Imperial College London

DrFernandoBello

Faculty of MedicineDepartment of Surgery & Cancer

Reader in Surgical Computing and Simulation Science
 
 
 
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Contact

 

+44 (0)20 3315 8231f.bello Website

 
 
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Location

 

G3.50Chelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Publication Type
Year
to

150 results found

Kneebone RL, Nestel D, Bello F, 2017, Learning in a simulated environment, A Practical Guide for Medical Teachers, Editors: Dent, Harden, Hunt, Hodges, Publisher: Elsevier, Pages: 92-100, ISBN: 9780702068911

This highly regarded book recognises the importance of educational skills in the delivery of quality teaching in medicine. The contents offer valuable insights into all important aspects of medical education today.

BOOK CHAPTER

Korzeniowski P, Brown DC, Sodergren MH, Barrow A, Bello Fet al., 2017, Validation of NOViSE: A Novel Natural Orifice Virtual Surgery Simulator, SURGICAL INNOVATION, Vol: 24, Pages: 55-65, ISSN: 1553-3506

JOURNAL ARTICLE

Korzeniowski P, White RJ, Bello F, 2017, VCSim3: a VR simulator for cardiovascular interventions., Int J Comput Assist Radiol Surg

PURPOSE: Effective and safe performance of cardiovascular interventions requires excellent catheter/guidewire manipulation skills. These skills are currently mainly gained through an apprenticeship on real patients, which may not be safe or cost-effective. Computer simulation offers an alternative for core skills training. However, replicating the physical behaviour of real instruments navigated through blood vessels is a challenging task. METHODS: We have developed VCSim3-a virtual reality simulator for cardiovascular interventions. The simulator leverages an inextensible Cosserat rod to model virtual catheters and guidewires. Their mechanical properties were optimized with respect to their real counterparts scanned in a silicone phantom using X-ray CT imaging. The instruments are manipulated via a VSP haptic device. Supporting solutions such as fluoroscopic visualization, contrast flow propagation, cardiac motion, balloon inflation, and stent deployment, enable performing a complete angioplasty procedure. RESULTS: We present detailed results of simulation accuracy of the virtual instruments, along with their computational performance. In addition, the results of a preliminary face and content validation study conveyed on a group of 17 interventional radiologists are given. CONCLUSIONS: VR simulation of cardiovascular procedure can contribute to surgical training and improve the educational experience without putting patients at risk, raising ethical issues or requiring expensive animal or cadaver facilities. VCSim3 is still a prototype, yet the initial results indicate that it provides promising foundations for further development.

JOURNAL ARTICLE

Plumptre I, Mulki O, Granados A, Gayle C, Ahmed S, Low-Beer N, Higham J, Bello Fet al., 2017, Standardizing bimanual vaginal examination using cognitive task analysis., Int J Gynaecol Obstet, Vol: 139, Pages: 114-119

OBJECTIVE: To create a standardized universal list of procedural steps for bimanual vaginal examination (BVE) for teaching, assessment, and simulator development. METHODS: This observational study, conducted from June-July 2012 and July-December 2014, collected video data of 10 expert clinicians performing BVE in a nonclinical environment. Video data were analyzed to produce a cognitive task analysis (CTA) of the examination steps performed. The CTA was further refined through structured interviews to make it suitable for teaching or assessment. It was validated through its use as a procedural examination checklist to rate expert clinician performance. RESULTS: BVE was deconstructed into 88 detailed steps outlining the complete examination process. These initial 88 steps were reduced to 35 by focusing on the unseen internal examination, then further refined through interviews with five experts into 30 essential procedural steps, five of which are additional steps if pathology is suspected. Using the CTA as a procedural checklist, the mean number of steps performed and/or verbalized was 21.6 ± 3.12 (72% ± 10.4%; range, 15.9-27.9, 53%-93%). CONCLUSION: This approach identified 30 essential steps for performing BVE, producing a new technique and standardized tool for teaching, assessment, and simulator development.

JOURNAL ARTICLE

Weldon S-M, Ralhan S, Paice L, Kneebone R, Bello Fet al., 2017, Sequential simulation of a patient journey, CLINICAL TEACHER, Vol: 14, Pages: 90-94, ISSN: 1743-4971

JOURNAL ARTICLE

Weldon SM, Kelay T, Ako E, Cox BM, Bello F, Kneebone Ret al., 2017, Sequential simulation used as a novel educational tool aimed at healthcare managers: a patient-centred approach, BMJ Simulation & Technology Enhanced Learning, ISSN: 2056-6697

Background A new challenge for healthcare managers is to improve the patient experience. Simulation is often used for clinical assessment and rarely for those operating outside of direct clinical care. Sequential simulation (SqS) is a form of simulation that re-creates care pathways, widening its potential use.Local problem Numbers, outcome measures and system profiling are used to inform healthcare decisions. However, none of these captures the personal subtleties of a patient’s experience.Intervention 56 students attended a teaching module using SqS and facilitated workshops as part of their induction week on an MSc International Health Management course. The workshop was voluntary and was offered as an opportunity for the students to gain an insight into the UK health system through the medium of simulation.Methods An evaluation survey incorporating quantitative and qualitative student feedback was conducted. Descriptive statistics were generated from the quantitative data, and thematic analysis was undertaken for the qualitative data.Results There was strong agreement for the acceptability of the workshop approach in relation to the aims and objectives. Likert scale (1–-5) mean total=4.49. Participants responded enthusiastically (revealed through the qualitative data) with ideas related to perspectives sharing, understanding healthcare management and processes and the consideration of feasibility and practicalities. They also suggested other applications that SqS could be used for.Conclusion The SqS approach has demonstrated that simulation has a wider potential than for clinical assessment alone. Further studies are required to determine its potential uses and affordances beyond its current format.

JOURNAL ARTICLE

Huddy JR, Weldon S-M, Ralhan S, Painter T, Hanna GB, Kneebone R, Bello Fet al., 2016, Sequential simulation (SqS) of clinical pathways: a tool for public and patient engagement in point-of-care diagnostics, BMJ OPEN, Vol: 6, ISSN: 2044-6055

JOURNAL ARTICLE

Korzeniowski P, Barrow A, Sodergren MH, Hald N, Bello Fet al., 2016, NOViSE: a virtual natural orifice transluminal endoscopic surgery simulator, INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY, Vol: 11, Pages: 2303-2315, ISSN: 1861-6410

JOURNAL ARTICLE

Loisillier A, Granados A, Barrow A, Bello Fet al., 2016, Thimble End Effector for Palpation Skills Training, 10th International Conference on Haptics - Perception, Devices, Control, and Applications (EuroHaptics), Publisher: SPRINGER INT PUBLISHING AG, Pages: 86-96, ISSN: 0302-9743

CONFERENCE PAPER

Mulki O, Plumptre I, Granados A, Ahmed S, Low-Beer N, Higham J, Bello Fet al., 2016, Bimanual vaginal examination: Using innovation through cognitive task analysis to standardise practise and enhance teaching, Publisher: WILEY-BLACKWELL, Pages: 205-205, ISSN: 1470-0328

CONFERENCE PAPER

Powell P, Sorefan Z, Hamilton S, Kneebone R, Bello Fet al., 2016, Exploring the potential of sequential simulation, CLINICAL TEACHER, Vol: 13, Pages: 112-118, ISSN: 1743-4971

JOURNAL ARTICLE

Weldon S-M, Kneebone R, Bello F, 2016, Collaborative healthcare remodelling through sequential simulation: a patient and front-line staff perspective, BMJ Simulation and Technology Enhanced Learning, Vol: 2, Pages: 78-86

JOURNAL ARTICLE

Brenton H, Woodward P, Gillies M, Birns J, Ames D, Bello Fet al., 2015, Linking Aetiology with Social Communication in a Virtual Stroke Patient, 15th International Conference on Intelligent Virtual Agents (IVA), Publisher: SPRINGER-VERLAG BERLIN, Pages: 270-274, ISSN: 0302-9743

