Residents also compete with transplant surgery fellows for operative volume in certain transplant centers. ĭuring a transplant surgery rotation, the high service demand of care for medically complex patients often negatively impacts operative room access for residents. However, residents on average participate in only 5.9 ± 7 kidney transplants during their entire training, with 30% lacking the confidence to perform vascular anastomosis by the time they graduate. Out of all transplant procedures, kidney transplant usually provides the best opportunity for residents to significantly put into practice vascular anastomosis, a skillset they are rarely exposed to on other surgical rotations. In the current 80-hour workweek restriction environment set by the Accreditation Council for Graduate Medical Education, the traditional Halstedian apprenticeship model of graded responsibility is likely insufficient to consistently meet the quantitative and qualitative education demands of general surgery residents while simultaneously preserving patient safety, especially during transplant surgery rotations. Our novel low-cost bench-top kidney transplant surgery simulator focusing on vascular anastomoses received positive educational feedback from residents. Residents thought that the simulator was less difficult than real-life procedure, had acceptable fidelity levels, and they highly rated its educational utility. The iliac fossa and allograft cost $20.20 and each practice run cost $7.20. Residents performed and assisted in vascular anastomoses on the simulator. A modified kidney-shaped stress ball with 1.27 x 4, 0.64 x 4, and 0.64 x 15 cm Penrose drains replicated a kidney allograft with its vein, artery, and ureter, respectively. Hooks attached to the box’s sidewall held under tension 1.27 and 0.64 cm diameter Penrose drains to replicate the external iliac vein and artery. Eighteen residents with real-life kidney transplant experience trialed the simulator and scored its fidelity and educational utility on a 0-100 visual analog scale (VAS) survey.Ī 35.9 x 19.4 x 12.4 cm plastic box mimicked the iliac fossa. We searched for inexpensive materials to design an iliac fossa and kidney allograft. In light of this, we created a low-cost bench-top kidney transplant surgery simulator to help residents practice vascular anastomoses. Luckily for them, the latest update of Surgeon Simulator 2013 now includes two extra zero gravity missions, allowing Nigel Burke to perform a double kidney transplant and a brain transplant, all with a pleasant view of Earth to look at during the easy parts, like chopping off the top of the patient's skull.Resident inexperience during time-sensitive vascular anastomoses of a kidney transplant can negatively impact outcomes. Heart transplants are old hat by now, though, and astronauts do have a tendency to get struck with all sorts of maladies. Originally created in 48 hours as an entry for Global Game Jam 2013, Surgeon Simulator has now been polished and refined, and includes "special" operations like the Team Fortress 2 easter egg and, just to shake things up a little, a heart transplant that must be carried out in zero gravity onboard a space station. In fact, surgery is so easy that just about anyone can do it with a simple flashcard tutorial, which is why anatomy enthusiasts can now experience the joys of slicing and dicing first hand in the indie hit Surgeon Simulator 2013. They make a show of putting on gloves and having people around to mop their brows, but at the end of the day it's just a case of cutting someone open, taking out the bits that don't work and replacing them with spare parts that do work, then letting a nurse stitch the whole thing back up again while the surgeon goes off for a coffee break. Let's face it, we all know that surgeons make their job out to be way more complicated than it actually is.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |