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Daniel J Scott - One of the best experts on this subject based on the ideXlab platform.

  • two year Skill Retention and certification exam performance after fundamentals of laparoscopic Skills training and proficiency maintenance
    Surgery, 2010
    Co-Authors: Lauren B Mashaud, Antonio O Castellvi, Lisa A Hollett, Deborah C Hogg, Seifu T Tesfay, Daniel J Scott
    Abstract:

    Background The purpose of this study was to determine 2-year performance Retention and certification exam pass rate after completion of a proficiency-based fundamental laparoscopic Skills (FLS) curriculum and subsequent interval training. Methods Surgery residents (postgraduate year [PGY]1–5, n = 91) were enrolled in an Institutional Review Board approved protocol. All participants initially underwent proficiency-based training on all 5 FLS tasks. Subsequently, available residents were enrolled every 6 months in an ongoing training curriculum that included Retention tests on tasks 4 and 5, with mandatory retraining to proficiency if the proficiency levels were not achieved. The final Retention test included the actual FLS certification examination for PGY4–5 trainees. Results A 96% participation rate was achieved for all curricular components during the 2-year study period (PGY3–5, n = 33). Skill Retention at Retention 1–4 was 83%, 94%, 98%, and 91% for task 4 and 85%, 95%, 96%, and 100% for task 5, respectively. All PGY4–5 (n = 20) residents passed the FLS certification examination, achieving 413 ± 28 total score on the Skills portion (passing score ≥270) and demonstrating 92% Retention for all 5 tasks. Conclusion Proficiency-based training with subsequent ongoing practice results in a very high level of Skill Retention after 2 years and uniformly allows trainees to pass the FLS certification examination.

  • maintaining proficiency after fundamentals of laparoscopic surgery training a 1 year analysis of Skill Retention for surgery residents
    Annual Academic Surgical Congress, 2009
    Co-Authors: Antonio O Castellvi, Lisa A Hollett, Deborah C Hogg, Seifu T Tesfay, Abu Minhajuddin, Daniel J Scott
    Abstract:

    Background. The purpose of this study was to determine performance Retention after initial and ongoing Fundamentals of Laparoscopic Surgery (FLS) Skills training. Methods. Surgery residents (postgraduate year [PGY] 1-5; n = 91) initially underwent proficiency-based training during a 2-month period for all 5 FLS tasks. Subsequently, available residents (PGY 2-5; n = 44) were enrolled in a follow-up curriculum for Tasks 4 and 5, with Retention testing at 6.5 ± 1.0 months (Retention 1) and 12.5 ± 1.3 months (Retention 2), followed by mandatory retraining if needed. Results. Forty-two residents participated in the follow-up curriculum. For Task 4, retraining was required for 55 % of trainees after Retention 1 and for 40 % after Retention 2 testing. For Task 5, retraining was required for 86 % of trainees after Retention 1 and for 48 % after Retention 2 testing. Compared with posttest performance, Skill Retention was 86 % and 96 % for Task 4 and 87 % and 96 % for Task 5 at Retentions 1 and 2, respectively. Conclusion. A modest decrement in performance was detected at 6.5 months, but a small amount of additional structured practice reinforced Skill acquisition and minimized Skill loss at 12.5 months. In addition to clinical experience, trainees may benefit from ongoing FLS simulator training to optimally maintain proficiency.

  • proficiency maintenance impact of ongoing simulator training on laparoscopic Skill Retention
    Journal of The American College of Surgeons, 2005
    Co-Authors: Dimitrios Stefanidis, James R Korndorffer, Rafael Sierra, Sarah Markley, Daniel J Scott
    Abstract:

    Background Proficiency-based training in laparoscopic suturing and knot tying translates to the operating room, but little is known about the durability of acquired Skill. The purpose of this study was to determine the effect of maintenance training on Skill Retention after demonstration of proficiency. Study design Medical students (n=18) with no previous laparoscopic or simulator experience were enrolled in an IRB-approved randomized controlled trial. All subjects trained to proficiency (score of 512, based on time and errors) on a previously validated suturing model (Fundamentals of Laparoscopic Surgery videotrainer). Subjects were then randomized to a control group, which received no additional training, and an ongoing training group, which trained again to proficiency at 1 and 3months (immediately after testing). Simulator testing was repeated at 2weeks, 1month, 3months, and 6months after initial training. No subject had interval operative experience. Results Both groups demonstrated excellent Skill Retention during followup; performance scores, reported as means ± SD, were 488±57 versus 482±55 at 2weeks (p=ns), 483±81 versus 491±64 at 1month (p=ns), 467±75 versus 470±67 at 3months (p=ns), and 462±62 versus 492±43 at 6months (p=0.02) for the control versus ongoing training groups, respectively. At 6months, the ongoing training group showed better Skill Retention (95% versus 90%; p=0.02) and a trend for achieving the proficiency level (33% versus 18%; p=0.2) more often than the control group. Conclusions Although proficiency-based training results in excellent Skill Retention, ongoing training substantially enhances performance and minimizes Skill loss. Curricula should incorporate training that fosters maintenance of proficiency.

