Document Detail

A novel craniotomy simulator provides a validated method to enhance education in the management of traumatic brain injury.
MedLine Citation:
PMID:  24051884     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: In a variety of surgical specialties, simulation-based technologies play an important role in resident training. The Congress of Neurological Surgeons (CNS) established an initiative to enhance neurosurgical training by developing a simulation-based curriculum to complement standard didactic and clinical learning.
OBJECTIVE: To enhance resident education in the management of traumatic brain injury by the use of simulation-based training.
METHODS: A course-based neurosurgical simulation curriculum was developed and offered at the 2012 CNS annual meeting. Within this curriculum, a trauma module was developed to teach skills necessary in the management of traumatic brain injury, including the performance of craniotomy for trauma. Didactic and simulator-based instruction were incorporated into the course. Written and practical pre- and posttests, as well as questionnaires, were used to assess the improvement in skill level and to validate the simulator as a teaching tool.
RESULTS: Fourteen trainees participated in the didactic section of the trauma module. Average performance improved significantly in written scores from pretest (75%) to posttest (87.5%, P < .05). Eight participants completed the trauma craniotomy simulator. Incision planning, burr hole placement (P < .02), and craniotomy size (P < .05) improved significantly. Junior residents (postgraduate years 1-3) demonstrated the most improvement during the course.
CONCLUSION: The CNS simulation trauma module provides a complementary method for residents to acquire necessary skills in the management of traumatic brain injury. Preliminary data indicate improvement in didactic and hands-on knowledge after training. Additional data are needed to confirm the validity of the simulator.
ABBREVIATIONS: ACGME, Accreditation Council for Graduate Medical EducationCA, Cochran-ArmitageCNS, Congress of Neurological SurgeonsNCAMSC, National Capital Area Medical Simulator CenterPGY, postgraduate yearTBI, traumatic brain injuryVR, virtual reality.
Darlene A Lobel; J Bradley Elder; Clemens M Schirmer; Mark W Bowyer; Ali R Rezai
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  73 Suppl 1     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-09-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S57-65     Citation Subset:  IM    
*Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota ‡Department of Neurological Surgery, The Ohio State University Medical Center, Columbus, Ohio §Division of Neurosurgery, Baystate Medical Center, Springfield, Massachusetts ‖Department of Neurosurgery, Tufts University School of Medicine, Boston, Massachusetts ¶The Norman M. Rich Department of Surgery, Uniformed Services University, Bethesda, Maryland.
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