Medical simulation and the surgical resident: Creating synergies through focus on education and morbidity reduction in general laparoscopy
David S Strosberg1, Nicholas Latchana1, Tammy L Kindel2, Mamta Swaroop3, Umer I Chaudhry1, Sabrena F Noria1, Rachel L Choron4, Mark J Seamon5, Maggie J Lin6, Melissa L Mao6, James Cipolla6, Dane Scantling5, Niels D Martin5, David C Evans1, Thomas J Papadimos7, Noel Martins8, Stanislaw P Stawicki6
1 Department of Surgery, The Ohio State University, Columbus, Ohio, USA
2 Department of Surgery, University of Nebraska, Omaha, Nebraska, USA
3 Department of Surgery, School of Medicine, Northwestern University, Chicago, Illinois, USA
4 Department of Surgery, Cooper University Hospital, Camden, New Jersey, USA
5 Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
6 Department of Surgery, Division of Gastroenterology, St. Luke's University Health Network, Bethlehem, Pennsylvania, USA
7 Department of Anesthesiology, University of Toledo, Toledo, Ohio, USA
8 Department of Medicine, Division of Gastroenterology, St. Luke's University Health Network, Bethlehem, Pennsylvania, USA
Stanislaw P Stawicki
Department of Research and Innovation, St. Lukefs University Health Network, EW.2 Research Administration, 801 Ostrum Street, Bethlehem, Pennsylvania 18015
Source of Support: None, Conflict of Interest: None
Minimally invasive surgery continues to grow in terms of overall case volumes and clinical applications, with ever-evolving operative indications. Despite obvious advantages, numerous implementation challenges and diverse complications associated with laparoscopy exist. The understanding of technical nuances, anesthesia-related considerations, and perioperative physiologic alterations is paramount to acquisition and maintenance of skills for minimally invasive surgery specialists. To effectively meet the increasing demand for laparoscopic procedures, it is important that surgeons are adequately trained in operative techniques, requisite cognitive skills, safety practices, and the management of associated complications. This task can be accomplished through medical simulation of appropriate scenarios which can emphasize education and prevention in a safe learning environment. This focused review outlines key complications of laparoscopy and how medical simulation can be of assistance in the residents' educational experience.
The following core competencies are addressed in this article: Medical knowledge, Patient care, Practice-based learning and improvement, Systems-based practice.