CONFERENCE PAPER

Brewin J, Tang J, Dasgupta P, Khan MS, Ahmed K, Bello F, Kneebone R, Jaye Pet al., 2015, Full immersion simulation: validation of a distributed simulation environment for technical and non-technical skills training in Urology, BJU INTERNATIONAL, Vol: 116, Pages: 156-162, ISSN: 1464-4096

JOURNAL ARTICLE

Brunckhorst O, Shahid S, Aydin A, Khan S, McIlhenny C, Brewin J, Sahai A, Bello F, Kneebone R, Khan MS, Dasgupta P, Ahmed Ket al., 2015, The Relationship Between Technical And Nontechnical Skills Within A Simulation-Based Ureteroscopy Training Environment, JOURNAL OF SURGICAL EDUCATION, Vol: 72, Pages: 1039-1044, ISSN: 1931-7204

JOURNAL ARTICLE

Brunckhorst O, Shahid S, Aydin A, McIlhenny C, Khan S, Raza S, Sahai A, Brewin J, Bello F, Kneebone R, Khan M, Dasgupta P, Ahmed Ket al., 2015, DEVELOPMENT AND VALIDATION OF AN INTEGRATED SKILLS CURRICULUM WITHIN URETEROSCOPY - A RANDOMISED CONTROLLED TRIAL, Annual Meeting of the American-Urological-Association (AUA), Publisher: ELSEVIER SCIENCE INC, Pages: E244-E245, ISSN: 0022-5347

CONFERENCE PAPER

Brunckhorst O, Shahid S, Aydin A, McIlhenny C, Khan S, Raza SJ, Sahai A, Brewin J, Bello F, Kneebone R, Khan MS, Dasgupta P, Ahmed Ket al., 2015, Simulation-based ureteroscopy skills training curriculum with integration of technical and non-technical skills: a randomised controlled trial, SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol: 29, Pages: 2728-2735, ISSN: 0930-2794

JOURNAL ARTICLE

Brunckhorst O, Shahid S, Aydin A, McIlhenny C, Khan S, Sahai A, Brewin J, Bello F, Kneebone R, Khan M, Dasgupta P, Ahmed Ket al., 2015, IS THERE A CORRELATION BETWEEN TECHNICAL SKILLS AND NON-TECHNICAL SKILLS PERFORMANCE WITHIN URETEROSCOPY?, Annual Meeting of the American-Urological-Association (AUA), Publisher: ELSEVIER SCIENCE INC, Pages: E268-E269, ISSN: 0022-5347

CONFERENCE PAPER

Brunckhorst O, Shahid S, Aydin A, McIlhenny C, Khan S, Syed JR, Sahai A, Brewin J, Bello F, Kneebone R, Khan MS, Dasgupta P, Ahmed Ket al., 2015, Training and assessing technical and non-technical skills for uretersocopy within a simulation-based curriculum - a randomised control trial, Annual Meeting of the Society-of-Academic-and-Research-Surgery (SARS(, Publisher: WILEY-BLACKWELL, Pages: 39-39, ISSN: 0007-1323

CONFERENCE PAPER

Coates L, Weldon S-M, Rodrigues A, Bello F, Kneebone Ret al., 2015, Simulation as a public engagement: Engaging children in medicine and science in some surprising places, International Pediatric Simulation Symposia and Workshops

CONFERENCE PAPER

Costopoulos C, Kelay T, Ako E, Yasin M, Chan KL, Gold M, Kneebone R, Bello F, Malik ISet al., 2015, NOVEL SIMULATION-BASED TRAINING IN CARDIOLOGY: TRAINEE FEEDBACK AND EVALUATION OF A PILOT STUDY, CARDIOLOGY, Vol: 131, Pages: 70-70, ISSN: 0008-6312