  • Skill Retention following proficiency based laparoscopic simulator training
    Surgery, 2005
    Co-Authors: Dimitrios Stefanidis, James R Korndorffer, Rafael Sierra, Cheri L Touchard, Bruce J Dunne, Daniel J Scott
    Abstract:

    Background Proficiency-based curricula using both virtual reality (VR) and videotrainer (VT) simulators have proven to be efficient and maximally effective, but little is known about the Retention of acquired Skills. The purpose of this study was to assess Skill Retention after completion of a validated laparoscopic Skills curriculum. Methods Surgery residents (n = 14) with no previous VR or VT experience were enrolled in an Institutional Review Board–approved protocol and sequentially practiced 12 Minimally Invasive Surgical Trainer-VR and 5 VT tasks until proficiency levels were achieved. One VR (manipulate diathermy) and 1 VT (bean drop) tasks were selected for assessment at baseline, after training completion (posttest), and at Retention. Results All residents completed the curriculum. Posttest assessment occurred at 13.2 ± 11.8 days and Retention assessment at 7.0 ± 4.0 months. After an early performance decrement at posttest (17%-45%), the acquired Skill was maintained up to the end of the follow-up period. For VR, scores were 81.5 ± 23.5 at baseline, 33.3 ± 1.8 at proficiency, 48.4 ± 9.2 at posttest, and 48.4 ± 11.8 at Retention. For VT, scores were 49.4 ± 12.5 at baseline, 22.0 ± 1.4 at proficiency, 25.6 ± 3.6 at posttest, and 26.4 ± 4.2 at Retention. Skill Retention was better for VT, compared with VR (P < .02). The extent of Skill deterioration did not correlate with training duration or resident level. Conclusions Although residents do not retain all acquired Skills (more so for VR than for VT) according to simulator assessment, proficiency-based training on simulators results in durable Skills. Additional studies are warranted to further optimize curriculum design, investigate simulator differences, and establish training methods that improve Skill Retention.

Lars S Rasmussen - One of the best experts on this subject based on the ideXlab platform.

  • Skill Retention in adults and in children 3 months after basic life support training using a simple personal resuscitation manikin
    Resuscitation, 2007
    Co-Authors: Dan Lou Isbye, Christian S Meyhoff, F K Lippert, Lars S Rasmussen
    Abstract:

    BACKGROUND: As 70-80% of cardiac arrests occur at home, widespread training is needed to increase the likelihood of basic life support (BLS) being performed before the arrival of Emergency Medical Services personnel. Teaching BLS in public schools has been recommended to achieve this. AIM: To compare BLS Skill Retention in school children with adults when using a simple personal resuscitation manikin. METHODS: The MiniAnne (Laerdal Medical, Norway) was distributed to 76 pupils (age 12-14 years) in three public schools and to 194 employees (age 22-51 years) in an insurance company. Using the enclosed DVD, the participants carried out a 24 min BLS course and took home the manikin for subsequent self-training. After 3 months, Skill Retention was assessed using the ResusciAnne and the PC Skill reporting System 2.0 (Laerdal Medical, Norway) in a 5 min test. A combined score ranging from 12 to 52 points was calculated and in addition, 12 different variables were compared. RESULTS: The combined score was significantly higher in adults (35 points versus 32 points, P=0.0005). The adults performed significantly better than the children in all but four variables. 'Ventilation-compression ratio' and 'hand-position' were not significantly different. The children performed significantly better in the variables 'total compressions' (median 199 versus 154, P=0.0003), and 'hands-off time' (median 158.5s versus 188.5s, P<0.0001). CONCLUSION: Three months after a BLS course, adults had higher overall BLS Skill Retention scores than school children when using a simple personal resuscitation manikin.

  • Skill Retention in adults and in children 3 months after basic life support training using a simple personal resuscitation manikin.
    Resuscitation, 2007
    Co-Authors: Dan Lou Isbye, Christian S Meyhoff, F K Lippert, Lars S Rasmussen
    Abstract:

