Читать книгу Small Animal Laparoscopy and Thoracoscopy онлайн

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Beside the ethical and cost issues, it is likely that a training program built solely on OR practice in live patients becomes limited, inefficient, and inconsistent. Conversely, a shift to simulation training outside the OR has been suggested to improve operative efficiency and quality [5]. For example, we have noticed in our work that even experienced veterinary laparoscopic surgeons tend to lag in efficient use of their nondominant hands, something easily rectified by simulation training [7]. In fact, the basic skills are most efficiently trained through simulation training [8]. This has been recognized for more than a decade among medical doctors. Since 2008, laparoscopic simulation training curricula have been a requirement for surgery residency programs in the United States [9]. Robust evidence has been presented to demonstrate that skills developed by simulation indeed transfer into improved OR performance [10–14]. Recently, a survey of ACVS residents demonstrated a widely held desire to include a MIS simulation training curriculum into the traditional surgical training programs [15].