Live surgery in neurosurgical training courses: essential infrastructure and technical set-up
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TECHNICAL NOTE - NEUROSURGERY TRAINING
Live surgery in neurosurgical training courses: essential infrastructure and technical set-up Florian Roser & Gerd Pfister & Marcos Tatagiba & Florian H. Ebner
Received: 24 October 2012 / Accepted: 30 November 2012 / Published online: 16 December 2012 # Springer-Verlag Wien 2012
Abstract Background Training courses in neurosurgery are essential educational elements of residency. Teaching methods vary due to cultural differences, monetary restrictions and infrastructure conditions. Anatomical dissection courses combined with annotated live surgeries performed by senior surgeons have proved to be best accepted by students. Objective In this technical note, we provide detailed information about the necessary requirements, resources and optimal performance of live surgeries in neurosurgical training courses. Methods and results From 2007 to 2012, 12 neurosurgical training courses with live surgeries were organised at the Department of Neurosurgery. Here, we share our experience and report the essential set-up for these courses. Our department organised seven skull base, four cervical spine and one spinal cord stimulation hands-on dissection course with live surgeries. The course structure included lectures, cadaver dissections and live surgeries. The technical set-up included video transmission via an IP-based network with fibreglass backbone between the operating theatre (OR) and lecture room. During surgery, bidirectional discussions offered the participants the ability to interject and ask questions. Important issues included the careful selection of live operated patients with clearly presented pathology for the didactic cases used to demonstrate the technique. A live surgery should include the entire procedure: intraoperative set-up, positioning, anaesthesiological procedures and handling of intraoperative situations. Conclusion A professionally prepared step-by-step educational program including surgical anatomy, cadaver dissection
and live surgeries with online discussion offers a high level of training and enriches both the participants and instructors.
F. Roser (*) : G. Pfister : M. Tatagiba : F. H. Ebner Department of Neurosurgery, University of Tübingen, Hoppe-Seyler-Str.3, 72076 Tübingen, Germany e-mail: [email protected]
Methods
Keywords Live surgery . Telemedicine . Anatomy . Dissection course . HD . Endoscopy . Education
Introduction Neurosurgical training in the twenty-first century is demanding, as patients request optimal care regardless of the educational level of the neurosurgeon. Despite the availability of multimedia learning devices, eMedia and 3D virtual reality surgical planning stations, anatomical training via dissection courses remains the “gold standard”. During courses taught by experienced surgeons in major centres, live surgeries provide an opportunity for the participant to learn about surgical anatomy and observe intraoperative set-up, preparation, anaesthesia procedures and handling of intraoperative situations. In accordance with the awarenes
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