Duarte, Jhonathan, MD

Lawn, Victoria, DO

Martino, Martin A, MD

Patruno, Joseph E, MD

Pero, Adriana

Wejkszner, Taylor

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksResearch Scholars Poster PresentationAnalysis of Endoscopic Simulators for Assessmentof Surgical Skills of OBGYN Residents.Adriana PeroLafayette CollegeJoseph E. Patruno MDLehigh Valley Health Network, Joseph_E.Patruno@lvhn.orgMartin A. Martino MDLehigh Valley Health Network, martin_a.martino@lvhn.orgJhonathan Duarte MDLehigh Valley Health Network, jhonathan.duarte@lvhn.orgVictoria Lawn DOLehigh Valley Health Network, Victoria.Lawn@lvhn.orgSee next page for additional authorsFollow this and additional works at: http://scholarlyworks.lvhn.org/research-scholars-postersThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtPero, A., Patruno, J., Martino, M., Duarte, J., Lawn, V., Wejkszner, T., (2017, July, 31)Analysis of Endoscopic Simulators for Assessment ofSurgical Skills of OBGYN Residents. Poster presented at: LVHN Research Scholar Program Poster Session, Lehigh Valley HealthNetwork, Allentown, PA.AuthorsAdriana Pero, Joseph E. Patruno MD, Martin A. Martino MD, Jhonathan Duarte MD, Victoria Lawn DO, andTaylor WejksznerThis poster is available at LVHN Scholarly Works: http://scholarlyworks.lvhn.org/research-scholars-posters/503©	  2017	  Lehigh	  Valley	  Health	  Network	  Lehigh	  Valley	  Health	  Network,	  Allentown,	  Pennsylvania	  Analysis of Endoscopic Simulators for Assessment of Surgical Skills of OBGYN Residents •  Accurately evaluating residents on their surgical skills is important to ensuring resident development and improving the quality of patient care •  Many residency programs utilize simulation training to refine and assess the residents’ surgical skills •  Investigation of simulator training at LVHN could show a valid method to develop and evaluate the surgical skills of OBGYN residents •  Study was conducted among OBGYN residents in five different class years in summer 2016 and summer 2017 •  Residents were tested on surgical training simulators that imitated laparoscopy, hysteroscopy, and robotic surgeries •  Possible investigation of patient outcomes with relation to simulation performance in attending physicians •  Creating baseline performance requirements or improvement expectations for residents •  Investigating other variables that may affect performance (sleep, rotation, mood, etc.) •  Linking simulation performance with Tips or B-Line evaluations BACKGROUND METHODS •  Peg Transfer •  Hysteroscopy •  Shoelace •  Bead Speed •  30°Camera Manipulation •  Grasping and Clipping •  Cutting •  Electrocautery •  Matchboard #2 •  Tubes #1 •  Energy Switching #2 FUTURE RESEARCH CONCLUSION RESULTS 1500	  2000	  2500	  3000	  3500	  4000	  Year	  1	   Year	  2	   Year	  3	   Year	  4	   Grad	  Robot	  Simulator	  Score	  Resident	  Year	  ROBOT	  TOTAL	  by	  Year	  500	  1000	  1500	  2000	  2500	  3000	  3500	  0	   50	   100	   150	   200	   250	   300	   350	   400	   450	   500	  Total	  Box	  Trainer	  Score	  Total	  Number	  of	  Surgeries	  Completed	  in	  2017	  BOX	  TOTAL	  vs.	  Total	  Number	  of	  Surgeries	  Completed	  in	  2017	  •  Data shows differences in resident class year, most profoundly in the middle of residency (second to third year), but not necessarily improvement among same residents from 2016 to 2017 •  A correlation was found between results and number of surgeries •  Time and efficiency, which are important skills for surgeons, improve as residents progress Joseph Patruno, MD; Martin Martino, MD; Jhonathan Duarte, MD; Victoria Lawn, DO; Taylor Wejkszner; and Adriana Pero  Figure 2. The average score for robot total by resident year.  F=8.64 (p=0.0065) Figure 1. The correlation between the box total score and the total number of surgeries completed in 2017 for each resident. r=-0.69 (p=0.00017) Box Trainers Symbionix Robot Mimic Measurements  •  Time •  Number of mistakes Measurements  •  Time •  Efficiency •  Path Length Measurements  •  Time •  Economy of Motion •  Accuracy Analysis •  Results tested for correlation with number of surgeries completed •  Results compared between class years •  2017 results compared to 2016 results Figure 3. The average by year of the sum of the times of the symbionix and robot mimic exercises and the average by year of the sum of the economy of motion and the path length of the symbionix and robot mimic exercises 0	  500	  1000	  1500	  2000	  2500	  PGY	  1	   PGY	  2	   PGY	  3	   PGY	  4	   Grad	  Time	  (seconds)	  Post	  Grad	  Year	  (PGY)	  Time	  by	  PGY	  2016	  2017	  0	  500	  1000	  1500	  2000	  2500	  3000	  3500	  4000	  4500	  PGY	  1	   PGY	  2	   PGY	  3	   PGY	  4	   Grad	  Economy	  of	  MoRon	  Post	  Grad	  Year	  (PGY)	  Efficiency	  by	  PGY	  2016	  2017	  Proficiency	  is	  shown	  through	  lower	  scores	  References	  Birkmeyer,	  J.	  D.,	  M.D.,	  Finks,	  J.	  F.,	  M.D.,	  O'Reilly,	  A.,	  R.N.,	  M.S.,	  Oerline,	  M.,	  M.S.,	  Carlin,	  A.	  M.,	  M.D.,	  Nunn,	  A.	  R.,	  M.D.,	  .	  .	  .	  Birkmeyer,	  N.	  J.,	  Ph.D.	  (2013).	  Surgical	  Skill	  and	  ComplicaUon	  Rates	  aVer	  Bariatric	  Surgery.	  The	  New	  England	  Journal	  of	  Medicine,	  369(15),	  1434-­‐1442.	  Dawe,	  S.	  R.,	  MSc,	  Windsor,	  J.	  A.,	  MBChB,	  MD,	  FRACS,	  FACS,	  Broeders,	  J.	  A.,	  MD,	  PhD,	  Cregan,	  P.	  C.,	  MBBS,	  FRACS,	  HeweY,	  P.	  J.,	  MBBS,	  FRACS,	  &	  Maddern,	  G.	  J.,	  MBBS,	  PhD,	  FRACS.	  (2013).	  A	  Systemic	  Review	  of	  Surgical	  Skills	  Transfer	  AVer	  SimulaUon-­‐Based	  Training:	  Laparoscopic	  Cholecystectomy	  and	  Endoscopy.	  Annals	  of	  Surgery,	  00(00),	  1-­‐13.	  Retrieved	  from	  www.annalsofsurgery.com.	  Kolkman,	  W.,	  Van	  de	  Put,	  M.,	  Wolterbeek,	  R.,	  Trimbos,	  J.,	  &	  Jansen,	  F.	  (2008).	  Laparoscopic	  skills	  simulator:	  construct	  validity	  and	  establishmnet	  of	  performance	  standards	  for	  residency	  training.	  5,	  109-­‐114.	  doi:10.1007/s10397-­‐007-­‐0345-­‐y	  

Analysis of Endoscopic Simulators for Assessment of Surgical Skills of OBGYN Residents.

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1527&context=research-scholars-posters

Analysis of Endoscopic Simulators for Assessment of Surgical Skills of OBGYN Residents.

Abstract

Similar works

Full text

Available Versions

Lehigh Valley Health Network: LVHN Scholarly Works