Formation de chirurgien<\/a> is a significant undertaking for both the learner and the teacher. To first do no harm, trainees spend countless hours learning to become competent and safe. The means to this end however has significant limitations. The clich\u00e9 of see one, do one, teach one grossly oversimplifies the acquisition of a surgeon\u2019s skill, is actually unethical and requires elaboration.<\/p>\n\n\n\n Formation en r\u00e9sidence<\/a> can be divided into two separate skills. Book smarts and technical ability. These are not mutually exclusive and require exposure to lectures and the operating room. Although residency work hours have changed in North America and Europe, the challenge among educators has always been the same. How to increase a trainee\u2019s exposition chirurgicale<\/a>, leur permettre une ind\u00e9pendance au bloc op\u00e9ratoire et renforcer leur confiance sans compromettre les soins aux patients ?<\/p>\n\n\n\n Voir un, faire un, enseigner un minimise grossi\u00e8rement l'art d'apprendre la chirurgie. La chirurgie, comme toute activit\u00e9, est une combinaison d'expression mentale et physique. L'utilisation de cadavres et d'os de scie, bien que limit\u00e9e, est le mod\u00e8le exact qui n\u00e9cessite une \u00e9valuation critique. Combien de pr\u00e9paration mentale faut-il pour utiliser un os de scie pour apprendre la chirurgie. Est-ce similaire \u00e0 l'utilisation d'un manche \u00e0 balai pour pratiquer votre swing de golf ? La question demeure donc : comment devenir un expert de notre mod\u00e8le de formation actuel ?<\/p>\n\n\n\n How should we learn in 2018? We can\u2019t all be experts, or can we?<\/em><\/p><\/blockquote>\n\n\n\n A hallmark characteristic of a surgeon expert includes a refined clinical decision-making ability with a learned level of technical skill. Their expertise developed through case volume and lessons learned from those procedures. Every mistake became a critical learning point which made them better, more experienced and eventually an expert. This mode of learning is central to the work of Psychologist Anders Ericsson. Improving performance towards expertise is achieved through diligent self-assessment and repetition referred to as \u201cdeliberate practice\u201d. How then does the surgeon trainee become the technical expert? Increasing volume is a well-documented approach to improving performance. All stakeholders are interested in approaching this problem head on through course offerings. The intention being to minimize complications. But how do you avoid complications if you don\u2019t understand what you have to do to cause them? Is it a hand gesture, a misplaced retractor? Making errors when associated with reflection, deliberation and then followed by \u201crepetition\u201d offers the most efficacious means towards improving technical performance. But where or whom shall we practice these skills upon. How should we learn in 2018? We can\u2019t all be experts, or can we?<\/p>\n\n\n\n La r\u00e9alit\u00e9 virtuelle peut fournir un moyen par lequel les chirurgiens et les stagiaires peuvent am\u00e9liorer leurs comp\u00e9tences chirurgicales<\/em><\/p><\/blockquote>\n\n\n\n Avec la cr\u00e9ation de r\u00e9alit\u00e9 virtuelle (VR)<\/a> and the introduction of immersive technologies in medicine, there is incredible enthusiasm for the potential to answer the above question(s). If we perform virtual surgery, perhaps we\u2019ll all be experts. Virtual reality may provide a medium whereby surgeons and trainees can improve their surgical skill, make decisions and realize their outcome while performing a significant volume of virtual cases. Although considerable excitement has been generated for virtual reality, one must proceed with caution. To avoid a misguided introduction of this valuable technology, stakeholders must evaluate this tool with a thoughtful and considerate approach in providing the greatest benefit to our users and ultimately our patients. There is a real opportunity to \u201cbend\u201d the experience curve for all types of procedures. To allow virtual mistakes, permit provocation and repeat. On a larger scale, the impact on the health care system and potential to provide value-based care may be within reach. With a patient centered approach, surgeons may truly improve outcomes if a thoughtful and carefully considered introduction of this powerful technology is implemented. To simply focus on the,\u201d do one\u201d portion of learning, would be a catastrophic under utilization of this potentially \u201cgame changing\u201d technology. A mindful, evidence based, truly validated and considerate approach will be important to all stakeholders interested in improving our current state of affairs.<\/p>\n\n\n\n La chirurgie, comme toute activit\u00e9, est une combinaison d'expression mentale et physique.<\/em><\/p><\/blockquote>\n\n\n\n Le Dala\u00ef Lama nous rappelle que le moment du plus grand gain en termes de sagesse et de force int\u00e9rieure, est souvent celui de la plus grande difficult\u00e9. D\u00e9fier nos utilisateurs dans la r\u00e9alit\u00e9 virtuelle, formuler une pens\u00e9e, prendre une d\u00e9cision et r\u00e9aliser le r\u00e9sultat de cette d\u00e9cision a le plus grand impact non seulement sur les stagiaires en chirurgie, mais aussi sur l'acquisition de comp\u00e9tences dans n'importe quel domaine. Il se peut que nous soyons dans une \u00e8re de technologie immersive qui fournit un support similaire \u00e0 la salle d'op\u00e9ration. Le potentiel de fournir \u00e0 l'apprenant la possibilit\u00e9 d'apprendre de ses erreurs, d'objectiver ses performances et de minimiser les pr\u00e9judices subis par le patient peut \u00eatre plus proche que nous ne le pensons.<\/p>\n\n\n\n Dr Danny P. Goel<\/a> est le PDG et co-fondateur de Precision OS Technology et est professeur agr\u00e9g\u00e9 de clinique au d\u00e9partement de chirurgie orthop\u00e9dique de l'UBC<\/p>\n\n\n\n Precision OS Technology est une soci\u00e9t\u00e9 de logiciels positionn\u00e9e pour avoir un impact positif sur la chirurgie orthop\u00e9dique avec ses plates-formes logicielles VR haute fid\u00e9lit\u00e9. Notre concentration sur les \u00e9l\u00e9ments critiques de la chirurgie, de l'haptique et de la r\u00e9troaction m\u00e9trique offre une exp\u00e9rience \u00e9ducative sans pr\u00e9c\u00e9dent. De plus, notre outil de planification pr\u00e9op\u00e9ratoire<\/a> \u00e9limine les essais et les erreurs associ\u00e9s aux soins des fractures gr\u00e2ce \u00e0 une interaction immersive avec les images du patient.<\/p>\n\n\n\n \u200d<\/p>\n\n\n\n Pour plus d'informations sur la technologie Precision OS, visitez notre site Web www.precisionostech.com\/<\/a>ou \u00e9crivez-nous \u00e0 info@precisionostech.com<\/a><\/p>","protected":false},"excerpt":{"rendered":" Surgeon Education Surgeon training is a significant undertaking for both the learner and the teacher. To first do no harm, trainees spend countless hours learning to become competent and safe. The means to this end however has significant limitations. The clich\u00e9 of see one, do one, teach one grossly oversimplifies the acquisition of a surgeon\u2019s skill,…<\/p>","protected":false},"author":3,"featured_media":226,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[19],"tags":[],"class_list":["post-225","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-surgery"],"aioseo_notices":[],"yoast_head":"\nHeures de travail des r\u00e9sidents\u00a0: regardons-nous les bons param\u00e8tres\u00a0?<\/h3>\n\n\n\n
Chirurgiens experts<\/h4>\n\n\n\n
“Deliberate” Practice Makes Perfect<\/h4>\n\n\n\n
Apprends de tes erreurs<\/h4>\n\n\n\n
\u00c0 propos de la technologie Precision OS<\/h4>\n\n\n\n