TY - JOUR
T1 - Educational implications for surgical telementoring
T2 - a current review with recommendations for future practice, policy, and research
AU - Augestad, K. M.
AU - Han, H.
AU - Paige, J.
AU - Ponsky, T.
AU - Schlachta, C. M.
AU - Dunkin, B.
AU - Mellinger, J.
N1 - Funding Information:
Rolv-Ole Lindsetmo, MD, PhD; Michael Kim, MD; Melina Vassilou, MD; Erik Dutson, MD; Maria Marcela Bailez, MD; Rifat Latifi, MD. Industry participants: Chuck Kennedy (Medtronic), Brian Witte (Ethicon), Kris Danforth (Stryker), Suzanne Jefferson (Karl Storz), Anthony Jarc (Intuitive). Dr. Paige discloses other support from Oxford University Press, as well as grants from LSU Board of Supervisors, Acell, Inc., Intuitive Inc., HRSA, and SGEA, during the conduct of the study; he also discloses that he serves as Chair of the Continuing Education Committee for SAGES. Dr. Ponsky discloses personal fees from Conmed, during the conduct of the study. Drs. Augestad, Han, Schlachta, Dunkin, and Mellinger have no conflicts of interest or financial ties to disclose. Surgical education is at a critical juncture today, threatened by diminished funding, competing service obligations, mounting paper work, and the need to do more in less time with less support. However, it is only by maintaining effective teaching and mentoring of surgical skills, concepts, and precepts that our profession will remain strong. NJ Soper; SAGES 2001 presidential address [1 ].
Publisher Copyright:
© 2017, Society of American Gastrointestinal and Endoscopic Surgeons (SAGES).
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Background: Surgical telementoring (ST) was introduced in the sixties, promoting videoconferencing to enhance surgical education across large distances. Widespread use of ST in the surgical community is lacking. Despite numerous surveys assessing ST, there remains a lack of high-level scientific evidence demonstrating its impact on mentorship and surgical education. Despite this, there is an ongoing paradigm shift involving remote presence technologies and their application to skill development and technique dissemination in the international surgical community. Factors facilitating this include improved access to ST technology, including ease of use and data transmission, and affordability. Several international research initiatives have commenced to strengthen the scientific foundation documenting the impact of ST in surgical education and performance. Methods: International experts on ST were invited to the SAGES Project Six Summit in August 2015. Two experts in surgical education prepared relevant questions for discussion and organized the meeting (JP and HH). The questions were open-ended, and the discussion continued until no new item appeared. The transcripts of interviews were recorded by a secretary from SAGES. Results: In this paper, we present a summary of the work performed by the SAGES Project 6 Education Working Group. We summarize the existing evidence regarding education in ST, identify and detail conceptual educational frameworks that may be used during ST, and present a structured framework for an educational curriculum in ST. Conclusions: The educational impact and optimal curricular organization of ST programs are largely unexplored. We outline the critical components of a structured ST curriculum, including prerequisites, teaching modalities, and key curricular components. We also detail research strategies critical to its continued evolution as an educational tool, including randomized controlled trials, establishment of a quality registry, qualitative research, learning analytics, and development of a standardized taxonomy.
AB - Background: Surgical telementoring (ST) was introduced in the sixties, promoting videoconferencing to enhance surgical education across large distances. Widespread use of ST in the surgical community is lacking. Despite numerous surveys assessing ST, there remains a lack of high-level scientific evidence demonstrating its impact on mentorship and surgical education. Despite this, there is an ongoing paradigm shift involving remote presence technologies and their application to skill development and technique dissemination in the international surgical community. Factors facilitating this include improved access to ST technology, including ease of use and data transmission, and affordability. Several international research initiatives have commenced to strengthen the scientific foundation documenting the impact of ST in surgical education and performance. Methods: International experts on ST were invited to the SAGES Project Six Summit in August 2015. Two experts in surgical education prepared relevant questions for discussion and organized the meeting (JP and HH). The questions were open-ended, and the discussion continued until no new item appeared. The transcripts of interviews were recorded by a secretary from SAGES. Results: In this paper, we present a summary of the work performed by the SAGES Project 6 Education Working Group. We summarize the existing evidence regarding education in ST, identify and detail conceptual educational frameworks that may be used during ST, and present a structured framework for an educational curriculum in ST. Conclusions: The educational impact and optimal curricular organization of ST programs are largely unexplored. We outline the critical components of a structured ST curriculum, including prerequisites, teaching modalities, and key curricular components. We also detail research strategies critical to its continued evolution as an educational tool, including randomized controlled trials, establishment of a quality registry, qualitative research, learning analytics, and development of a standardized taxonomy.
KW - Health policy
KW - Surgical education
KW - Surgical technology
KW - Surgical training
KW - Telemedicine
KW - Telementoring
UR - http://www.scopus.com/inward/record.url?scp=85021281783&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85021281783&partnerID=8YFLogxK
U2 - 10.1007/s00464-017-5690-y
DO - 10.1007/s00464-017-5690-y
M3 - Article
C2 - 28656341
AN - SCOPUS:85021281783
SN - 0930-2794
VL - 31
SP - 3836
EP - 3846
JO - Surgical Endoscopy
JF - Surgical Endoscopy
IS - 10
ER -