Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Hogg, ME; Besselink, MG; Clavien, PA; Fingerhut, A; Jeyarajah, DR; Kooby, DA; Moser, AJ; Pitt, HA; Varban, OA; Vollmer, CM; Zeh, HJ; Hansen, P; Minimally Invasive Pancreatic Resection Organizing Committee.
Training in Minimally Invasive Pancreatic Resections: a paradigm shift away from "See one, Do one, Teach one".
HPB (Oxford). 2017; 19(3):234-245
Doi: 10.1016/j.hpb.2017.01.016
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- Abstract:
- Increased incorporation of minimally invasive pancreatic resections (MIPR) has emerged into hepato-pancreato-biliary practice, however, no standardization exists for its safe adoption. Novel strategies are presented for dissemination of safe MIPR. An international State-of-the-Art conference evaluating multiple aspects of MIPR was conducted by a panel of pancreas experts in Sao Paulo, Brazil on April 20, 2016. Training and education issues were discussed regarding the introduction of novel strategies for safe dissemination of MIPR. The low volume of pancreatic resections per institution poses a challenge for surgeons to overcome their MIPR learning curve without deliberate training. A mastery-based simulation and biotissue curriculum can improve technical proficiency and allow for training of surgeons before the operating room. Video-based platforms allow for performance reporting and feedback necessary for coaching and surgical quality improvement. Centers of excellence with training involving a standardized approach and proctorship are important concepts that can be utilized in various formats internationally. Surgical volume is not sufficient to ensure quality and patient safety in MIPR. Safe adoption of these complex procedures should consider innovative mastery-based training outside of the operating room, novel video based coaching techniques and prospective reporting of patient data and outcomes using standardized definitions. Published by Elsevier Ltd.
- Find related publications in this database (using NLM MeSH Indexing)
- Clinical Competence -
- Congresses as Topic -
- Curriculum -
- Education, Medical, Graduate - methods
- Education, Medical, Graduate - standards
- High Fidelity Simulation Training -
- Humans -
- Laparoscopy - adverse effects
- Laparoscopy - education
- Laparoscopy - standards
- Learning Curve -
- Pancreatectomy - adverse effects
- Pancreatectomy - education
- Pancreatectomy - standards
- Pancreaticoduodenectomy - adverse effects
- Pancreaticoduodenectomy - education
- Pancreaticoduodenectomy - standards
- Quality Improvement -
- Quality Indicators, Health Care -
- Robotic Surgical Procedures - adverse effects
- Robotic Surgical Procedures - education
- Robotic Surgical Procedures - standards
- Surgeons - education
- Surgeons - standards
- Treatment Outcome -