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EANS Basic Brain Course (ABC): combining simulation to cadaver lab for a new concept of neurosurgical training.
Acta Neurochirurgica ( IF 2.4 ) Pub Date : 2020-01-21 , DOI: 10.1007/s00701-020-04216-w
Alessandro Moiraghi 1, 2, 3 , Alessandro Perin 4, 5, 6 , Nicolas Sicky 3 , Jelena Godjevac 3 , Giovanni Carone 5, 7 , Roberta Ayadi 4, 5 , Tommaso Galbiati 5, 8 , Enrico Gambatesa 4, 8 , Alessandra Rocca 5, 8 , Claudia Fanizzi 4, 5 , Karl Schaller 1, 3 , Francesco DiMeco 4, 5, 9, 10, 11 , Torstein R Meling 1, 3, 9
Affiliation  

BACKGROUND Neurosurgical training has traditionally been based on an apprenticeship model that requires considerable time and exposure to surgeries. Unfortunately, nowadays these requirements are hampered by several limitations (e.g., decreased caseload, worktime restrictions). Furthermore, teaching methods vary among residency programs due to cultural differences, monetary restrictions, and infrastructure conditions, with the possible consequence of jeopardizing residents' training. METHODS The EANS Basic Brain Course originated from a collaboration between the Besta NeuroSim Center in Milano and the Swiss Foundation for Innovation and Training in Surgery in Geneva. It was held for 5 neurosurgical residents (PGY1-3) who participated to this first pilot experience in January 2019. The main goal was to cover the very basic aspects of cranial surgery, including both technical and non-technical skills. The course was developed in modules, starting from the diagnostic paths and communication with patients (played by professional actors), then moving to practical simulation sessions, rapid theoretical lessons, and discussions based on real cases and critical ethical aspects. At the end, the candidates had cadaver lab sessions in which they practiced basic emergency procedures and craniotomies. The interaction between the participants and the faculties was created and maintained using role plays that smoothly improved the cooperation during debriefs and discussions, thus making the sessions exceedingly involving. RESULTS At the end of the course, every trainee was able to complete the course curriculum and all the participants expressed their appreciation for this innovative format, with a particular emphasis on the time spent learning non-technical skills, confirming that they feel this to be a fundamental aspect of a comprehensive training in neurosurgery. CONCLUSIONS It is possible that this combined concept of training on technical and non-technical skills, using emerging technologies along with pedagogic techniques and cadaver dissection, may become the state-of-the-art for European Neurosurgical training programs in the next future.

中文翻译:

EANS基本脑课程(ABC):将模拟与尸体实验室相结合,以提供新的神经外科培训概念。

背景技术神经外科训练传统上是基于学徒模型的,该学徒模型需要大量的时间并且需要手术。不幸的是,如今,这些要求受到一些限制(例如,减少的工作量,工作时间限制)的阻碍。此外,由于文化差异,资金限制和基础设施条件,在居住计划中,教学方法也有所不同,可能会危及居民的培训。方法EANS基本脑课程源自米兰的Besta NeuroSim中心与日内瓦的瑞士外科手术创新和培训基金会之间的合作。它是为5位神经外科住院医师(PGY1-3)举办的,他们参加了2019年1月的首次试点体验。主要目标是涵盖颅骨手术的非常基本的方面,包括技术和非技术技能。该课程以模块的形式开发,从诊断路径和与患者的沟通(由专业演员扮演)开始,然后转向实际模拟课程,快速理论课程以及基于实际案例和关键道德方面的讨论。最后,候选人参加了尸体实验室会议,他们在其中练习了基本的紧急程序和颅骨切开术。参与者与教职员工之间的互动是通过角色扮演来创建和维护的,这些角色扮演可以在汇报和讨论过程中顺利地改善合作关系,从而使会议变得异常复杂。结果在课程结束时,每位学员都能完成课程设置,所有参与者都对这种创新形式表示赞赏,尤其着重于学习非技术技能所花费的时间,证实他们认为这是全面培训的基本方面。神经外科。结论结合使用新兴技术,教学方法和尸体解剖的技术和非技术技能培训的结合概念,可能会在未来成为欧洲神经外科培训计划的最新技术。
更新日期:2020-01-22
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