JOURNAL ARTICLE

Huddy J, Weldon S-M, Ralhan S, Bello F, Kneebone R, Hanna GBet al., 2015, Sequential simulation of clinical pathways: a tool for public and patient involvement in diagnostic research, UK Diagnostic Forum

POSTER

Paice L, Weldon S-M, Rahlan S, Bello F, Kneebone RLet al., 2015, Sequential simulation (SqS) of a patient journey: an intervention to engage GP receptionists in integrated care, Publisher: IGITUR, UTRECHT PUBLISHING & ARCHIVING SERVICES, ISSN: 1568-4156

CONFERENCE PAPER

Rae AO, Khatib M, Sarker S, Bello Fet al., 2015, The Effect of a Computer Based Open Surgery Simulation of an Inguinal Hernia Repair on the Results of Cognitive Task Analysis Performance of Surgical Trainees: An Educational Trial, International Surgical Congress of the Association-of-Surgeons-of-Great-Britain-and-Ireland (ASGBI), Publisher: WILEY-BLACKWELL, Pages: 40-40, ISSN: 0007-1323

CONFERENCE PAPER

Weldon S-M, Ralhan S, Paice E, Kneebone R, Bello Fet al., 2015, Sequential Simulation (SqS): an innovative approach to educating GP receptionists about integrated care via a patient journey - a mixed methods approach, BMC FAMILY PRACTICE, Vol: 16, ISSN: 1471-2296

JOURNAL ARTICLE

Bayona S, Akhtar K, Gupte C, Emery RJH, Dodds AL, Bello Fet al., 2014, Assessing Performance in Shoulder Arthroscopy: The Imperial Global Arthroscopy Rating Scale (IGARS), JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, Vol: 96A, ISSN: 0021-9355

JOURNAL ARTICLE

Fakhry M, Bello F, Hanna GB, 2014, Real Time Cancer Prediction Based on Objective Tissue Compliance Measurement in Endoscopic Surgery, ANNALS OF SURGERY, Vol: 259, Pages: 369-373, ISSN: 0003-4932

JOURNAL ARTICLE

Granados A, Hald N, Di Marco A, Ahmed S, Low-Beer N, Higham J, Kneebone R, Bello Fet al., 2014, Real-Time Visualisation and Analysis of Internal Examinations - Seeing the Unseen, MEDICAL IMAGE COMPUTING AND COMPUTER-ASSISTED INTERVENTION - MICCAI 2014, PT I, Vol: 8673, Pages: 617-+, ISSN: 0302-9743

JOURNAL ARTICLE

Granados A, Hald N, Di Marco A, Ahmed S, Low-Beer N, Higham J, Kneebone R, Bello Fet al., 2014, Real-time visualisation and analysis of internal examinations - Seeing the unseen, Pages: 617-625, ISSN: 0302-9743

Internal examinations such as Digital Rectal Examination (DRE) and bimanual Vaginal Examination (BVE) are routinely performed for early diagnosis of cancer and other diseases. Although they are recognised as core skills to be taught on a medical curriculum, they are difficult to learn and teach due to their unsighted nature. We present a framework that combines a visualisation and analysis tool with position and pressure sensors to enable the study of internal examinations and provision of real-time feedback. This approach is novel as it allows for real-time continuous trajectory and pressure data to be obtained for the complete examination, which may be used for teaching and assessment. Experiments were conducted performing DRE and BVE on benchtop models, and BVE on Gynaecological Teaching Assistants (GTA). The results obtained suggest that the proposed methodology may provide an insight into what constitutes an adequate DRE or BVE, provide real-time feedback tools for learning and assessment, and inform haptics-based simulator design. © 2014 Springer International Publishing.

CONFERENCE PAPER

Granados A, Mayer E, Norton C, Ellis D, Mobasheri M, Low-Beer N, Higham J, Kneebone R, Bello Fet al., 2014, Haptics Modelling for Digital Rectal Examinations, 6th International Symposium on Biomedical Simulation (ISBMS), Publisher: SPRINGER INT PUBLISHING AG, Pages: 40-49, ISSN: 0302-9743

CONFERENCE PAPER

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