Training in Minimally Invasive Pancreatic Resections: a paradigm shift away from "See one, Do one, Teach one".
- Hogg ME University of Pittsburgh Medical Center, Division of Surgical Oncology, Pittsburgh, PA, USA. Electronic address: hoggme@upmc.edu.
- Besselink MG Academic Medical Center, Amsterdam, The Netherlands.
- Clavien PA Department of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.
- Fingerhut A University Hospital of Graz, Graz, Austria.
- Jeyarajah DR Methodist Health System, Dallas, TX, USA.
- Kooby DA Emory University, Department of Surgery, Atlanta, GA, USA.
- Moser AJ Beth Israel Deaconess Medical Center, Pancreas and Liver Institute, Boston, MA, USA.
- Pitt HA Lewis Katz School of Medicine at Temple University, Department of Surgery, Philadelphia, PA, USA.
- Varban OA University of Michigan, Division of Minimally Invasive Surgery, Ann Arbor, MI, USA.
- Vollmer CM University of Pennsylvania, Philadelphia, PA, USA.
- Zeh HJ University of Pittsburgh Medical Center, Division of Surgical Oncology, Pittsburgh, PA, USA.
- Hansen P Portland Providence Cancer Institute, Liver and Pancreas Surgery, Portland, OR, USA.
- 2017-02-14
Published in:
- HPB : the official journal of the International Hepato Pancreato Biliary Association. - 2017
Clinical Competence
Congresses as Topic
Curriculum
Education, Medical, Graduate
High Fidelity Simulation Training
Humans
Laparoscopy
Learning Curve
Pancreatectomy
Pancreaticoduodenectomy
Quality Improvement
Quality Indicators, Health Care
Robotic Surgical Procedures
Surgeons
Treatment Outcome
English
BACKGROUND
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.
METHODS
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.
RESULTS
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.
DISCUSSION
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.
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.
METHODS
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.
RESULTS
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.
DISCUSSION
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.
- Language
-
- English
- Open access status
- bronze
- Identifiers
-
- DOI 10.1016/j.hpb.2017.01.016
- PMID 28190709
- Persistent URL
- https://sonar.ch/global/documents/47457
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