    BACKGROUND: As 70-80% of cardiac arrests occur at home, widespread training is needed to increase the likelihood of basic life support (BLS) being performed before the arrival of Emergency Medical Services personnel. Teaching BLS in public schools has been recommended to achieve this. AIM: To compare BLS Skill Retention in school children with adults when using a simple personal resuscitation manikin. METHODS: The MiniAnne (Laerdal Medical, Norway) was distributed to 76 pupils (age 12-14 years) in three public schools and to 194 employees (age 22-51 years) in an insurance company. Using the enclosed DVD, the participants carried out a 24 min BLS course and took home the manikin for subsequent self-training. After 3 months, Skill Retention was assessed using the ResusciAnne and the PC Skill reporting System 2.0 (Laerdal Medical, Norway) in a 5 min test. A combined score ranging from 12 to 52 points was calculated and in addition, 12 different variables were compared. RESULTS: The combined score was significantly higher in adults (35 points versus 32 points, P=0.0005). The adults performed significantly better than the children in all but four variables. 'Ventilation-compression ratio' and 'hand-position' were not significantly different. The children performed significantly better in the variables 'total compressions' (median 199 versus 154, P=0.0003), and 'hands-off time' (median 158.5s versus 188.5s, P

Dan Lou Isbye - One of the best experts on this subject based on the ideXlab platform.

  • Skill Retention in adults and in children 3 months after basic life support training using a simple personal resuscitation manikin
    Resuscitation, 2007
    Co-Authors: Dan Lou Isbye, Christian S Meyhoff, F K Lippert, Lars S Rasmussen
    Abstract:

    BACKGROUND: As 70-80% of cardiac arrests occur at home, widespread training is needed to increase the likelihood of basic life support (BLS) being performed before the arrival of Emergency Medical Services personnel. Teaching BLS in public schools has been recommended to achieve this. AIM: To compare BLS Skill Retention in school children with adults when using a simple personal resuscitation manikin. METHODS: The MiniAnne (Laerdal Medical, Norway) was distributed to 76 pupils (age 12-14 years) in three public schools and to 194 employees (age 22-51 years) in an insurance company. Using the enclosed DVD, the participants carried out a 24 min BLS course and took home the manikin for subsequent self-training. After 3 months, Skill Retention was assessed using the ResusciAnne and the PC Skill reporting System 2.0 (Laerdal Medical, Norway) in a 5 min test. A combined score ranging from 12 to 52 points was calculated and in addition, 12 different variables were compared. RESULTS: The combined score was significantly higher in adults (35 points versus 32 points, P=0.0005). The adults performed significantly better than the children in all but four variables. 'Ventilation-compression ratio' and 'hand-position' were not significantly different. The children performed significantly better in the variables 'total compressions' (median 199 versus 154, P=0.0003), and 'hands-off time' (median 158.5s versus 188.5s, P<0.0001). CONCLUSION: Three months after a BLS course, adults had higher overall BLS Skill Retention scores than school children when using a simple personal resuscitation manikin.

  • Skill Retention in adults and in children 3 months after basic life support training using a simple personal resuscitation manikin.
    Resuscitation, 2007
    Co-Authors: Dan Lou Isbye, Christian S Meyhoff, F K Lippert, Lars S Rasmussen
    Abstract:

    BACKGROUND: As 70-80% of cardiac arrests occur at home, widespread training is needed to increase the likelihood of basic life support (BLS) being performed before the arrival of Emergency Medical Services personnel. Teaching BLS in public schools has been recommended to achieve this. AIM: To compare BLS Skill Retention in school children with adults when using a simple personal resuscitation manikin. METHODS: The MiniAnne (Laerdal Medical, Norway) was distributed to 76 pupils (age 12-14 years) in three public schools and to 194 employees (age 22-51 years) in an insurance company. Using the enclosed DVD, the participants carried out a 24 min BLS course and took home the manikin for subsequent self-training. After 3 months, Skill Retention was assessed using the ResusciAnne and the PC Skill reporting System 2.0 (Laerdal Medical, Norway) in a 5 min test. A combined score ranging from 12 to 52 points was calculated and in addition, 12 different variables were compared. RESULTS: The combined score was significantly higher in adults (35 points versus 32 points, P=0.0005). The adults performed significantly better than the children in all but four variables. 'Ventilation-compression ratio' and 'hand-position' were not significantly different. The children performed significantly better in the variables 'total compressions' (median 199 versus 154, P=0.0003), and 'hands-off time' (median 158.5s versus 188.5s, P

Stephen O'leary - One of the best experts on this subject based on the ideXlab platform.

  • The Effect of Practice Distribution on Skill Retention in Virtual Reality Temporal Bone Surgery Training
    2019 IEEE 32nd International Symposium on Computer-Based Medical Systems (CBMS), 2019
    Co-Authors: Cassandra Williams, Sudanthi Wijewickrema, Patorn Piromchai, Stephen O'leary
    Abstract:

    Virtual reality (VR) simulation has had various applications since its establishment as a means of replicating real-life scenarios. Surgical training is a rapidly growing area for the application of VR, and there is evidence to suggest that Skills learned during VR training are transferable to the operating theatre. When developing an effective VR surgical training curriculum, practice distribution is a major factor. Research has found that distributed practice (sessions spread over time) is superior to massed practice (in one session). In this paper, we explore the effect of three forms of distributed practice (daily, weekly, and monthly) on Skill Retention in VR temporal bone surgery training. We show through a randomised trial that significant Skill Retention may be achieved irrespective of practice spacing for these three types of distributed practice if other factors of surgical education, such as task demonstration, performance feedback, and task repetition are properly incorporated into the program.

