A novel method of teaching surgical techniques to residents - Computerized enhanced visual learning (CEVL) with simulation to certify mastery of training

A model using newborn clamp circumcision

Angela Smith, Max Maizels, Ruslan Korets, John S. Wiener, Michael Stiener, Dennis B. Liu, Richard W. Sutherland*

*Corresponding author for this work

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective To assess the learning process of combining a web-based video of a simulated surgical procedure with a step-by-step checklist of the same procedure in achieving competency of the simulated technique, in this case a newborn clamp circumcision. Fundamental to this particular learning process is immediate mentor step-by-step feedback which specifically follows the procedure's step-by-step checklist. Materials and methods Pediatric residents naïve to newborn circumcision were enrolled (n = 7). A circumcision simulator, instruments, and web access to the learning module were provided. Residents trained independently and then performed two simulations with the mentor. The first simulation was completed with formative scored feedback. The learner then performed a second scored simulation. Results All learners showed improvement between the first and second simulation (mean 85.3-97.4). All residents achieved competency (96/100 or greater) by the second simulation. On post-procedure surveys, learners demonstrated increased comfort and reduced apprehension in performing the procedure. Conclusion Combining a web-accessible video of a procedure, a checklist, and a simulator followed by a single mentor session with immediate formative feedback which follows the steps of the checklist is a useful method to teach the simulation technique of circumcision. We plan to study if this paradigm is transferable to clinical circumcision.

Original languageEnglish (US)
Pages (from-to)1210-1213
Number of pages4
JournalJournal of Pediatric Urology
Volume9
Issue number6 PART B
DOIs
StatePublished - Jan 1 2013

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Teaching
Learning
Newborn Infant
Checklist
Mentors
Pediatrics

Keywords

  • Circumcision
  • Computer-assisted instruction
  • Education
  • Residency

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Urology

Cite this

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title = "A novel method of teaching surgical techniques to residents - Computerized enhanced visual learning (CEVL) with simulation to certify mastery of training: A model using newborn clamp circumcision",
abstract = "Objective To assess the learning process of combining a web-based video of a simulated surgical procedure with a step-by-step checklist of the same procedure in achieving competency of the simulated technique, in this case a newborn clamp circumcision. Fundamental to this particular learning process is immediate mentor step-by-step feedback which specifically follows the procedure's step-by-step checklist. Materials and methods Pediatric residents na{\"i}ve to newborn circumcision were enrolled (n = 7). A circumcision simulator, instruments, and web access to the learning module were provided. Residents trained independently and then performed two simulations with the mentor. The first simulation was completed with formative scored feedback. The learner then performed a second scored simulation. Results All learners showed improvement between the first and second simulation (mean 85.3-97.4). All residents achieved competency (96/100 or greater) by the second simulation. On post-procedure surveys, learners demonstrated increased comfort and reduced apprehension in performing the procedure. Conclusion Combining a web-accessible video of a procedure, a checklist, and a simulator followed by a single mentor session with immediate formative feedback which follows the steps of the checklist is a useful method to teach the simulation technique of circumcision. We plan to study if this paradigm is transferable to clinical circumcision.",
keywords = "Circumcision, Computer-assisted instruction, Education, Residency",
author = "Angela Smith and Max Maizels and Ruslan Korets and Wiener, {John S.} and Michael Stiener and Liu, {Dennis B.} and Sutherland, {Richard W.}",
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A novel method of teaching surgical techniques to residents - Computerized enhanced visual learning (CEVL) with simulation to certify mastery of training : A model using newborn clamp circumcision. / Smith, Angela; Maizels, Max; Korets, Ruslan; Wiener, John S.; Stiener, Michael; Liu, Dennis B.; Sutherland, Richard W.

In: Journal of Pediatric Urology, Vol. 9, No. 6 PART B, 01.01.2013, p. 1210-1213.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A novel method of teaching surgical techniques to residents - Computerized enhanced visual learning (CEVL) with simulation to certify mastery of training

T2 - A model using newborn clamp circumcision

AU - Smith, Angela

AU - Maizels, Max

AU - Korets, Ruslan

AU - Wiener, John S.

AU - Stiener, Michael

AU - Liu, Dennis B.

AU - Sutherland, Richard W.

PY - 2013/1/1

Y1 - 2013/1/1

N2 - Objective To assess the learning process of combining a web-based video of a simulated surgical procedure with a step-by-step checklist of the same procedure in achieving competency of the simulated technique, in this case a newborn clamp circumcision. Fundamental to this particular learning process is immediate mentor step-by-step feedback which specifically follows the procedure's step-by-step checklist. Materials and methods Pediatric residents naïve to newborn circumcision were enrolled (n = 7). A circumcision simulator, instruments, and web access to the learning module were provided. Residents trained independently and then performed two simulations with the mentor. The first simulation was completed with formative scored feedback. The learner then performed a second scored simulation. Results All learners showed improvement between the first and second simulation (mean 85.3-97.4). All residents achieved competency (96/100 or greater) by the second simulation. On post-procedure surveys, learners demonstrated increased comfort and reduced apprehension in performing the procedure. Conclusion Combining a web-accessible video of a procedure, a checklist, and a simulator followed by a single mentor session with immediate formative feedback which follows the steps of the checklist is a useful method to teach the simulation technique of circumcision. We plan to study if this paradigm is transferable to clinical circumcision.

AB - Objective To assess the learning process of combining a web-based video of a simulated surgical procedure with a step-by-step checklist of the same procedure in achieving competency of the simulated technique, in this case a newborn clamp circumcision. Fundamental to this particular learning process is immediate mentor step-by-step feedback which specifically follows the procedure's step-by-step checklist. Materials and methods Pediatric residents naïve to newborn circumcision were enrolled (n = 7). A circumcision simulator, instruments, and web access to the learning module were provided. Residents trained independently and then performed two simulations with the mentor. The first simulation was completed with formative scored feedback. The learner then performed a second scored simulation. Results All learners showed improvement between the first and second simulation (mean 85.3-97.4). All residents achieved competency (96/100 or greater) by the second simulation. On post-procedure surveys, learners demonstrated increased comfort and reduced apprehension in performing the procedure. Conclusion Combining a web-accessible video of a procedure, a checklist, and a simulator followed by a single mentor session with immediate formative feedback which follows the steps of the checklist is a useful method to teach the simulation technique of circumcision. We plan to study if this paradigm is transferable to clinical circumcision.

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