Featured Research

from universities, journals, and other organizations

Telementoring may address need for surgical subspecialty expertise in remote locations

Date:
October 21, 2010
Source:
American College of Surgeons
Summary:
Telementoring may be an effective way for subspecialist surgeons to assist remotely located general surgeons in the care of patients in need of emergency subspecialty surgical procedures, according to new research findings.

Telementoring may be an effective way for subspecialist surgeons to assist remotely located general surgeons in the care of patients in need of emergency subspecialty surgical procedures, according to new research findings published in the September issue of the Journal of the American College of Surgeons.

Related Articles


In the study, eight general surgery residents with no formal subspecialty training participated in three mock operations using animal cadavers intended to simulate live procedures. When telementored, the residents achieved higher overall mean performance scores (4.30 0.25 versus 2.43 0.20; p < 0.001).

Wounds suffered in combat often require the expertise of several surgical subspecialists and the ability to provide that level of emergency care in military field hospitals is often not possible. In a civilian setting, telementoring could have wide-ranging applications for general surgeons in rural medical centers where they must treat a wide range of conditions, often without the breadth of subspecialty expertise needed for all cases.

"We wanted to determine if a robotic telementoring platform using real-time audio and video could impact the ability of onsite surgeons to deliver subspecialty surgical care," said lead author Alexander Q. Ereso, MD, resident physician at Wayne State University, Detroit, MI. "This study demonstrates how telementoring could be successfully applied in these surgical settings."

General surgery residents had 20 minutes to perform each operation, first with no assistance from subspecialty surgeons and then immediately afterwards with telerobotic mentoring. The three surgical procedures performed were a suture repair of a penetrating right ventricular injury in a cadaveric bovine heart, simulating a stab wound to the chest; an operative external fixation of a cadaveric porcine open tibial fracture, simulating an injury consistent with a fall; and a craniectomy on a cadaveric porcine skull, simulating an injury caused by a traumatic fall.

Mean performance scores for individual metrics, including tissue handling, instrument handling, speed of completion and knowledge of anatomy, were all superior when residents were telementored (p < 0.001). Telementoring led to the greatest improvement in performance during the cardiac scenario (4.75 0.16 versus 2.00 0.19; p < 0.001). When surveyed after the un-mentored scenario, residents believed that they would be unable to complete the surgical objectives if asked to do so in a similar real-world clinical setting. When surveyed after completing the same scenario with telementoring, residents believed they would be much more comfortable if asked to complete the surgical objectives in a similar real-world clinical setting.

"Not only did residents show improvement during telementoring, but when surveyed afterwards they also felt more competent in all three scenarios," said T. Sloane Guy, MD, FACS, the study's senior author and cardiovascular surgeon at Saint Joseph's Hospital, Atlanta, GA. "The study results demonstrate how we could feasibly use this technology to provide necessary advanced surgical care."

The robotic platform consisted of a high-definition pan-and-tilt camera with a laser pointer controlled by a mouse. The camera and laser pointer were mounted to an overhead surgical light that was relatively fixed. With this setup, surgical subspecialists were able to remotely telementor the general surgery residents via a controlled robotic platform through a laptop computer. The study was conducted as a Telemedicine and Advanced Technology Research Center-funded collaboration between the U.S. Army, the San Francisco Veterans Affairs Hospital Department of Surgery, the University of California, San Francisco, the San Francisco Veterans Affairs Hospital, and SRI International.


Story Source:

The above story is based on materials provided by American College of Surgeons. Note: Materials may be edited for content and length.


Journal Reference:

  1. Alexander Q. Ereso, Pablo Garcia, Elaine Tseng, Grant Gauger, Hubert Kim, Monica M. Dua, Gregory P. Victorino, T. Sloane Guy. Live Transference of Surgical Subspecialty Skills Using Telerobotic Proctoring to Remote General Surgeons. Journal of the American College of Surgeons, 2010; 211 (3): 400 DOI: 10.1016/j.jamcollsurg.2010.05.014

Cite This Page:

American College of Surgeons. "Telementoring may address need for surgical subspecialty expertise in remote locations." ScienceDaily. ScienceDaily, 21 October 2010. <www.sciencedaily.com/releases/2010/10/101021113021.htm>.
American College of Surgeons. (2010, October 21). Telementoring may address need for surgical subspecialty expertise in remote locations. ScienceDaily. Retrieved December 21, 2014 from www.sciencedaily.com/releases/2010/10/101021113021.htm
American College of Surgeons. "Telementoring may address need for surgical subspecialty expertise in remote locations." ScienceDaily. www.sciencedaily.com/releases/2010/10/101021113021.htm (accessed December 21, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Sunday, December 21, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

The Best Tips to Curb Holiday Carbs

The Best Tips to Curb Holiday Carbs

Buzz60 (Dec. 19, 2014) It's hard to resist those delicious but fattening carbs we all crave during the winter months, but there are some ways to stay satisfied without consuming the extra calories. Vanessa Freeman (@VanessaFreeTV) has the details. Video provided by Buzz60
Powered by NewsLook.com
Sierra Leone Bikers Spread the Message to Fight Ebola

Sierra Leone Bikers Spread the Message to Fight Ebola

AFP (Dec. 19, 2014) More than 100 motorcyclists hit the road to spread awareness messages about Ebola. Nearly 7,000 people have now died from the virus, almost all of them in west Africa, according to the World Health Organization. Video provided by AFP
Powered by NewsLook.com
Researchers Test Colombian Village With High Alzheimer's Rates

Researchers Test Colombian Village With High Alzheimer's Rates

AFP (Dec. 19, 2014) In Yarumal, a village in N. Colombia, Alzheimer's has ravaged a disproportionately large number of families. A genetic "curse" that may pave the way for research on how to treat the disease that claims a new victim every four seconds. Duration: 02:42 Video provided by AFP
Powered by NewsLook.com
The Best Protein-Filled Foods to Energize You for the New Year

The Best Protein-Filled Foods to Energize You for the New Year

Buzz60 (Dec. 19, 2014) The new year is coming and nothing will energize you more for 2015 than protein-filled foods. Fitness and nutrition expert John Basedow (@JohnBasedow) gives his favorite high protein foods that will help you build muscle, lose fat and have endless energy. Video provided by Buzz60
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins