Training in Minimally Invasive Pancreatic Resections: a paradigm shift away from “See one, Do one, Teach one”

the Minimally Invasive Pancreatic Resection Organizing Committee

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)234-245
Number of pages12
JournalHPB
Volume19
Issue number3
DOIs
StatePublished - Mar 1 2017
Externally publishedYes

Fingerprint

Operating Rooms
Learning Curve
Patient Safety
Quality Improvement
Curriculum
Brazil
Pancreas
Research Design
Education
Mentoring
Surgeons
Practice (Psychology)

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Training in Minimally Invasive Pancreatic Resections : a paradigm shift away from “See one, Do one, Teach one”. / the Minimally Invasive Pancreatic Resection Organizing Committee.

In: HPB, Vol. 19, No. 3, 01.03.2017, p. 234-245.

Research output: Contribution to journalArticle

the Minimally Invasive Pancreatic Resection Organizing Committee 2017, 'Training in Minimally Invasive Pancreatic Resections: a paradigm shift away from “See one, Do one, Teach one”', HPB, vol. 19, no. 3, pp. 234-245. https://doi.org/10.1016/j.hpb.2017.01.016
the Minimally Invasive Pancreatic Resection Organizing Committee. / Training in Minimally Invasive Pancreatic Resections : a paradigm shift away from “See one, Do one, Teach one”. In: HPB. 2017 ; Vol. 19, No. 3. pp. 234-245.
@article{769f9b87281544a9b93798561e9eff7b,
title = "Training in Minimally Invasive Pancreatic Resections: a paradigm shift away from “See one, Do one, Teach one”",
abstract = "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.",
author = "{the Minimally Invasive Pancreatic Resection Organizing Committee} and Hogg, {Melissa E.} and Besselink, {Marc G.} and Clavien, {Pierre Alain} and Abe Fingerhut and Jeyarajah, {D. Rohan} and Kooby, {David A.} and Moser, {A. James} and Pitt, {Henry A.} and Varban, {Oliver A.} and Vollmer, {Charles M.} and Zeh, {Herbert J.} and Paul Hansen and Asbun, {Horacio J.} and Jeffrey Barkun and Kendrick, {Michael L.} and Kooby, {David A.} and Hansen, {Paul D.} and Vollmer, {Charles M.} and Herbert Zeh and Montagnini, {Andr{\'e} L.} and Besselink, {Marc G.H.} and Ugo Boggi and Conlon, {Kevin C.P.} and R{\o}sok, {B{\aa}rd Ingvald} and Han, {Ho Seong} and C. Palanivelu and Shrikhande, {Shailesh V.} and Go Wakabayashi",
year = "2017",
month = "3",
day = "1",
doi = "10.1016/j.hpb.2017.01.016",
language = "English (US)",
volume = "19",
pages = "234--245",
journal = "HPB",
issn = "1365-182X",
publisher = "John Wiley and Sons Inc.",
number = "3",

}

TY - JOUR

T1 - Training in Minimally Invasive Pancreatic Resections

T2 - a paradigm shift away from “See one, Do one, Teach one”

AU - the Minimally Invasive Pancreatic Resection Organizing Committee

AU - Hogg, Melissa E.

AU - Besselink, Marc G.

AU - Clavien, Pierre Alain

AU - Fingerhut, Abe

AU - Jeyarajah, D. Rohan

AU - Kooby, David A.

AU - Moser, A. James

AU - Pitt, Henry A.

AU - Varban, Oliver A.

AU - Vollmer, Charles M.

AU - Zeh, Herbert J.

AU - Hansen, Paul

AU - Asbun, Horacio J.

AU - Barkun, Jeffrey

AU - Kendrick, Michael L.

AU - Kooby, David A.

AU - Hansen, Paul D.

AU - Vollmer, Charles M.

AU - Zeh, Herbert

AU - Montagnini, André L.

AU - Besselink, Marc G.H.

AU - Boggi, Ugo

AU - Conlon, Kevin C.P.

AU - Røsok, Bård Ingvald

AU - Han, Ho Seong

AU - Palanivelu, C.

AU - Shrikhande, Shailesh V.

AU - Wakabayashi, Go

PY - 2017/3/1

Y1 - 2017/3/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85011964441&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85011964441&partnerID=8YFLogxK

U2 - 10.1016/j.hpb.2017.01.016

DO - 10.1016/j.hpb.2017.01.016

M3 - Article

C2 - 28190709

AN - SCOPUS:85011964441

VL - 19

SP - 234

EP - 245

JO - HPB

JF - HPB

SN - 1365-182X

IS - 3

ER -