A structured program for teaching pancreatojejunostomy to surgical residents and fellows outside the operating room: a pilot study
Abstract Background Pancreatojejunostomy (PJ) is one of the most difficult and challenging abdominal surgical procedures. There are no appropriate training systems available outside the operating room (OR). We developed a structured program for teaching PJ outside the OR. We describe its development...
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-021-01101-w |
| _version_ | 1818336865927823360 |
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| author | Kenichi Oshiro Kazuhiro Endo Kazue Morishima Yuji Kaneda Masaru Koizumi Hideki Sasanuma Yasunaru Sakuma Alan Kawarai Lefor Naohiro Sata |
| author_facet | Kenichi Oshiro Kazuhiro Endo Kazue Morishima Yuji Kaneda Masaru Koizumi Hideki Sasanuma Yasunaru Sakuma Alan Kawarai Lefor Naohiro Sata |
| author_sort | Kenichi Oshiro |
| collection | DOAJ |
| description | Abstract Background Pancreatojejunostomy (PJ) is one of the most difficult and challenging abdominal surgical procedures. There are no appropriate training systems available outside the operating room (OR). We developed a structured program for teaching PJ outside the OR. We describe its development and results of a pilot study. Methods We have created this structured program to help surgical residents and fellows acquire both didactic knowledge and technical skills to perform PJ. A manual was created to provide general knowledge about PJ and the specific PJ procedure used in our institution. Based on questionnaires completed by trainers and trainees, the procedure for PJ was divided into twelve steps and described in detail. After creating the manual, we developed organ models, needles and a frame box for simulation training. Three residents (PGY3-5) and three fellows (PGY6 or above) participated in a pilot study. Objective and subjective evaluations were performed. Results Trainees learn about PJ by reading the procedure manual, acquiring both general and specific knowledge. We conducted simulation training outside the OR using the training materials created for this system. They simulate the procedure with surgical instruments as both primary and assistant surgeon. In this pilot study, as objective assessments, the fellow-group took less time to complete one anastomosis (36 min vs 48 min) and had higher scores in the objective structured assessment of technical skill (average score: 4.1 vs 2.0) compared to the resident-group. As a subjective assessment, the confidence to perform a PJ anastomosis increased after simulation training (from 1.6 to 2.6). Participants considered that this structured teaching program is useful. Conclusion We developed a structured program for teaching PJ. By implementing this program, learning opportunities for surgical residents and fellows can be increased as a complement to training in the OR. |
| first_indexed | 2024-12-13T14:46:07Z |
| format | Article |
| id | doaj.art-b187826cd62c4092b364551121d63b72 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-13T14:46:07Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-b187826cd62c4092b364551121d63b722022-12-21T23:41:28ZengBMCBMC Surgery1471-24822021-02-012111910.1186/s12893-021-01101-wA structured program for teaching pancreatojejunostomy to surgical residents and fellows outside the operating room: a pilot studyKenichi Oshiro0Kazuhiro Endo1Kazue Morishima2Yuji Kaneda3Masaru Koizumi4Hideki Sasanuma5Yasunaru Sakuma6Alan Kawarai Lefor7Naohiro Sata8Department of Surgery, Jichi Medical UniversityDepartment of Surgery, Jichi Medical UniversityDepartment of Surgery, Jichi Medical UniversityDepartment of Surgery, Jichi Medical UniversityDepartment of Surgery, Jichi Medical UniversityDepartment of Surgery, Jichi Medical UniversityDepartment of Surgery, Jichi Medical UniversityDepartment of Surgery, Jichi Medical UniversityDepartment of Surgery, Jichi Medical UniversityAbstract Background Pancreatojejunostomy (PJ) is one of the most difficult and challenging abdominal surgical procedures. There are no appropriate training systems available outside the operating room (OR). We developed a structured program for teaching PJ outside the OR. We describe its development and results of a pilot study. Methods We have created this structured program to help surgical residents and fellows acquire both didactic knowledge and technical skills to perform PJ. A manual was created to provide general knowledge about PJ and the specific PJ procedure used in our institution. Based on questionnaires completed by trainers and trainees, the procedure for PJ was divided into twelve steps and described in detail. After creating the manual, we developed organ models, needles and a frame box for simulation training. Three residents (PGY3-5) and three fellows (PGY6 or above) participated in a pilot study. Objective and subjective evaluations were performed. Results Trainees learn about PJ by reading the procedure manual, acquiring both general and specific knowledge. We conducted simulation training outside the OR using the training materials created for this system. They simulate the procedure with surgical instruments as both primary and assistant surgeon. In this pilot study, as objective assessments, the fellow-group took less time to complete one anastomosis (36 min vs 48 min) and had higher scores in the objective structured assessment of technical skill (average score: 4.1 vs 2.0) compared to the resident-group. As a subjective assessment, the confidence to perform a PJ anastomosis increased after simulation training (from 1.6 to 2.6). Participants considered that this structured teaching program is useful. Conclusion We developed a structured program for teaching PJ. By implementing this program, learning opportunities for surgical residents and fellows can be increased as a complement to training in the OR.https://doi.org/10.1186/s12893-021-01101-wPancreatojejunostomySurgical educationSimulation training3D modelTraining programStandardization |
| spellingShingle | Kenichi Oshiro Kazuhiro Endo Kazue Morishima Yuji Kaneda Masaru Koizumi Hideki Sasanuma Yasunaru Sakuma Alan Kawarai Lefor Naohiro Sata A structured program for teaching pancreatojejunostomy to surgical residents and fellows outside the operating room: a pilot study BMC Surgery Pancreatojejunostomy Surgical education Simulation training 3D model Training program Standardization |
| title | A structured program for teaching pancreatojejunostomy to surgical residents and fellows outside the operating room: a pilot study |
| title_full | A structured program for teaching pancreatojejunostomy to surgical residents and fellows outside the operating room: a pilot study |
| title_fullStr | A structured program for teaching pancreatojejunostomy to surgical residents and fellows outside the operating room: a pilot study |
| title_full_unstemmed | A structured program for teaching pancreatojejunostomy to surgical residents and fellows outside the operating room: a pilot study |
| title_short | A structured program for teaching pancreatojejunostomy to surgical residents and fellows outside the operating room: a pilot study |
| title_sort | structured program for teaching pancreatojejunostomy to surgical residents and fellows outside the operating room a pilot study |
| topic | Pancreatojejunostomy Surgical education Simulation training 3D model Training program Standardization |
| url | https://doi.org/10.1186/s12893-021-01101-w |
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