Surgical Training in a World of Limited Ressources

Forschungsarbeit von Bsc. Philipp Gernerth Mautner Markhof in Zusammenarbeit mit internationalen Experten aus verschiedenen chirurgischen Disziplinen.


This study investigates the beliefs and needs of experts on behalf of surgical training. A semi-structured interview with eight experts from three different countries and multiple surgical disciplines was conducted. The main objective was to examine how and if surgeons use technology for recording, editing, assessing and benchmarking their training activities, (simulation) procedures, workflows and clinical cases. The results of this first study are going to be used to specify a software tool. The software is intended to support experts in their surgical training efforts.                              

It´s commonly known that training plays an important role in the education of physicians in all disciplines. Still there are several difficulties with the implementation of high quality, competency-based training programmes in the medical curriculum. Integration of state-of-the-art pedagogics with modern eLearning technology (such as apps or browser solutions), which can easily and efficiently be used, are seldom seen in surgical training. The main challenge here is the limitation of resources: i.e. limited budgets for courses or training technologies in general; limited resources for research or development of new didactic concepts. Further medical and surgical experts have limited time resources for their training in between a vast number of jobs such as patient treatment, hospital management, etc.

Furthermore, the majority of the training managers, instructors and surgical experts lack educational or pedagogic skills. There is still a big difference between experts who can do complex procedures and those you can also teach them effectively. Most of the experts have a precise mental concept for performing complex procedures in the operating room but only a few can abstract and merge that content to make them easily comprehensible for other surgeons. There are a large number of eLearning concepts that focus on resident surgeons in education. Most of these platforms suffer from gratuitous content and non-specific processes, cases and are missing a combination or integration with hands on training.

The results of this study prove that most of the problems in surgical training are the result of missing resources from those who are responsible for teaching and not the learners themselves. Hence there is a strong reason to assume that if medical training tools get more attractive for the experts and training managers, better outcomes can also be achieved for the participants, and subsequently for the patients. Therefore, training tools are needed to help the experts to manage and benchmark their courses.

The first ideas for a proper online training tool for surgical training experts are shown as a result of this study.  

KeywordsSurgical Training, Video Based Training, Surgical Workflows, Training Experts, Feedback,App Solutions, eLearning

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