary: This study examines the factorial validity and comparability of six language versions of the RPQ in the CENTER-TBI study. The results show that the translations of RPQ are largely comparable across languages and can be used in international research and clinical settings.
JOURNAL OF PATIENT-REPORTED OUTCOMES
(2023)
Article
Critical Care Medicine
Cecilia A. Akerlund, Anders Holst, Nino Stocchetti, Ewout W. Steyerberg, David K. Menon, Ari Ercole, David W. Nelson
Summary: Using data-driven clustering analysis, we identified six stable clinical subtypes of traumatic brain injury with distinct neurological and systemic metabolic stress profiles, which were associated with outcomes.