  • CBMS - The Effect of Practice Distribution on Skill Retention in Virtual Reality Temporal Bone Surgery Training
    2019 IEEE 32nd International Symposium on Computer-Based Medical Systems (CBMS), 2019
    Co-Authors: Cassandra Williams, Sudanthi Wijewickrema, Patorn Piromchai, Stephen O'leary
    Abstract:

    Virtual reality (VR) simulation has had various applications since its establishment as a means of replicating real-life scenarios. Surgical training is a rapidly growing area for the application of VR, and there is evidence to suggest that Skills learned during VR training are transferable to the operating theatre. When developing an effective VR surgical training curriculum, practice distribution is a major factor. Research has found that distributed practice (sessions spread over time) is superior to massed practice (in one session). In this paper, we explore the effect of three forms of distributed practice (daily, weekly, and monthly) on Skill Retention in VR temporal bone surgery training. We show through a randomised trial that significant Skill Retention may be achieved irrespective of practice spacing for these three types of distributed practice if other factors of surgical education, such as task demonstration, performance feedback, and task repetition are properly incorporated into the program.

Christian S Meyhoff - One of the best experts on this subject based on the ideXlab platform.

  • Skill Retention in adults and in children 3 months after basic life support training using a simple personal resuscitation manikin
    Resuscitation, 2007
    Co-Authors: Dan Lou Isbye, Christian S Meyhoff, F K Lippert, Lars S Rasmussen
    Abstract:

    BACKGROUND: As 70-80% of cardiac arrests occur at home, widespread training is needed to increase the likelihood of basic life support (BLS) being performed before the arrival of Emergency Medical Services personnel. Teaching BLS in public schools has been recommended to achieve this. AIM: To compare BLS Skill Retention in school children with adults when using a simple personal resuscitation manikin. METHODS: The MiniAnne (Laerdal Medical, Norway) was distributed to 76 pupils (age 12-14 years) in three public schools and to 194 employees (age 22-51 years) in an insurance company. Using the enclosed DVD, the participants carried out a 24 min BLS course and took home the manikin for subsequent self-training. After 3 months, Skill Retention was assessed using the ResusciAnne and the PC Skill reporting System 2.0 (Laerdal Medical, Norway) in a 5 min test. A combined score ranging from 12 to 52 points was calculated and in addition, 12 different variables were compared. RESULTS: The combined score was significantly higher in adults (35 points versus 32 points, P=0.0005). The adults performed significantly better than the children in all but four variables. 'Ventilation-compression ratio' and 'hand-position' were not significantly different. The children performed significantly better in the variables 'total compressions' (median 199 versus 154, P=0.0003), and 'hands-off time' (median 158.5s versus 188.5s, P<0.0001). CONCLUSION: Three months after a BLS course, adults had higher overall BLS Skill Retention scores than school children when using a simple personal resuscitation manikin.

  • Skill Retention in adults and in children 3 months after basic life support training using a simple personal resuscitation manikin.
    Resuscitation, 2007
    Co-Authors: Dan Lou Isbye, Christian S Meyhoff, F K Lippert, Lars S Rasmussen
    Abstract:

    BACKGROUND: As 70-80% of cardiac arrests occur at home, widespread training is needed to increase the likelihood of basic life support (BLS) being performed before the arrival of Emergency Medical Services personnel. Teaching BLS in public schools has been recommended to achieve this. AIM: To compare BLS Skill Retention in school children with adults when using a simple personal resuscitation manikin. METHODS: The MiniAnne (Laerdal Medical, Norway) was distributed to 76 pupils (age 12-14 years) in three public schools and to 194 employees (age 22-51 years) in an insurance company. Using the enclosed DVD, the participants carried out a 24 min BLS course and took home the manikin for subsequent self-training. After 3 months, Skill Retention was assessed using the ResusciAnne and the PC Skill reporting System 2.0 (Laerdal Medical, Norway) in a 5 min test. A combined score ranging from 12 to 52 points was calculated and in addition, 12 different variables were compared. RESULTS: The combined score was significantly higher in adults (35 points versus 32 points, P=0.0005). The adults performed significantly better than the children in all but four variables. 'Ventilation-compression ratio' and 'hand-position' were not significantly different. The children performed significantly better in the variables 'total compressions' (median 199 versus 154, P=0.0003), and 'hands-off time' (median 158.5s versus 188.5s, P